临床试验为现实世界的临床实施和部署人工智能应用程序提供了信息框架
Jacqueline G You1,2, Tina Hernandez-Boussard3, Michael A Pfeffer3
1Mass General Brigham, Somerville, MA, USA. jyou5@mgh.harvard.edu.
NPJ digital medicine
|February 17, 2025
概括
医疗机构需要实施人工智能 (AI) 的路线图. 基于临床试验的框架通过四个阶段确保安全和有效的AI部署:安全性,有效性,有效性和监测.
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
- 临床研究方法论 临床研究方法论
背景情况:
- 人工智能 (AI) 的快速发展需要在医疗保健中制定结构化的实施策略.
- 目前的人工智能集成缺乏标准化的框架,这对患者安全和临床工作流程构成风险.
- 现有的医疗保健系统需要适应性模型来整合新的AI技术.
研究的目的:
- 提出一种基于临床试验的新框架,以逐步在医疗保健环境中实施人工智能.
- 概述一种系统方法,优先考虑人工智能解决方案的安全性,有效性和公平部署.
- 引导医疗保健组织制定强大的AI整合路线图.
主要方法:
- 以临床试验设计为灵感,制定一个四阶段实施框架.
- 第一个阶段:安全评估和验证.
- 第2阶段:在受控环境中评估有效性.
- 第三阶段:根据当前标准进行有效性评估.
- 第四阶段:实施后的监测和持续评估.
主要成果:
- 拟议的框架为人工智能实施提供了一个结构化的途径,从受控测试转向现实世界的应用.
- 每个阶段都解决了人工智能部署的关键方面,确保了一种渐进的,基于证据的方法.
- 该框架强调在每个阶段严格评估的重要性.
结论:
- 基于临床试验的方法对于在医疗保健中安全,有效和公平地实施人工智能至关重要.
- 机构间合作和国家资金对于支持先进的人工智能部署至关重要.
- 这个框架为导航人工智能集成的医疗保健组织提供了一个可扩展的模型.
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