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Sustainable deployment of clinical prediction tools-a 360° approach to model maintenance

Journal of the American Medical Informatics Association : JAMIA, 2024-04, Vol.31 (5), p.1195-1198 [Peer Reviewed Journal]

The Author(s) 2024. Published by Oxford University Press on behalf of the American Medical Informatics Association. ;EISSN: 1527-974X ;DOI: 10.1093/jamia/ocae036 ;PMID: 38422379

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  • Title:
    Sustainable deployment of clinical prediction tools-a 360° approach to model maintenance
  • Author: Davis, Sharon E ; Embí, Peter J ; Matheny, Michael E
  • Subjects: Artificial Intelligence ; Emotions
  • Is Part Of: Journal of the American Medical Informatics Association : JAMIA, 2024-04, Vol.31 (5), p.1195-1198
  • Description: As the enthusiasm for integrating artificial intelligence (AI) into clinical care grows, so has our understanding of the challenges associated with deploying impactful and sustainable clinical AI models. Complex dataset shifts resulting from evolving clinical environments strain the longevity of AI models as predictive accuracy and associated utility deteriorate over time. Responsible practice thus necessitates the lifecycle of AI models be extended to include ongoing monitoring and maintenance strategies within health system algorithmovigilance programs. We describe a framework encompassing a 360° continuum of preventive, preemptive, responsive, and reactive approaches to address model monitoring and maintenance from critically different angles. We describe the complementary advantages and limitations of these four approaches and highlight the importance of such a coordinated strategy to help ensure the promise of clinical AI is not short-lived.
  • Publisher: England
  • Language: English
  • Identifier: EISSN: 1527-974X
    DOI: 10.1093/jamia/ocae036
    PMID: 38422379
  • Source: Geneva Foundation Free Medical Journals at publisher websites
    MEDLINE
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