在重症监护中使用人工智能:机遇和障碍
Michael R Pinsky1, Armando Bedoya2,3, Azra Bihorac4
1Department of Critical Care Medicine, School of Medicine, University of Pittsburgh, 638 Scaife Hall, 3550 Terrace Street, Pittsburgh, PA, 15261, USA. pinsky@pitt.edu.
Critical care (London, England)
|April 8, 2024
概括
在重症监护室 (ICU) 中的人工智能 (AI) 面临着实时临床使用的重大障碍. 解决基于人工智能的临床决策支持系统 (CDSS) 的挑战对于有效融入重症监护至关重要.
科学领域:
- 关键护理医学 关键护理医学
- 人工智能的人工智能是人工智能.
- 机器学习 机器学习
背景情况:
- 重症监护病房 (ICU) 在开发时间关键的临床应用方面存在独特的挑战.
- 机器学习 (AI) 被广泛使用,但在急性护理医学中的采用仍然缓慢且不均.
- 显著的障碍阻碍了人工智能在实时重症监护中的广泛应用.
研究的目的:
- 审查在急症和重症监护环境中应用基于AI的临床决策支持系统 (CDSS) 的挑战和障碍.
- 突出解决与人工智能成熟度,数据偏差和工作流集成相关问题的重要性.
- 讨论在重症监护中需要可靠和可访问的AI系统.
主要方法:
- 审查现有的关于人工智能在重症监护中的应用文献.
- 对人工智能实施障碍的分析,包括数据访问,偏见和系统可靠性.
- 讨论影响人工智能部署的后勤,法律和商业因素.
主要成果:
- 基于AI的CDSS支持,而不是取代临床医生.
- 关键的挑战包括人工智能不成熟,数据库偏见,数据访问/工作流集成以及算法的"黑子"性质.
- 法律和商业障碍限制了关于公平性和通用性的研究.
结论:
- 基于人工智能的CDSS是医疗保健的一个不断发展和永久的特征.
- 负责任的管理和人工智能在重症监护中的进一步发展至关重要.
- 解决当前的局限性对于成功将AI整合到临床实践中至关重要.
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