人工智能支持的共享决策 (AI-SDM):概念框架
Mohammed As'ad1, Nawarh Faran1, Hala Joharji2
1Corporate Quality & Patient Safety, Dr Sulaiman Al Habib Medical Group, Olaya Street, Riyadh, 12214, Saudi Arabia, 966 920066666.
人工智能支持的共享决策 (AI-SDM) 通过提供临床上有意义的AI推理来增强患者护理,而不仅仅是技术透明度. 该框架支持患者的自主权,并通过量身定制的解释改善医疗保健决策.
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 临床决策支持
背景情况:
- 共享决策 (SDM) 对于以患者为中心的护理至关重要.
- 当前的人工智能 (AI) 系统往往缺乏临床上有意义的推理,阻碍了有效的SDM.
- 人工智能可解释性方法侧重于技术透明度,而不是患者与临床医生对话所需的"为什么".
研究的目的:
- 引入一个概念框架,人工智能支持的共享决策 (AI-SDM).
- 将基于人工智能的推理集成到SDM中,以提高护理质量并保持患者的自主权.
- 弥合AI技术透明度和临床上有意义的解释之间的差距.
主要方法:
- 人工智能-SDM是一个结构化,多模式的框架.
- 合成预测建模,基于证据的建议和生成AI.
- 优先考虑量身定制的叙事理由,而不是传统的AI解释性.
主要成果:
- 该框架将原始算法数据转化为可操作的见解.
- 促进一个代的,三元的审议过程 (提供者,患者,AI).
- 在一个假设的中风管理场景中说明AI-SDM应用.
结论:
- 人工智能-SDM通过提供丰富的背景,临床上有意义的AI推理来增强SDM.
- 支持知情决策,而不取代人类的判断.
- 通过集成的人工智能支持,促进患者自主权并提高医疗保健质量.
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