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Adrian Haimovich

Publications and source records attributed to Adrian Haimovich.

3 recordsLinked to original sources

Model-Based Reinforcement Learning for Heterogeneous Multi-Robot Task Assignment Under Distribution Shifts

Heterogeneous multi-robot service systems must assign requests to compatible robots, construct feasible schedules, and adapt as new tasks arrive online. Historical data can help anticipate future demand, but relying too heavily on inaccurate predictions can degrade performance under distribution shifts. We develop a prediction-aware adaptive rollout framework for heterogeneous multi-robot task assignment with scheduled and real-time requests. The problem is formulated as a finite-horizon stochastic dynamic program incorporating robot-task compatibility, ordered service requirements, routing constraints, service windows, and end-of-horizon return requirements. The proposed policy evaluates current assignments using sampled future request scenarios while restricting immediate commitments to requests already observed. To enable online use, the framework combines pruned candidate controls, wait actions, and an interaction-aware base policy for efficient future-cost estimation. Robustness to forecast error is provided by adaptively reweighting predicted requests based on recent prediction mismatch and selectively re-optimizing assigned but unstarted requests. We also introduce a historical-data-driven procedure for selecting the heterogeneous fleet composition before deployment. In a case study using real nursing-task requests from hospital inpatient floors, the proposed approach achieves near-complete service and reduces serviced-request wait times relative to reactive, token-passing, prediction-positioning, and myopic greedy baselines, with the largest improvements in tail-delay metrics.

cs.RO

Exploring the Feasibility and Acceptability of AI-Mediated Serious Illness Conversations in the Emergency Department

Serious illness conversations (SICs) align care with patients' values, goals, and preferences, yet they rarely occur in emergency departments (EDs), where time constraints and emotional burden often leave clinicians making high-stakes decisions without documented insight into what matters most to patients. We present a case study of ED GOAL-AI, a voice-based conversational agent for brief, structured values discussions with older adults in the ED, evaluated with 55 patients for feasibility and acceptability. Most participants completed the conversation and reported the interaction as acceptable and feasible, with ratings of feeling heard and understood comparable to clinicians. However, we also observed critical failure modes, including boundary violations such as hallucinated diagnostic statements, highlighting ethical and emotional risks. This work points to early promise for AI-mediated SICs while underscoring the need for careful boundary setting and participatory design before broader deployment.

cs.HC

Balancing Efficiency and Empathy: Healthcare Providers' Perspectives on AI-Supported Workflows for Serious Illness Conversations in the Emergency Department

Serious Illness Conversations (SICs), discussions about values and care preferences for patients with life-threatening illness, rarely occur in Emergency Departments (EDs), despite evidence that early conversations improve care alignment and reduce unnecessary interventions. We interviewed 11 ED providers to identify challenges in SICs and opportunities for technology support, with a focus on AI. Our analysis revealed a four-stage SIC workflow (identification, preparation, conduction, documentation) and barriers at each stage, including fragmented patient information, limited time and space, lack of conversational guidance, and burdensome documentation. Providers expressed interest in AI systems for synthesizing information, supporting real-time conversations, and automating documentation, but emphasized concerns about preserving human connection and clinical autonomy. This tension highlights the need for technologies that enhance efficiency without undermining the interpersonal nature of SICs. We propose design guidelines for ambient and peripheral AI systems to support providers while preserving the essential humanity of these conversations.

cs.HC