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人工智能在 CDSS 和患者安全方面的挑战与机遇。

Challenges and Opportunities of Artificial Intelligence in CDSS and Patient Safety.

机构信息

University of Texas Health Science Center at Houston, TX, USA.

George Mason University, VA, USA.

出版信息

Stud Health Technol Inform. 2024 Aug 22;316:1250-1254. doi: 10.3233/SHTI240638.

DOI:10.3233/SHTI240638
PMID:39176608
Abstract

Ensuring patient safety in healthcare involves training professionals and implementing clinical decision support systems (CDSS) and health IT solutions to reduce errors and adverse events. The integration of artificial intelligence (AI) into health IT has revolutionized clinical settings by enabling real-time insights and personalized recommendations. However, the use of health IT can lead to unintended consequences that are not adequately addressed during training and implementation. These consequences can hinder the maximization of benefits and limit equitable access to healthcare. In this paper, we explore the impact of AI on CDSS and health IT, discuss the challenges in educating clinical informaticians, and aim to promote patient safety through collaboration with practitioners, researchers, and educators.

摘要

确保医疗保健中的患者安全需要培训专业人员,并实施临床决策支持系统 (CDSS) 和医疗信息技术解决方案,以减少错误和不良事件。人工智能 (AI) 与医疗信息技术的整合通过实现实时洞察和个性化建议,彻底改变了临床环境。然而,医疗信息技术的使用可能会导致在培训和实施过程中没有充分解决的意外后果。这些后果可能会阻碍利益最大化,并限制公平获得医疗保健的机会。在本文中,我们探讨了人工智能对 CDSS 和医疗信息技术的影响,讨论了教育临床信息学家方面的挑战,并旨在通过与从业者、研究人员和教育工作者合作来促进患者安全。

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Brief Bioinform. 2023 Nov 22;25(1). doi: 10.1093/bib/bbad493.
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Utility of ChatGPT in Clinical Practice.ChatGPT 在临床实践中的应用。
J Med Internet Res. 2023 Jun 28;25:e48568. doi: 10.2196/48568.
3
Exploring ChatGPT's Potential in Facilitating Adaptation of Clinical Guidelines: A Case Study of Diabetic Ketoacidosis Guidelines.探索ChatGPT在促进临床指南适应方面的潜力:以糖尿病酮症酸中毒指南为例的案例研究。
Cureus. 2023 May 9;15(5):e38784. doi: 10.7759/cureus.38784. eCollection 2023 May.
4
Patient safety and quality of care: a key focus for clinical informatics.患者安全与医疗质量:临床信息学的关键重点。
J Am Med Inform Assoc. 2021 Jul 30;28(8):1603-1604. doi: 10.1093/jamia/ocab141.
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Creating a database for health IT events via a hybrid deep learning model.通过混合深度学习模型创建健康信息技术事件数据库。
J Biomed Inform. 2020 Oct;110:103556. doi: 10.1016/j.jbi.2020.103556. Epub 2020 Sep 9.
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Core competencies for clinical informaticians: A systematic review.临床信息学家的核心能力:系统评价。
Int J Med Inform. 2020 Sep;141:104237. doi: 10.1016/j.ijmedinf.2020.104237. Epub 2020 Jul 24.
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AI in Health: State of the Art, Challenges, and Future Directions.健康领域的人工智能:现状、挑战与未来方向。
Yearb Med Inform. 2019 Aug;28(1):16-26. doi: 10.1055/s-0039-1677908. Epub 2019 Aug 16.
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AMIA Board White Paper: AMIA 2017 core competencies for applied health informatics education at the master's degree level.AMIA 理事会白皮书:2017 年 AMIA 应用健康信息学硕士学位教育核心能力。
J Am Med Inform Assoc. 2018 Dec 1;25(12):1657-1668. doi: 10.1093/jamia/ocy132.
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Int J Risk Saf Med. 2015;27 Suppl 1:S104-5. doi: 10.3233/JRS-150709.