Current perspectives on the use of artificial intelligence in critical patient safety.

Journal: Medicina intensiva
PMID:

Abstract

Intensive Care Units (ICUs) have undergone enhancements in patient safety, and artificial intelligence (AI) emerges as a disruptive technology offering novel opportunities. While the published evidence is limited and presents methodological issues, certain areas show promise, such as decision support systems, detection of adverse events, and prescription error identification. The application of AI in safety may pursue predictive or diagnostic objectives. Implementing AI-based systems necessitates procedures to ensure secure assistance, addressing challenges including trust in such systems, biases, data quality, scalability, and ethical and confidentiality considerations. The development and application of AI demand thorough testing, encompassing retrospective data assessments, real-time validation with prospective cohorts, and efficacy demonstration in clinical trials. Algorithmic transparency and explainability are essential, with active involvement of clinical professionals being crucial in the implementation process.

Authors

  • Jesús Abelardo Barea Mendoza
    UCI de Trauma y Emergencias. Servicio de Medicina Intensiva. Hospital Universitario 12 de Octubre. Instituto de Investigación Hospital 12 de Octubre, Spain. Electronic address: jesusabelardo.barea@salud.madrid.org.
  • Marcos Valiente Fernández
    Servicio de Medicina Intensiva, Hospital Universitario 12 de Octubre, Madrid, Spain. Electronic address: mvalientefernandez@gmail.com.
  • Alex Pardo Fernandez
    Universitat Rovira i Virgili, Tarragona, Spain.
  • Josep Gómez Álvarez
    Hospital Universitari de Tarragona Joan XXIII. Universitat Rovira i Virgili. Institut d'Investigació Sanitària Pere i Virgili, Tarragona, Spain.