Unmasking Toxic Mimicry in Medical Offline Reinforcement Learning for ICU Sepsis Management via Counterfactual Clinical Audits
Offline reinforcement learning (RL) offers considerable promise for optimizing ICU treatment decisions, yet standard evaluation metrics Mean Squared Error (MSE) and Fitted Q-Evaluation (FQE) assess only behavioral imitation and cannot detect Toxic Mimicry, a failure mode in which agents replicate harmful patterns such...