| Literature DB >> 33447854 |
Carolyn Petersen1, Jeffery Smith2, Robert R Freimuth3, Kenneth W Goodman4, Gretchen Purcell Jackson5,6, Joseph Kannry7, Hongfang Liu8, Subha Madhavan9, Dean F Sittig10, Adam Wright11.
Abstract
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.Entities:
Keywords: artificial intelligence; clinical decision support; health policy; machine learning; software as a medical device
Mesh:
Year: 2021 PMID: 33447854 PMCID: PMC7973467 DOI: 10.1093/jamia/ocaa319
Source DB: PubMed Journal: J Am Med Inform Assoc ISSN: 1067-5027 Impact factor: 4.497