Strengthening the use of artificial intelligence within healthcare delivery organizations: balancing regulatory compliance and patient safety.
J Am Med Inform Assoc
; 31(7): 1622-1627, 2024 Jun 20.
Article
em En
| MEDLINE
| ID: mdl-38767890
ABSTRACT
OBJECTIVES:
Surface the urgent dilemma that healthcare delivery organizations (HDOs) face navigating the US Food and Drug Administration (FDA) final guidance on the use of clinical decision support (CDS) software. MATERIALS ANDMETHODS:
We use sepsis as a case study to highlight the patient safety and regulatory compliance tradeoffs that 6129 hospitals in the United States must navigate.RESULTS:
Sepsis CDS remains in broad, routine use. There is no commercially available sepsis CDS system that is FDA cleared as a medical device. There is no public disclosure of an HDO turning off sepsis CDS due to regulatory compliance concerns. And there is no public disclosure of FDA enforcement action against an HDO for using sepsis CDS that is not cleared as a medical device. DISCUSSION ANDCONCLUSION:
We present multiple policy interventions that would relieve the current tension to enable HDOs to utilize artificial intelligence to improve patient care while also addressing FDA concerns about product safety, efficacy, and equity.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
United States Food and Drug Administration
/
Inteligência Artificial
/
Sistemas de Apoio a Decisões Clínicas
/
Segurança do Paciente
Limite:
Humans
País/Região como assunto:
America do norte
Idioma:
En
Revista:
J Am Med Inform Assoc
Assunto da revista:
INFORMATICA MEDICA
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Estados Unidos