Subjective expected utility theory assumes that decision-makers possess unlimited computational resources to reason about their choices; however, virtually all decisions in everyday life are made under resource constraints---i.e.

For example, in personalized medical diagnostics, a model is built based on historical data to facilitate an optimal treatment for a new patient (Bica et al., 2021).

In this paper, we contribute to both theoretical analyses.

Credit risk models are a critical decision-support tool for financial institutions, yet tightening data-protection rules (e.g., GDPR, CCPA) increasingly prohibit cross-border sharing of borrower data, even as these models benefit from cross-institution learning. Traditional default prediction suffers from two limitations: binary classification ignores default timing, treating early defaulters (high loss) equivalently to late defaulters (low loss), and centralized training violates emerging regulatory constraints. We propose a Federated Survival Learning framework with Bayesian Differential Privacy (FSL-BDP) that models time-to-default trajectories without centralizing sensitive data. The framework provides Bayesian (data-dependent) differential privacy (DP) guarantees while enabling institutions to jointly learn risk dynamics. Experiments on three real-world credit datasets (LendingClub, SBA, Bondora) show that federation fundamentally alters the relative effectiveness of privacy mechanisms. While classical DP performs better than Bayesian DP in centralized settings, the latter benefits substantially more from federation (+7.0\% vs +1.4\%), achieving near parity of non-private performance and outperforming classical DP in the majority of participating clients. This ranking reversal yields a key decision-support insight: privacy mechanism selection should be evaluated in the target deployment architecture, rather than centralized benchmarks. These findings provide actionable guidance for practitioners designing privacy-preserving decision support systems in regulated, multi-institutional environments.

Decision support systems based on prediction sets help humans solve multiclass classification tasks by narrowing down the set of potential label values to a subset of them, namely a prediction set, and asking them to always predict label values from the prediction sets. While this type of systems have been proven to be effective at improving the average accuracy of the predictions made by humans, by restricting human agency, they may cause harm---a human who has succeeded at predicting the ground-truth label of an instance on their own may have failed had they used these systems. In this paper, our goal is to control how frequently a decision support system based on prediction sets may cause harm, by design. To this end, we start by characterizing the above notion of harm using the theoretical framework of structural causal models. Then, we show that, under a natural, albeit unverifiable, monotonicity assumption, we can estimate how frequently a system may cause harm using only predictions made by humans on their own. Further, we also show that, under a weaker monotonicity assumption, which can be verified experimentally, we can bound how frequently a system may cause harm again using only predictions made by humans on their own. Building upon these assumptions, we introduce a computational framework to design decision support systems based on prediction sets that are guaranteed to cause harm less frequently than a user-specified value using conformal risk control. We validate our framework using real human predictions from two different human subject studies and show that, in decision support systems based on prediction sets, there is a trade-off between accuracy and counterfactual harm.

Significant effort has been placed on developing decision support tools to improve patient care. However, drivers of real-world clinical decisions in complex medical scenarios are not yet well-understood, resulting in substantial gaps between these tools and practical applications. In light of this, we highlight that more attention on understanding clinical decision-making is required both to elucidate current clinical practices and to enable effective human-machine interactions. This is imperative in high-stakes scenarios with scarce available resources.

Whenever a binary classifier is used to provide decision support, it typically provides both a label prediction and a confidence value. Then, the decision maker is supposed to use the confidence value to calibrate how much to trust the prediction. In this context, it has been often argued that the confidence value should correspond to a well calibrated estimate of the probability that the predicted label matches the ground truth label. However, multiple lines of empirical evidence suggest that decision makers have difficulties at developing a good sense on when to trust a prediction using these confidence values. In this paper, our goal is first to understand why and then investigate how to construct more useful confidence values. We first argue that, for a broad class of utility functions, there exists data distributions for which a rational decision maker is, in general, unlikely to discover the optimal decision policy using the above confidence values--an optimal decision maker would need to sometimes place more (less) trust on predictions with lower (higher) confidence values. However, we then show that, if the confidence values satisfy a natural alignment property with respect to the decision maker's confidence on her own predictions, there always exists an optimal decision policy under which the level of trust the decision maker would need to place on predictions is monotone on the confidence values, facilitating its discoverability. Further, we show that multicalibration with respect to the decision maker's confidence on her own prediction is a sufficient condition for alignment. Experiments on a real AI-assisted decision making scenario where a classifier provides decision support to human decision makers validate our theoretical results and suggest that alignment may lead to better decisions.

Machine learning based decision-support tools in criminal justice systems are subjects of intense discussions and academic research. There are important open questions about the utility and fairness of such tools. Academic researchers often rely on a few small datasets that are not sufficient to empirically study various real-world aspects of these questions. In this paper, we contribute WCLD, a curated large dataset of 1.5 million criminal cases from circuit courts in the U.S. state of Wisconsin. We used reliable public data from 1970 to 2020 to curate attributes like prior criminal counts and recidivism outcomes.

This paper investigates real-time decision support systems that leverage low-latency AI models, bringing together recent progress in holistic AI-driven decision tools, integration with Edge-IoT technologies, and approaches for effective human-AI teamwork. It looks into how large language models can assist decision-making, especially when resources are limited. The research also examines the effects of technical developments such as DeLLMa, methods for compressing models, and improvements for analytics on edge devices, while also addressing issues like limited resources and the need for adaptable frameworks. Through a detailed review, the paper offers practical perspectives on development strategies and areas of application, adding to the field by pointing out opportunities for more efficient and flexible AI-supported systems. The conclusions set the stage for future breakthroughs in this fast-changing area, highlighting how AI can reshape real-time decision support.