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Clinical trials informed framework for real world clinical implementation and deployment of artificial intelligence
Jacqueline G You1,2, Tina Hernandez-Boussard3, Michael A Pfeffer3
1Mass General Brigham, Somerville, MA, USA. jyou5@mgh.harvard.edu.
Healthcare organizations require a roadmap for implementing artificial intelligence (AI). A clinical trial-informed framework ensures safe and effective AI deployment through four phases: safety, efficacy, effectiveness, and monitoring.
Area of Science:
- Health Informatics
- Artificial Intelligence in Medicine
- Clinical Research Methodology
Background:
- Rapid advancements in artificial intelligence (AI) necessitate structured implementation strategies within healthcare.
- Current AI integration lacks a standardized framework, posing risks to patient safety and clinical workflows.
- Existing healthcare systems require adaptable models for incorporating novel AI technologies.
Purpose of the Study:
- To propose a novel, clinical trial-informed framework for the phased implementation of artificial intelligence in healthcare settings.
- To outline a systematic approach that prioritizes safety, efficacy, and equitable deployment of AI solutions.
- To guide healthcare organizations in developing robust roadmaps for AI integration.
Main Methods:
- Development of a four-phase implementation framework inspired by clinical trial design.
- Phase 1: Safety assessment and validation.
- Phase 2: Efficacy evaluation in controlled environments.
- Phase 3: Effectiveness assessment against current standards.
- Phase 4: Post-implementation monitoring and continuous evaluation.
Main Results:
- The proposed framework provides a structured pathway for AI implementation, moving from controlled testing to real-world application.
- Each phase addresses critical aspects of AI deployment, ensuring a progressive and evidence-based approach.
- The framework emphasizes the importance of rigorous evaluation at every stage.
Conclusions:
- A clinical trial-informed approach is crucial for the safe, effective, and equitable implementation of artificial intelligence in healthcare.
- Inter-institutional collaboration and national funding are vital for supporting advanced AI deployments.
- This framework offers a scalable model for healthcare organizations navigating AI integration.
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