Recommendations for the safe, effective use of adaptive CDS in the US healthcare system: an AMIA position paper

被引：39

作者：

Petersen, Carolyn ^{[1
]}

Smith, Jeffery ^{[2
]}

Freimuth, Robert R. ^{[3
]}

Goodman, Kenneth W. ^{[4
]}

Jackson, Gretchen Purcell ^{[5
,6
]}

Kannry, Joseph ^{[7
]}

Liu, Hongfang ^{[8
]}

Madhavan, Subha ^{[9
]}

Sittig, Dean F. ^{[10
]}

Wright, Adam ^{[11
]}

机构：

[1] Mayo Clin, Div Biomed Stat & Informat, Rochester, MN USA

[2] Off Natl Coordinator Hlth Informat Technol, Washington, DC USA

[3] Mayo Clin, Div Digital Hlth Sci, Ctr Individualized Med, Rochester, MN USA

[4] Univ Miami, Inst Bioeth & Hlth Policy, Miller Sch Med, Miami, FL USA

[5] IBM Watson Hlth, Cambridge, MA USA

[6] Vanderbilt Univ, Dept Pediat Surg, Med Ctr, Nashville, TN USA

[7] Icahn Sch Med Mt Sinai, Mt Sinai Hlth Syst, New York, NY USA

[8] Mayo Clin, Div Digital Hlth Sci, Rochester, MN USA

[9] Georgetown Univ, Georgetown Lombardi Comprehens Canc Ctr, Innovat Ctr Biomed Informat, Dept Oncol,Med Ctr, Washington, DC USA

[10] Univ Texas Hlth Sci Ctr Houston, UT Mem Hermann Ctr Healthcare Qual & Safety, Sch Biomed Informat, Houston, TX USA

[11] Vanderbilt Univ, Dept Biomed Informat, Med Ctr, Nashville, TN USA

来源：

JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION | 2021年 / 28卷 / 04期

关键词：

artificial intelligence; machine learning; software as a medical device; clinical decision support; health policy; CLINICAL DECISION-SUPPORT; MULTIVARIABLE PREDICTION MODEL; ARTIFICIAL-INTELLIGENCE; INDIVIDUAL PROGNOSIS; DIAGNOSIS TRIPOD; BIAS;

D O I：

10.1093/jamia/ocaa319

中图分类号：

TP [自动化技术、计算机技术];

学科分类号：

0812 ;

摘要：

The development and implementation of clinical decision support (CDS) that trains itself and adapts its algorithms based on new data-here referred to as Adaptive CDS-present unique challenges and considerations. Although Adaptive CDS represents an expected progression from earlier work, the activities needed to appropriately manage and support the establishment and evolution of Adaptive CDS require new, coordinated initiatives and oversight that do not currently exist. In this AMIA position paper, the authors describe current and emerging challenges to the safe use of Adaptive CDS and lay out recommendations for the effective management and monitoring of Adaptive CDS.

引用

页码：677 / 684

页数：8

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