基于人工智能的临床决策支持,用于肝移植评估和公平性考虑:一种定性研究
Alexandra T Strauss1, Carolyn N Sidoti2, Hannah C Sung3
1Department of Medicine, Johns Hopkins University, School of Medicine, Baltimore, Maryland, USA.
Hepatology communications
|September 11, 2023
概括
人工智能 (AI) 临床决策支持 (CDS) 可以帮助肝移植列表决策. 提供者希望在AI-CDS设计中实现透明度,可解释性和患者参与,以确保健康公平.
科学领域:
- 医疗信息学 医疗信息学
- 健康 公平 卫生 公平
- 移植研究 移植研究
背景情况:
- 人工智能 (AI) 和大规模数据在移植决策中的使用正在出现.
- 移植候选人的评估是主观的,为基于AI的临床决策支持 (CDS) 提供了机会.
- 确保公平和健康公平对于AI-CDS在移植应用中至关重要.
研究的目的:
- 探索医疗保健提供者的AI-CDS对肝移植列表决策的看法.
- 确定在移植中设计公平有效的AI-CDS的关键考虑因素.
- 将以人为中心的设计原则纳入用于移植护理的人工智能开发.
主要方法:
- 进行了一项多中心的定性研究.
- 与53名多学科的肝移植提供者进行了半结构化采访.
- 使用诱导编码和常量比较分析来分析采访数据.
主要成果:
- 关于公平的AI-CDS设计,出现了六个主题:透明度,可解释性,偏见缓解,人工智能作为团队成员,资源需求识别和患者角色纳入.
- 提供者强调AI-CDS需要易于理解,并整合到临床工作流程中.
- 关键的设计元素集中在伦理考虑和协作整合到患者护理.
结论:
- 肝移植提供者对AI-CDS改善结果和公平的潜力持谨慎乐观态度.
- 这些发现为设计AI-CDS提供了指导,该系统优先考虑肝移植中的健康公平性.
- 以人为中心的设计对于在复杂的医疗领域开发可靠和有效的AI工具至关重要.
更多相关视频
04:09Predicting Treatment Response to Image-Guided Therapies Using Machine Learning: An Example for Trans-Arterial Treatment of Hepatocellular Carcinoma
Published on: October 10, 2018
8.3K
09:23Author Spotlight: Enhancing Transplantation Research Through MicroCT Angiography in Murine Models
Published on: September 22, 2023
2.8K
相关概念视频
01:27Nursing Ethical Principles II
1.0K
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
1.0K
01:27Ethical Issues
1.0K
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
1.0K
01:28Kidney Transplant I: Introduction
28
A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
28