Modeling Bounded Rationality in Drug Shortage Pharmacists Using Attention-Guided Dynamic Decomposition

Fuente: arXiv
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Main Authors: Amiri, Yaniv Eliyahu, Chicoine, Noah, Griffin, Jacqueline, Marsella, Stacy
Format: Preprint
Published: 2026
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author Amiri, Yaniv Eliyahu
Chicoine, Noah
Griffin, Jacqueline
Marsella, Stacy
author_facet Amiri, Yaniv Eliyahu
Chicoine, Noah
Griffin, Jacqueline
Marsella, Stacy
contents Hospital pharmacists make high-stakes decisions to mitigate drug shortages under uncertainty, time pressure, and patient risk. Interviews revealed that pharmacists focus attention on a small subset of drugs, limiting cognitive effort to the most urgent cases. Motivated by these findings, we formalize a bounded-rational, attention-guided decision framework that dynamically decomposes drugs into a subset for high-cost reasoning and a complementary subset for low-cost monitoring. We develop two agents: an Expert Agent that applies attention weights derived from pharmacist interviews, and a Learner Agent that adapts attention allocation over time through experience. Across simulated scenarios spanning short to long horizons, we show that attention-guided planning supports stable decision-making without complete state reasoning. These results suggest that a primary decision is not what action to take, but where to allocate cognitive effort, and that attention-guided, satisficing strategies can reduce problem complexity while maintaining stable performance.
format Preprint
id arxiv_https___arxiv_org_abs_2605_14111
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle Modeling Bounded Rationality in Drug Shortage Pharmacists Using Attention-Guided Dynamic Decomposition
Amiri, Yaniv Eliyahu
Chicoine, Noah
Griffin, Jacqueline
Marsella, Stacy
Artificial Intelligence
Human-Computer Interaction
Hospital pharmacists make high-stakes decisions to mitigate drug shortages under uncertainty, time pressure, and patient risk. Interviews revealed that pharmacists focus attention on a small subset of drugs, limiting cognitive effort to the most urgent cases. Motivated by these findings, we formalize a bounded-rational, attention-guided decision framework that dynamically decomposes drugs into a subset for high-cost reasoning and a complementary subset for low-cost monitoring. We develop two agents: an Expert Agent that applies attention weights derived from pharmacist interviews, and a Learner Agent that adapts attention allocation over time through experience. Across simulated scenarios spanning short to long horizons, we show that attention-guided planning supports stable decision-making without complete state reasoning. These results suggest that a primary decision is not what action to take, but where to allocate cognitive effort, and that attention-guided, satisficing strategies can reduce problem complexity while maintaining stable performance.
title Modeling Bounded Rationality in Drug Shortage Pharmacists Using Attention-Guided Dynamic Decomposition
topic Artificial Intelligence
Human-Computer Interaction
url https://arxiv.org/abs/2605.14111