Checklists are simple decision aids that are often used to promote safety and reliability in clinical applications. In this paper, we present a method to learn checklists for clinical decision support. We represent predictive checklists as discrete linear classifiers with binary features and unit weights.

Checklists are simple decision aids that are often used to promote safety and reliability in clinical applications. In this paper, we present a method to learn checklists for clinical decision support. We represent predictive checklists as discrete linear classifiers with binary features and unit weights. We then learn globally optimal predictive checklists from data by solving an integer programming problem. Our method allows users to customize checklists to obey complex constraints, including constraints to enforce group fairness and to binarize real-valued features at training time. In addition, it pairs models with an optimality gap that can inform model development and determine the feasibility of learning sufficiently accurate checklists on a given dataset. We pair our method with specialized techniques that speed up its ability to train a predictive checklist that performs well and has a small optimality gap. We benchmark the performance of our method on seven clinical classification problems, and demonstrate its practical benefits by training a short-form checklist for PTSD screening. Our results show that our method can fit simple predictive checklists that perform well and that can easily be customized to obey a rich class of custom constraints.

Checklists are simple decision aids that are often used to promote safety and reliability in clinical applications. In this paper, we present a method to learn checklists for clinical decision support. We represent predictive checklists as discrete linear classifiers with binary features and unit weights. We then learn globally optimal predictive checklists from data by solving an integer programming problem. Our method allows users to customize checklists to obey complex constraints, including constraints to enforce group fairness and to binarize real-valued features at training time.

Checklists have been widely recognized as effective tools for completing complex tasks in a systematic manner. Although originally intended for use in procedural tasks, their interpretability and ease of use have led to their adoption for predictive tasks as well, including in clinical settings. However, designing checklists can be challenging, often requiring expert knowledge and manual rule design based on available data. Recent work has attempted to address this issue by using machine learning to automatically generate predictive checklists from data, although these approaches have been limited to Boolean data. We propose a novel method for learning predictive checklists from diverse data modalities, such as images and time series. Our approach relies on probabilistic logic programming, a learning paradigm that enables matching the discrete nature of checklist with continuous-valued data. We propose a regularization technique to tradeoff between the information captured in discrete concepts of continuous data and permit a tunable level of interpretability for the learned checklist concepts. We demonstrate that our method outperforms various explainable machine learning techniques on prediction tasks involving image sequences, time series, and clinical notes.

Checklists are simple decision aids that are often used to promote safety and reliability in clinical applications. In this paper, we present a method to learn checklists for clinical decision support. We represent predictive checklists as discrete linear classifiers with binary features and unit weights. We then learn globally optimal predictive checklists from data by solving an integer programming problem. Our method allows users to customize checklists to obey complex constraints, including constraints to enforce group fairness and to binarize real-valued features at training time.

Checklists, while being only recently introduced in the medical domain, have become highly popular in daily clinical practice due to their combined effectiveness and great interpretability. Checklists are usually designed by expert clinicians that manually collect and analyze available evidence. However, the increasing quantity of available medical data is calling for a partially automated checklist design. Recent works have taken a step in that direction by learning predictive checklists from categorical data. In this work, we propose to extend this approach to accomodate learning checklists from continuous medical data using mixed-integer programming approach. We show that this extension outperforms a range of explainable machine learning baselines on the prediction of sepsis from intensive care clinical trajectories.