Evidence map›Paper›PMID 35641814›Full record

ReviewNPJ digital medicine2022

Clinical artificial intelligence quality improvement: towards continual monitoring and updating of AI algorithms in healthcare.

Jean Feng, Rachael V Phillips, Ivana Malenica, Andrew Bishara, Alan E Hubbard, Leo A Celi, Romain Pirracchio

Abstract readReview
In one paragraph

Review in NPJ digital medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 180 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
180citing papers in PubMed, 8 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

180 citing papers in PubMed, 8 syntheses or guidelines pooled it.

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  20. AI-based augmentation of oncology clinical trials.Nature reviews. Clinical oncology · 2026
    Review

120 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Jean FengDepartment of Epidemiology and Biostatistics, University of California, San Francisco, CA, USA. jean.feng@ucsf.edu.ORCID http://orcid.org/0000-0003-2041-3104
Rachael V PhillipsDepartment of Biostatistics, University of California, Berkeley, CA, USA.ORCID http://orcid.org/0000-0002-8474-591X
Ivana MalenicaDepartment of Biostatistics, University of California, Berkeley, CA, USA.
Andrew BisharaBakar Computational Health Sciences Institute, University of California San Francisco, San Francisco, CA, USA.ORCID http://orcid.org/0000-0002-5427-482X
Alan E HubbardDepartment of Biostatistics, University of California, Berkeley, CA, USA.
Leo A CeliInstitute for Medical Engineering and Science, Massachusetts Institute of Technology, Department of Medicine, Beth Israel Deaconess Medical Center; Department of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, MA, 02115, USA.ORCID http://orcid.org/0000-0001-6712-6626
Romain PirracchioBakar Computational Health Sciences Institute, University of California San Francisco, San Francisco, CA, USA.

Funding

Critical Care Informatics: Ethical considerations around the use and sharing of health-related dataR01EB017205 · NIBIB · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI CELI, LEO ANTHONY G, MARK, ROGER GREENWOOD · 2014 to 2021
$3.8M
NIBIB NIH HHS R01 EB017205U.S. Department of Health & Human Services | NIH | National Institute of Biomedical Imaging and Bioengineering (NIBIB) R01EB017205
6 · The paper itself

Abstract

Machine learning (ML) and artificial intelligence (AI) algorithms have the potential to derive insights from clinical data and improve patient outcomes. However, these highly complex systems are sensitive to changes in the environment and liable to performance decay. Even after their successful integration into clinical practice, ML/AI algorithms should be continuously monitored and updated to ensure their long-term safety and effectiveness. To bring AI into maturity in clinical care, we advocate for the creation of hospital units responsible for quality assurance and improvement of these algorithms, which we refer to as "AI-QI" units. We discuss how tools that have long been used in hospital quality assurance and quality improvement can be adapted to monitor static ML algorithms. On the other hand, procedures for continual model updating are still nascent. We highlight key considerations when choosing between existing methods and opportunities for methodological innovation.

Identifiers

PMID35641814
PMCPMC9156743

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.