Evidence map›Paper›PMID 35873347›Full record

ArticleFrontiers in digital health2022

A Perspective on a Quality Management System for AI/ML-Based Clinical Decision Support in Hospital Care.

Richard Bartels, Jeroen Dudink, Saskia Haitjema, Daniel Oberski, Annemarie van 't Veen

Open access · goldAbstract read
In one paragraph

Article in Frontiers in digital health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.4field-weighted citation impact, top 16% of its field
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

3 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Machine Learning Operations in Health Care: A Scoping Review.Mayo Clinic proceedings. Digital health · 2024
    Review
  3. Article
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

5 authors at 2 institutions in 1 country.

Richard BartelsDigital Health, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands.
Jeroen DudinkDepartment of Neonatology, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands.
Saskia HaitjemaCentral Diagnostic Laboratory, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands.
Daniel OberskiDigital Health, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands.
Annemarie van 't VeenDigital Health, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands.
University Medical Center Utrecht · NLUtrecht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although many artificial intelligence (AI) and machine learning (ML) based algorithms are being developed by researchers, only a small fraction has been implemented in clinical-decision support (CDS) systems for clinical care. Healthcare organizations experience significant barriers implementing AI/ML models for diagnostic, prognostic, and monitoring purposes. In this perspective, we delve into the numerous and diverse quality control measures and responsibilities that emerge when moving from AI/ML-model development in a research environment to deployment in clinical care. The Sleep-Well Baby project, a ML-based monitoring system, currently being tested at the neonatal intensive care unit of the University Medical Center Utrecht, serves as a use-case illustrating our personal learning journey in this field. We argue that, in addition to quality assurance measures taken by the manufacturer, user responsibilities should be embedded in a quality management system (QMS) that is focused on life-cycle management of AI/ML-CDS models in a medical routine care environment. Furthermore, we highlight the strong similarities between AI/ML-CDS models and

Indexed as

AIclinical decision supportimplementationISO15189machine learning (ML)quality management system

Identifiers

PMID35873347
PMCPMC9299425
OpenAlexW4286632624

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.