Recommendations for the safe, effective use of adaptive CDS in the US healthcare system: an AMIA position paper
Recommendations for the safe, effective use of adaptive CDS in the US healthcare system: an AMIA position paper
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DOI：
10.1093/jamia/ocaa319
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发表时间：
2021-01-15
影响因子：
6.4
通讯作者：
Wright, Adam
中科院分区：
文献类型：
--
作者：
Petersen, Carolyn;Smith, Jeffery;Wright, Adam
临床决策支持系统(CDS)的开发和实施提出了独特的挑战和考虑，该系统可以根据新数据进行自我训练并调整其算法--这里称为自适应CDS。尽管适应性CDS比以前的工作取得了预期的进展，但适当管理和支持建立和发展适应性CDS所需的活动需要新的、协调一致的举措和监督，而这些举措和监督目前还不存在。在这份AMIA立场文件中，作者描述了安全使用适应性CDS面临的当前和正在出现的挑战，并提出了有效管理和监测适应性CDS的建议。
The development and implementation of clinical decision support (CDS) that trains itself and adapts its algorithms based on new data-here referred to as Adaptive CDS-present unique challenges and considerations. Although Adaptive CDS represents an expected progression from earlier work, the activities needed to appropriately manage and support the establishment and evolution of Adaptive CDS require new, coordinated initiatives and oversight that do not currently exist. In this AMIA position paper, the authors describe current and emerging challenges to the safe use of Adaptive CDS and lay out recommendations for the effective management and monitoring of Adaptive CDS.