The use of machine learning and AI on electronic health records (EHRs) holds substantial potential for clinical insight. However, this approach faces challenges due to data heterogeneity, sparsity, temporal misalignment, and limited labeled outcomes. In this context, we leverage a linked EHR dataset of approximately one million de-identified individuals from Bristol, North Somerset, and South Gloucestershire, UK, to characterize urinary tract infections (UTIs). We implemented a data pre-processing and curation pipeline that transforms the raw EHR data into a structured format suitable for developing predictive models focused on data fairness, accountability and transparency. Given the limited availability and biases of ground truth UTI outcomes, we introduce a UTI risk estimation framework informed by clinical expertise to estimate UTI risk across individual patient timelines. Pairwise XGBoost models are trained using this framework to differentiate UTI risk categories with explainable AI techniques applied to identify key predictors and support interpretability. Our findings reveal differences in clinical and demographic predictors across risk groups. While this study highlights the potential of AI-driven insights to support UTI clinical decision-making, further investigation of patient sub-strata and extensive validation are needed to ensure robustness and applicability in clinical practice.

There is a growing need to understand how digital systems can support clinical decision-making, particularly as artificial intelligence (AI) models become increasingly complex and less human-interpretable. This complexity raises concerns about trustworthiness, impacting safe and effective adoption of such technologies. Improved understanding of decision-making processes and requirements for explanations coming from decision support tools is a vital component in providing effective explainable solutions. This is particularly relevant in the data-intensive, fast-paced environments of intensive care units (ICUs). To explore these issues, group interviews were conducted with seven ICU clinicians, representing various roles and experience levels. Thematic analysis revealed three core themes: (T1) ICU decision-making relies on a wide range of factors, (T2) the complexity of patient state is challenging for shared decision-making, and (T3) requirements and capabilities of AI decision support systems. We include design recommendations from clinical input, providing insights to inform future AI systems for intensive care.

The subjective quality of natural signals can be approximated with objective perceptual metrics. Designed to approximate the perceptual behaviour of human observers, perceptual metrics often reflect structures found in natural signals and neurological pathways. Models trained with perceptual metrics as loss functions can capture perceptually meaningful features from the structures held within these metrics. We demonstrate that using features extracted from autoencoders trained with perceptual losses can improve performance on music understanding tasks, i.e. genre classification, over using these metrics directly as distances when learning a classifier. This result suggests improved generalisation to novel signals when using perceptual metrics as loss functions for representation learning.

Quantifying a patient's health status provides clinicians with insight into patient risk, and the ability to better triage and manage resources. Early Warning Scores (EWS) are widely deployed to measure overall health status, and risk of adverse outcomes, in hospital patients. However, current EWS are limited both by their lack of personalisation and use of static observations. We propose a pipeline that groups intensive care unit patients by the trajectories of observations data throughout their stay as a basis for the development of personalised risk predictions. Feature importance is considered to provide model explainability. Using the MIMIC-IV dataset, six clusters were identified, capturing differences in disease codes, observations, lengths of admissions and outcomes. Applying the pipeline to data from just the first four hours of each ICU stay assigns the majority of patients to the same cluster as when the entire stay duration is considered. In-hospital mortality prediction models trained on individual clusters had higher F1 score performance in five of the six clusters when compared against the unclustered patient cohort. The pipeline could form the basis of a clinical decision support tool, working to improve the clinical characterisation of risk groups and the early detection of patient deterioration.

Reinforcement Learning (RL) has shown remarkable success in solving relatively complex tasks, yet the deployment of RL systems in real-world scenarios poses significant challenges related to safety and robustness. This paper aims to identify and further understand those challenges thorough the exploration of the main dimensions of the safe and robust RL landscape, encompassing algorithmic, ethical, and practical considerations. We conduct a comprehensive review of methodologies and open problems that summarizes the efforts in recent years to address the inherent risks associated with RL applications. After discussing and proposing definitions for both safe and robust RL, the paper categorizes existing research works into different algorithmic approaches that enhance the safety and robustness of RL agents. We examine techniques such as uncertainty estimation, optimisation methodologies, exploration-exploitation trade-offs, and adversarial training. Environmental factors, including sim-to-real transfer and domain adaptation, are also scrutinized to understand how RL systems can adapt to diverse and dynamic surroundings. Moreover, human involvement is an integral ingredient of the analysis, acknowledging the broad set of roles that humans can take in this context. Importantly, to aid practitioners in navigating the complexities of safe and robust RL implementation, this paper introduces a practical checklist derived from the synthesized literature. The checklist encompasses critical aspects of algorithm design, training environment considerations, and ethical guidelines. It will serve as a resource for developers and policymakers alike to ensure the responsible deployment of RL systems in many application domains.

