标准化和架构医疗保健人工智能聊天机器人评估:系统审查
Yining Hua1, Winna Xia2, David Bates3
1Technology and Operations Management, Harvard Business School, Cambridge, MA, United States.
JMIR AI
|November 7, 2025
概括
一个新的框架,HAICEF,标准化了医疗保健AI聊天机器人评估. 它涉及安全,隐私,公平,可信度和运营效率,以实现负责任的AI实施.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健中的人工智能
- 医学伦理 医学伦理
背景情况:
- 医疗保健聊天机器人的快速扩散正在超越现有的人工智能 (AI) 评估标准.
- 需要有系统的方法来评估这些人工智能驱动工具的安全性,有效性和伦理影响.
- 现有的评估方法缺乏标准化,阻碍了负责任的开发和在临床环境中部署.
研究的目的:
- 开发一个结构化的,利益相关者知情的框架,用于对医疗保健聊天机器人的标准化评估.
- 创建一个全面的工具,解决AI医疗保健应用中的关键问题.
- 促进人工智能在患者护理和卫生系统运营中的负责任实施.
主要方法:
- 以PRISMA方法论为指导的系统文献搜索确定了相关的评估框架.
- 提取和完善评估问题,将它们映射到已建立的AI构造中.
- 来自包括临床医生,患者,开发人员和政策制定者在内的各种利益相关者的反复投入确保了全面和实际的框架.
主要成果:
- 开发了医疗保健人工智能聊天机器人评估框架 (HAICEF),其特点是具有三个优先领域的层次结构:安全,隐私和公平性;可信度和有用性;设计和运营效率.
- 该框架包括18个二级和60个三级结构,涵盖271个详细问题.
- 关注的重点领域包括数据来源,危害控制,HIPAA/GDPR一致的隐私,偏见管理,可靠性,透明度和工作流集成,适用于面向患者和后台使用案例.
结论:
- HAICEF为医疗保健AI聊天机器人的标准化评估和负责任的实施提供了一个可适应的支架.
- 该框架促进了一种系统的方法来评估医疗保健中的AI工具,提高安全性和有效性.
- 未来的工作包括前性验证和Delphi共识,以进一步扩大医疗保健中AI的问责制和可访问性保证.
相关概念视频
Issues And Trends In Healthcare Delivery System
6.1K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
6.1K
Current Trends in Nursing II
3.3K
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
3.3K
Documentation in Long-Term and Home Healthcare Setting
1.4K
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
1.4K
Methods of Documentation VI: Case Management Model
844
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
844
SBAR II: Application of SBAR
5.6K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
5.6K

