Monitoring fairness in machine learning models that predict patient mortality in the ICU

Benchmarking can include comparing an ICU's actual performance with predicted performance. The increased interoperability of medical devices, electronic health records (EHRs) and information systems has improved the acquisition and presentation of data to healthcare professionals. This data has enabled the training of predictive models. However, thi s plethora of data sources has also introduced new risks that societal bias will lead to machine learning systems with fairness issues for patient groups. In addition, when variations in data documentation are non-random, significant bias can be introduced, improving, or worsening measured performance for an institution relative to peers. This work focuses on ICU mortality benchmarking. In particular, we analyze the fairness of a model based on Generalised Additiv e Models (GAM) [ 3 ] that predicts mortality in the ICU. This model is used to compare actual versus predicted outcom es to assess ICU performance.