We study the common generalization of Markov decision processes (MDPs) with sets of transition probabilities, known as robust MDPs (RMDPs). A standard goal in RMDPs is to compute a policy that maximizes the expected return under an adversarial choice of the transition probabilities. If the uncertainty in the probabilities is independent between the states, known as s-rectangularity, such optimal robust policies can be computed efficiently using robust value iteration. However, there might still be multiple optimal robust policies, which, while equivalent with respect to the worst-case, reflect different expected returns under non-adversarial choices of the transition probabilities. Hence, we propose a refined policy selection criterion for RMDPs, drawing inspiration from the notions of dominance and best-effort in game theory. Instead of seeking a policy that only maximizes the worst-case expected return, we additionally require the policy to achieve a maximal expected return under different (i.e., not fully adversarial) transition probabilities. We call such a policy an optimal robust best-effort (ORBE) policy. We prove that ORBE policies always exist, characterize their structure, and present an algorithm to compute them with a manageable overhead compared to standard robust value iteration. ORBE policies offer a principled tie-breaker among optimal robust policies. Numerical experiments show the feasibility of our approach.

In robust Markov decision processes (MDPs), the uncertainty in the transition kernel is addressed by finding a policy that optimizes the worst-case performance over an uncertainty set of MDPs. While much of the literature has focused on discounted MDPs, robust average-reward MDPs remain largely unexplored. In this paper, we focus on robust average-reward MDPs, where the goal is to find a policy that optimizes the worst-case average reward over an uncertainty set. We first take an approach that approximates average-reward MDPs using discounted MDPs. We prove that the robust discounted value function converges to the robust average-reward as the discount factor $\gamma$ goes to $1$, and moreover, when $\gamma$ is large, any optimal policy of the robust discounted MDP is also an optimal policy of the robust average-reward. We further design a robust dynamic programming approach, and theoretically characterize its convergence to the optimum. Then, we investigate robust average-reward MDPs directly without using discounted MDPs as an intermediate step. We derive the robust Bellman equation for robust average-reward MDPs, prove that the optimal policy can be derived from its solution, and further design a robust relative value iteration algorithm that provably finds its solution, or equivalently, the optimal robust policy.

The Robust Markov Decision Process (RMDP) framework focuses on designing control policies that are robust against the parameter uncertainties due to the mismatches between the simulator model and real-world settings. An RMDP problem is typically formulated as a max-min problem, where the objective is to find the policy that maximizes the value function for the worst possible model that lies in an uncertainty set around a nominal model. The standard robust dynamic programming approach requires the knowledge of the nominal model for computing the optimal robust policy. In this work, we propose a model-based reinforcement learning (RL) algorithm for learning an $\epsilon$-optimal robust policy when the nominal model is unknown. We consider three different forms of uncertainty sets, characterized by the total variation distance, chi-square divergence, and KL divergence. For each of these uncertainty sets, we give a precise characterization of the sample complexity of our proposed algorithm. In addition to the sample complexity results, we also present a formal analytical argument on the benefit of using robust policies. Finally, we demonstrate the performance of our algorithm on two benchmark problems.

Patients whose transfer to the Intensive Care Unit (ICU) is unplanned are prone to higher mortality rates than those who were admitted directly to the ICU. Recent advances in machine learning to predict patient deterioration have introduced the possibility of \emph{proactive transfer} from the ward to the ICU. In this work, we study the problem of finding \emph{robust} patient transfer policies which account for uncertainty in statistical estimates due to data limitations when optimizing to improve overall patient care. We propose a Markov Decision Process model to capture the evolution of patient health, where the states represent a measure of patient severity. Under fairly general assumptions, we show that an optimal transfer policy has a threshold structure, i.e., that it transfers all patients above a certain severity level to the ICU (subject to available capacity). As model parameters are typically determined based on statistical estimations from real-world data, they are inherently subject to misspecification and estimation errors. We account for this parameter uncertainty by deriving a robust policy that optimizes the worst-case reward across all plausible values of the model parameters. We show that the robust policy also has a threshold structure under fairly general assumptions. Moreover, it is more aggressive in transferring patients than the optimal nominal policy, which does not take into account parameter uncertainty. We present computational experiments using a dataset of hospitalizations at 21 KNPC hospitals, and present empirical evidence of the sensitivity of various hospital metrics (mortality, length-of-stay, average ICU occupancy) to small changes in the parameters. Our work provides useful insights into the impact of parameter uncertainty on deriving simple policies for proactive ICU transfer that have strong empirical performance and theoretical guarantees.