Evidence map›Paper›PMID 36060542›Full record

ReviewFrontiers in digital health2022

Clinical deployment environments: Five pillars of translational machine learning for health.

Steve Harris, Tim Bonnici, Thomas Keen, Watjana Lilaonitkul, Mark J White, Nel Swanepoel

Abstract readReview
In one paragraph

Review 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 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–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

19 citing papers in PubMed.

  1. Trial
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  3. Observational
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  7. Review
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  15. An electronic health record (EHR)-based risk calculator can predict fractures comparably to FRAX: a proof-of-concept study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2024
    Article
  16. Article
  17. Article
  18. Artificial Intelligence in Public Health: Current Trends and Future Possibilities.International journal of environmental research and public health · 2022
    Article
  19. Review
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

6 authors.

Steve HarrisInstitute of Health Informatics, University College London, London, United Kingdom.
Tim BonniciInstitute of Health Informatics, University College London, London, United Kingdom.
Thomas KeenInstitute of Health Informatics, University College London, London, United Kingdom.
Watjana LilaonitkulInstitute of Health Informatics, University College London, London, United Kingdom.
Mark J WhiteDigital Healthcare, University College London Hospital, London, United Kingdom.
Nel SwanepoelCentre for Advanced Research Computing, University College London, London, United Kingdom.

Funding

Medical Research Council MR/S004041/1
6 · The paper itself

Abstract

Machine Learning for Health (ML4H) has demonstrated efficacy in computer imaging and other self-contained digital workflows, but has failed to substantially impact routine clinical care. This is no longer because of poor adoption of Electronic Health Records Systems (EHRS), but because ML4H needs an infrastructure for development, deployment and evaluation within the healthcare institution. In this paper, we propose a design pattern called a Clinical Deployment Environment (CDE). We sketch the five pillars of the CDE: (1) real world development supported by live data where ML4H teams can iteratively build and test at the bedside (2) an ML-Ops platform that brings the rigour and standards of continuous deployment to ML4H (3) design and supervision by those with expertise in AI safety (4) the methods of implementation science that enable the algorithmic insights to influence the behaviour of clinicians and patients and (5) continuous evaluation that uses randomisation to avoid bias but in an agile manner. The CDE is intended to answer the same requirements that bio-medicine articulated in establishing the translational medicine domain. It envisions a transition from "real-world" data to "real-world" development.

Indexed as

artificial intelligencehealth informaticsmachine learningML-Opssafetytranslational medicine

Identifiers

PMID36060542
PMCPMC9437594

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.