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Recommendations for the safe, effective use of adaptive CDS in the US healthcare system: an AMIA position paper
Journal of the American Medical Informatics Association ( IF 6.4 ) Pub Date : 2021-01-15 , DOI: 10.1093/jamia/ocaa319
Carolyn Petersen 1 , Jeffery Smith 2 , Robert R Freimuth 3 , Kenneth W Goodman 4 , Gretchen Purcell Jackson 5, 6 , Joseph Kannry 7 , Hongfang Liu 8 , Subha Madhavan 9 , Dean F Sittig 10 , Adam Wright 11
Affiliation  

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.


中文翻译:

在美国医疗保健系统中安全、有效使用自适应 CDS 的建议:AMIA 立场文件

摘要
临床决策支持 (CDS) 的开发和实施可以根据新数据进行自我训练并调整其算法——这里称为自适应 CDS——提出了独特的挑战和考虑。尽管 Adaptive CDS 代表了早期工作的预期进展,但适当管理和支持 Adaptive CDS 的建立和发展所需的活动需要新的、协调的举措和监督,而目前尚不存在。在这份 AMIA 立场文件中,作者描述了安全使用自适应 CDS 的当前和新出现的挑战,并为有效管理和监测自适应 CDS 提出了建议。
更新日期:2021-03-19
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