From Big Data's 5Vs to clinical practice's 5Ws: enhancing data-driven decision making in healthcare.

Artificial intelligence Clinical practise Machine learning Perioperative medicine

Journal

Journal of clinical monitoring and computing
ISSN: 1573-2614
Titre abrégé: J Clin Monit Comput
Pays: Netherlands
ID NLM: 9806357

Informations de publication

Date de publication:
10 2023
Historique:
received: 25 01 2023
accepted: 01 04 2023
medline: 27 9 2023
pubmed: 25 4 2023
entrez: 25 4 2023
Statut: ppublish

Résumé

The use of AI-based algorithms is rapidly growing in healthcare, but there is still an ongoing debate about how to manage and ensure accountability for their clinical use. While most of the studies focus on demonstrating a good algorithm performance it is important to acknowledge that several additional steps are needed for reaching an effective implementation of AI-based models in daily clinical practice, with implementation being one of the main key factors. We propose a model characterized by five questions that can guide in this process. Additionally, we believe that a hybrid intelligence, human and artificial respectively, is the new clinical paradigm that offer the most benefits for developing clinical decision support systems for bedside use.

Identifiants

pubmed: 37097338
doi: 10.1007/s10877-023-01007-3
pii: 10.1007/s10877-023-01007-3
doi:

Types de publication

Letter

Langues

eng

Sous-ensembles de citation

IM

Pagination

1423-1425

Informations de copyright

© 2023. The Author(s), under exclusive licence to Springer Nature B.V.

Références

Velagapudi M, Nair AA, Strodtbeck W, Flynn DN, Howell K, Liberman JS, Strunk JD, Horibe M, Harika R, Alamdari A, Hembrador S, Kantamneni S, Nair BG. Evaluation of machine learning models as decision aids for anesthesiologists. J Clin Monit Comput. 2023 Feb;37(1):155–63. https://doi.org/10.1007/s10877-022-00872-8 .
Blum JM, Kuehn DM. Collaborative Artificial Intelligence in Practice: The Next Steps. Anesthesiology. 2022 Dec 1;137(6):664–665. doi: https://doi.org/10.1097/ALN.0000000000004412 .
Jansson M, Ohtonen P, Alalääkkölä T, Heikkinen J, Mäkiniemi M, Lahtinen S, Lahtela R, Ahonen M, Jämsä S, Liisantti J. Artificial intelligence-enhanced care pathway planning and scheduling system: content validity assessment of required functionalities. BMC Health Serv Res. 2022 Dec 12;22(1):1513. doi: https://doi.org/10.1186/s12913-022-08780-y .
Seneviratne MG, Shah NH, Chu L. Bridging the implementation gap of machine learning in healthcare. BMJ Innovations. 2020;6:45–7.
doi: 10.1136/bmjinnov-2019-000359
Bellini V, Valente M, Pelosi P, Del Rio P, Bignami E. Big Data and Artificial Intelligence in Intensive Care Unit: From “Bla, Bla, Bla” to the Incredible Five V’s.Neurocrit Care. 2022Aug;37(Suppl 2):170–172. doi: https://doi.org/10.1007/s12028-022-01472-9 .
Bellini V, Saturno F, Bignami E, Anesthesia. You Run Fast! Anesth Analg. 2022 May 1;134(5):e29. doi: https://doi.org/10.1213/ANE.0000000000005977 .

Auteurs

Valentina Bellini (V)

Anesthesiology, Critical Care and Pain Medicine Division, Department of Medicine and Surgery, University of Parma, Viale Gramsci 14, Parma, 43126, Italy.

Marco Cascella (M)

Department of Anesthesia and Critical Care, Istituto Nazionale Tumori - IRCCS, Fondazione Pascale, Via Mariano Semmola, 53, Naples, 80131, Italy.

Jonathan Montomoli (J)

Department of Anesthesia and Intensive Care, Infermi Hospital, AUSL Romagna, Viale Settembrini 2, Rimini, 47923, Italy.

Elena Bignami (E)

Anesthesiology, Critical Care and Pain Medicine Division, Department of Medicine and Surgery, University of Parma, Viale Gramsci 14, Parma, 43126, Italy. elenagiovanna.bignami@unipr.it.

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Classifications MeSH