mlsanityData to 14 Oct 2026

Using AI to Optimize Patient Transfer and Resource Utilization During Mass-Casualty Incidents: A Simulation Platform

arXiv 2509.08756 ↗First posted 10 Sep 2025cs.LG cs.AI cs.HCcited by 0

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Abstract (arXiv)

Mass casualty incidents (MCIs) overwhelm healthcare systems and demand rapid, accurate patient-hospital allocation decisions under extreme pressure. Here, we developed and validated a deep reinforcement learning-based decision-support AI agent to optimize patient transfer decisions during simulated MCIs by balancing patient acuity levels, specialized care requirements, hospital capacities, and transport logistics. To integrate this AI agent, we developed MasTER, a web-accessible command dashboard for MCI management simulations. Through a controlled user study with 30 participants (6 trauma experts and 24 non-experts), we evaluated three interaction approaches with the AI agent (human-only, human-AI collaboration, and AI-only) across 20- and 60-patient MCI scenarios in the Greater Toronto Area. Results demonstrate that increasing AI involvement significantly improves decision quality and consistency. The AI agent outperforms trauma surgeons (p < 0.001) and enables non-experts to achieve expert-level performance when assisted, contrasting sharply with their significantly inferior unassisted performance (p < 0.001). These findings establish the potential for our AI-driven decision support to enhance both MCI preparedness training and real-world emergency response management.

Key facts. No citing papers in the map yet (data through 14 Oct 2026). Builds on 7 of its 34 references that are in the map. First posted on arXiv 10 Sep 2025.

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7 of 34 references.

References · 7

  1. 2017Proximal Policy Optimization Algorithmscited by 15,215
  2. 2016Asynchronous Methods for Deep Reinforcement Learningcited by 2,258
  3. 2017A Brief Survey of Deep Reinforcement Learningcited by 483
  4. 2019Reinforcement Learning in Healthcare: A Surveycited by 310
  5. 2018Benchmarking Reinforcement Learning Algorithms on Real-World Robotscited by 65
  6. 2017A Reinforcement Learning Approach to Weaning of Mechanical Ventilation in Intensive Care Unitscited by 50
  7. 2019Deep Reinforcement Learning for Clinical Decision Support: A Brief Surveycited by 4

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