Counterfactual explanations, and their associated algorithmic recourse, are typically leveraged to understand, explain, and potentially alter a prediction coming from a black-box classifier. In this paper, we propose to extend the use of counterfactuals to evaluate progress in sequential decision making tasks. To this end, we introduce a model-agnostic modular framework, TraCE (Trajectory Counterfactual Explanation) scores, which is able to distill and condense progress in highly complex scenarios into a single value. We demonstrate TraCE's utility across domains by showcasing its main properties in two case studies spanning healthcare and climate change.

Detecting Parkinson's Disease in its early stages using EEG data presents a significant challenge. This paper introduces a novel approach, representing EEG data as a 15-variate series of bandpower and peak frequency values/coefficients. The hypothesis is that this representation captures essential information from the noisy EEG signal, improving disease detection. Statistical features extracted from this representation are utilised as input for interpretable machine learning models, specifically Decision Tree and AdaBoost classifiers. Our classification pipeline is deployed within our proposed framework which enables high-importance data types and brain regions for classification to be identified. Interestingly, our analysis reveals that while there is no significant regional importance, the N1 sleep data type exhibits statistically significant predictive power (p < 0.01) for early-stage Parkinson's Disease classification. AdaBoost classifiers trained on the N1 data type consistently outperform baseline models, achieving over 80% accuracy and recall. Our classification pipeline statistically significantly outperforms baseline models indicating that the model has acquired useful information. Paired with the interpretability (ability to view feature importance's) of our pipeline this enables us to generate meaningful insights into the classification of early stage Parkinson's with our N1 models. In Future, these models could be deployed in the real world - the results presented in this paper indicate that more than 3 in 4 early-stage Parkinson's cases would be captured with our pipeline.

Perceptual metrics are traditionally used to evaluate the quality of natural signals, such as images and audio. They are designed to mimic the perceptual behaviour of human observers and usually reflect structures found in natural signals. This motivates their use as loss functions for training generative models such that models will learn to capture the structure held in the metric. We take this idea to the extreme in the audio domain by training a compressive autoencoder to reconstruct uniform noise, in lieu of natural data. We show that training with perceptual losses improves the reconstruction of spectrograms and re-synthesized audio at test time over models trained with a standard Euclidean loss. This demonstrates better generalisation to unseen natural signals when using perceptual metrics.

In this paper we introduce learnable lattice vector quantization and demonstrate its effectiveness for learning discrete representations. Our method, termed LL-VQ-VAE, replaces the vector quantization layer in VQ-VAE with lattice-based discretization. The learnable lattice imposes a structure over all discrete embeddings, acting as a deterrent against codebook collapse, leading to high codebook utilization. Compared to VQ-VAE, our method obtains lower reconstruction errors under the same training conditions, trains in a fraction of the time, and with a constant number of parameters (equal to the embedding dimension $D$), making it a very scalable approach. We demonstrate these results on the FFHQ-1024 dataset and include FashionMNIST and Celeb-A.

Counterfactuals operationalised through algorithmic recourse have become a powerful tool to make artificial intelligence systems explainable. Conceptually, given an individual classified as y -- the factual -- we seek actions such that their prediction becomes the desired class y' -- the counterfactual. This process offers algorithmic recourse that is (1) easy to customise and interpret, and (2) directly aligned with the goals of each individual. However, the properties of a "good" counterfactual are still largely debated; it remains an open challenge to effectively locate a counterfactual along with its corresponding recourse. Some strategies use gradient-driven methods, but these offer no guarantees on the feasibility of the recourse and are open to adversarial attacks on carefully created manifolds. This can lead to unfairness and lack of robustness. Other methods are data-driven, which mostly addresses the feasibility problem at the expense of privacy, security and secrecy as they require access to the entire training data set. Here, we introduce LocalFACE, a model-agnostic technique that composes feasible and actionable counterfactual explanations using locally-acquired information at each step of the algorithmic recourse. Our explainer preserves the privacy of users by only leveraging data that it specifically requires to construct actionable algorithmic recourse, and protects the model by offering transparency solely in the regions deemed necessary for the intervention.