一个制度框架,以支持道德公正和公平的人工智能增强护理
Steven Dykstra1,2, Matthew MacDonald1,2, Rhys Beaudry1,2
1Department of Cardiac Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
NPJ digital medicine
|February 5, 2025
概括
一个新的框架,PULSE,使伦理,患者引导访问多领域的健康数据,开发人工智能增强的临床决策支持 (AI-CDS). 这种方法通过结合健康的社会决定因素来确保公平和公平的AI-CDS模型.
科学领域:
- 医疗信息学 医疗信息学
- 人工智能在医学中的应用
- 临床决策支持系统 临床决策支持系统
背景情况:
- 对于人工智能增强的临床决策支持 (AI-CDS),需要可扩展的机构框架来访问多领域的健康数据.
- 现有的系统往往缺乏以患者为指导,以道德为基础的数据利用生态系统.
研究的目的:
- 介绍PULSE框架,一个整合性和以道德为导向的生态系统,用于患者引导的多领域健康数据的使用.
- 通过例行患者参与和数据抽象来支持AI-CDS模型的开发和监控.
- 通过结合健康的社会决定因素和患者报告的结果,强调AI-CDS模型的上下文化和评估,以实现公平和公平的使用.
主要方法:
- 利益相关者参与和基础设施的发展,以实现常规的患者同意指导数据抽象.
- 预处理和云迁移多域健康数据用于AI-CDS模型开发.
- 常规收集健康的社会决定因素和患者自我报告的健康状况.
主要成果:
- 开幕式的可行性证明了超过3万名连续参与的患者.
- 为AI-CDS模型开发和监控开发一个验证的架构的开发.
- 成功整合患者指导的数据抽象和道德治理.
结论:
- PULSE框架提供了一个可扩展的,以道德为基础的生态系统,用于在AI-CDS中利用多域健康数据.
- 该框架通过结合患者背景和健康的社会决定因素,促进开发公平,公平的AI-CDS模型.
- PULSE可应用于各种疾病领域,适用于大型第三级护理机构.
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