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A Preliminary Study of a Probabilistic Risk-based Approach for Ambient Intelligence Healthcare Systems

机译:对环境智能医疗系统的概率风险方法初步研究

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The Ambient Intelligence (AmI) paradigm applied to the healthcare sector is a promising solution to develop software-based systems capable of supporting medical procedures and activities carried out in a close, high-regulated, and complex healthcare environment. An AmI Healthcare System (AmI-HS) which may impact on the health and life of its users (i.e. doctors, caregivers, patients, etc.) is considered as a Medical Device (MDs), and thus subject to pass through a cumbersome risk-based regulatory process which evaluates and certifies the system safety before it is put on the market. Thus, a human-centred risk analysis is of paramount importance to establish the safety level of an AmI-HS. In this paper, we propose a dynamic probabilistic risk assessment (DPRA) approach for AmI-HS which allows the quantitative assessment of risk in different hazard scenarios in order both to support the design and development of AmI-HSs and to provide those objective evidences needed during the regulatory process. In addition, to support our risk-based methodology we define a probabilistic risk model (PRM), based on an extension of a Markov Decision Process (MDP), capable of taking into account two main peculiarities of AmI-HSs: context-awareness and personalisation. Some preliminary results show the feasibility of our approach and the capability of our model to assess risk of context-aware hazard scenarios.
机译:适用于医疗保健部门的环境智能(AMI)范式是开发基于软件的系统的有希望的解决方案,能够支持密切,高规范和复杂的医疗保健环境中进行的医疗程序和活动。可能影响其用户的健康和生活(即医生,看护人,患者等)的AMI医疗保健系统被认为是医疗装置(MDS),因此受到繁琐的风险基于对市场进行评估和证明系统安全性的监管程序。因此,以人为本的风险分析至关重要,以建立AMI-HS的安全水平。在本文中,我们提出了AMI-HS的动态概率风险评估(DPRA)方法,允许在不同危险场景中定量评估风险,以支持AMI-HSS的设计和开发,并提供所需的客观证据在监管过程中。此外,为了支持基于风险的方法,我们根据马尔可夫决策过程(MDP)的扩展,定义概率风险模型(PRM),能够考虑AMI-HSS的两个主要特点:上下文意识和个性化。一些初步结果显示了我们的方法和我们模型的能力,以评估背景感知危险场景的风险。

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