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为医疗实践中安全,有效和道德地实施人工智能,在医疗机构内嵌入内部问责制:梅奥诊所的案例研究
Brenna Loufek1,2, David Vidal1, David S McClintock3
1Center for Digital Health, Mayo Clinic, Rochester, MN.
Mayo Clinic proceedings. Digital health
|April 10, 2025
概括
梅奥诊所为包括人工智能在内的数字健康技术 (DHT) 制定了内部问责制框架,以确保安全和道德使用. 这种具有审查委员会的模型为医疗机构提供了一种可扩展的方法,以负责任地管理人工智能驱动的创新.
科学领域:
- 医疗信息学 医疗信息学
- 医疗技术 医疗技术 医学技术
- 医疗保健中的人工智能
背景情况:
- 医疗机构正在迅速采用数字健康技术 (DHT),包括人工智能.
- 确保这些技术在整个生命周期中的安全,有效性和道德部署至关重要.
- 需要一个结构化的方法来实现负责任的创新和治理的人工智能支持的DHTs.
研究的目的:
- 介绍梅奥诊所的内部问责制框架,以实现负责任的AI-enabled DHT实施.
- 为其他医疗机构提供案例研究,旨在管理医疗保健中的AI.
- 概述促进创新的战略,同时确保监管合规性和质量.
主要方法:
- 建立一个集中的软件作为医疗器械审查委员会 (委员会),由医生和领域专家组成.
- 发展内部专业知识和管理DHT的技能.
- 将开发和部署流程与现有法规,标准和最佳实践保持一致.
主要成果:
- 自2022年成立以来,数百个数字健康产品团队已经利用了审查委员会功能.
- 该框架为DHT创新者提供了监管和降低风险的建议.
- 梅奥诊所的方法使负责任的创新能够与质量管理实践保持一致.
结论:
- 医疗机构可以根据该框架采用类似的内部问责机构.
- 持续改进和适应不断变化的最佳实践是必不可少的.
- 加强董事会代表是持续质量改进的一个关键方面.
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