Key use cases for artificial intelligence to reduce the frequency of adverse drug events: a scoping review.

Journal: The Lancet. Digital health
Published Date:

Abstract

Adverse drug events (ADEs) represent one of the most prevalent types of health-care-related harm, and there is substantial room for improvement in the way that they are currently predicted and detected. We conducted a scoping review to identify key use cases in which artificial intelligence (AI) could be leveraged to reduce the frequency of ADEs. We focused on modern machine learning techniques and natural language processing. 78 articles were included in the scoping review. Studies were heterogeneous and applied various AI techniques covering a wide range of medications and ADEs. We identified several key use cases in which AI could contribute to reducing the frequency and consequences of ADEs, through prediction to prevent ADEs and early detection to mitigate the effects. Most studies (73 [94%] of 78) assessed technical algorithm performance, and few studies evaluated the use of AI in clinical settings. Most articles (58 [74%] of 78) were published within the past 5 years, highlighting an emerging area of study. Availability of new types of data, such as genetic information, and access to unstructured clinical notes might further advance the field.

Authors

  • Ania Syrowatka
    Division of General Internal Medicine, Brigham and Women's Hospital, Boston, MA, USA; Department of Medicine, Harvard Medical School, Boston, MA, USA. Electronic address: asyrowatka@bwh.harvard.edu.
  • Wenyu Song
    Division of General Medicine and Primary Care, Brigham and Women's Hospital, Boston, MA, USA.
  • Mary G Amato
    Division of General Medicine and Primary Care, Brigham and Women's Hospital, Boston, MA, USA.
  • Dinah Foer
    Division of General Internal Medicine, Brigham and Women's Hospital, Boston, MA, USA; Division of Allergy and Clinical Immunology, Brigham and Women's Hospital, Boston, MA, USA; Department of Medicine, Harvard Medical School, Boston, MA, USA.
  • Heba Edrees
    Division of General Internal Medicine, Brigham and Women's Hospital, Boston, MA, USA; Massachusetts College of Pharmacy and Health Sciences, Boston, MA, USA.
  • Zoe Co
    Division of General Internal Medicine, Brigham and Women's Hospital, Boston, MA, USA.
  • Masha Kuznetsova
    Harvard Business School, Boston, MA, USA.
  • Sevan Dulgarian
    Division of General Internal Medicine, Brigham and Women's Hospital, Boston, MA, USA.
  • Diane L Seger
    Division of General Internal Medicine, Brigham and Women's Hospital, Boston, MA, USA.
  • AurĂ©lien Simona
    Division of General Internal Medicine, Brigham and Women's Hospital, Boston, MA, USA; Department of Medicine, Harvard Medical School, Boston, MA, USA.
  • Paul A Bain
    Countway Library of Medicine, Harvard Medical School, Boston, MA, USA.
  • Gretchen Purcell Jackson
    IBM Watson Health, Cambridge, MA, USA; Department of Pediatric Surgery, Vanderbilt University Medical Center, Nashville, TN, USA.
  • Kyu Rhee
    6 IBM Corporation, Watson Health, Cambridge, Massachusetts.
  • David W Bates
    Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.