临床医生和人工智能使用:专业指导在哪里?
Helen Smith1, John Downer2, Jonathan Ives3
1Centre for Ethics in Medicine, Population Health Sciences, University of Bristol, Bristol, UK helen.smith@bristol.ac.uk.
Journal of medical ethics
|August 22, 2023
概括
医疗保健专业人员需要关于使用人工智能临床决策支持系统 (AI-CDDSs) 的明确指导. 没有它,临床,专业和声誉安全风险会增加,需要对用户指导采取监管行动.
科学领域:
- 医疗保健技术 医疗保健技术 医疗保健技术
- 医疗信息学医学信息学
- 临床决策支持 临床决策支持
背景情况:
- 人工智能 (AI) 越来越多地融入医疗保健,需要专业指导才能有效使用它.
- 最近的报告重点关注医疗保健中的AI,但缺乏针对AI临床决策支持系统 (AI-CDDS) 的临床最终用户的具体指导.
- 现有的指导主要针对开发人员和购买者,而不是使用这些AI工具的前线临床医生.
研究的目的:
- 突出AI-CDDSs临床使用者的专业指导的关键需求.
- 认为目前的指导不充分满足使用人工智能工具的医疗保健专业人员的需求.
- 倡导制定具体的指导方针,以减轻与患者护理中AI-CDDS使用相关的风险.
主要方法:
- 来自英格兰NHS人工智能实验室和健康教育的关于医疗保健中的人工智能的最新报告的文献综述.
- 对AI-CDDSs现有的指导框架进行批判性分析.
- 论证方法强调了以用户为中心的指导的缺陷.
主要成果:
- 对AI-CDDSs的临床用户的专业指导存在重大差距.
- 目前的培训和指导不足以解决AI-CDDS在临床实践中的复杂性.
- 如果没有提供足够的指导,就会给临床,专业和声誉安全带来风险.
结论:
- 对AI-CDDS临床使用者的专业指导对于确保安全和建立信任至关重要.
- 仅仅是培训是不够的;建立关于权利和期望的明确专业指导是至关重要的.
- 呼吁临床监管机构合作起草AI-CDDS的全面用户指南,解决责任和风险管理问题.
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