Recommendations for the safe, effective use of adaptive CDS in the US healthcare system: an AMIA position paper.

Journal: Journal of the American Medical Informatics Association : JAMIA
Published Date: Mar 18, 2021

Abstract

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.

Authors

  • Carolyn Petersen
    Division of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, Minnesota, USA.
  • Jeffery Smith
    The Office of the National Coordinator for Health Information Technology, Washington, DC, USA.
  • Robert R Freimuth
    Department of Health Sciences Research; Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
  • Kenneth W Goodman
    Institute for Bioethics and Health Policy, University of Miami Miller School of Medicine, Miami, USA.
  • Gretchen Purcell Jackson
    Vanderbilt University Medical Center, Nashville, Tennessee.
  • Joseph Kannry
    Icahn School of Medicine at Mount Sinai, New York, NY, United States.
  • Hongfang Liu
    Department of Artificial Intelligence & Informatics, Mayo Clinic, Rochester, MN, United States.
  • Subha Madhavan
    Innovation Center For Biomedical Informatics, Georgetown University, Washington D.C, United States of America.
  • Dean F Sittig
    Center for Innovations in Quality, Effectiveness and Safety, Michael E DeBakey Veterans Affairs Medical Center, Houston, Texas, USA.
  • Adam Wright
    Harvard Medical School, Boston, MA; Brigham and Women's Hospital, Boston, MA.

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