Evidence map›Paper›PMID 38031481›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2024

Translating ethical and quality principles for the effective, safe and fair development, deployment and use of artificial intelligence technologies in healthcare.

Nicoleta J Economou-Zavlanos, Sophia Bessias, Michael P Cary, Armando D Bedoya, Benjamin A Goldstein, John E Jelovsek, Cara L O'Brien, Nancy Walden, Matthew Elmore, Amanda B Parrish and 12 more

Open access · greenAbstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 13% 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

25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Pooled it
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  16. Empowering nurses to champion Health equity & BE FAIR: Bias elimination for fair and responsible AI in healthcare.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2025
    Review
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  18. Enhancing Clinical Decision Support in Nephrology: Addressing Algorithmic Bias Through Artificial Intelligence Governance.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2024
    Review
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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

22 authors at 2 institutions in 2 countries.

Nicoleta J Economou-ZavlanosDuke AI Health, Duke University School of Medicine, Durham, NC 27705, United States.ORCID 0009-0000-4078-9809
Sophia BessiasDuke AI Health, Duke University School of Medicine, Durham, NC 27705, United States.
Michael P CaryDuke AI Health, Duke University School of Medicine, Durham, NC 27705, United States.
Armando D BedoyaDuke Health Technology Solutions, Duke University Health System, Durham, NC 27705, United States.ORCID 0000-0001-6496-7024
Benjamin A GoldsteinDuke AI Health, Duke University School of Medicine, Durham, NC 27705, United States.
John E JelovsekDepartment of Obstetrics and Gynecology, Duke University School of Medicine, Durham, NC 27710, United States.ORCID 0000-0002-7196-817X
Cara L O'BrienDuke Health Technology Solutions, Duke University Health System, Durham, NC 27705, United States.
Nancy WaldenDuke AI Health, Duke University School of Medicine, Durham, NC 27705, United States.
Matthew ElmoreDuke AI Health, Duke University School of Medicine, Durham, NC 27705, United States.
Amanda B ParrishOffice of Regulatory Affairs and Quality, Duke University School of Medicine, Durham, NC 27705, United States.
Scott ElengoldOffice of Counsel, Duke University, Durham, NC 27701, United States.
Kay S LytleDuke University School of Nursing, Durham, NC 27710, United States.
Suresh BaluDuke Institute for Health Innovation, Duke University, Durham, NC 27701, United States.
Michael E LipkinDepartment of Urology, Duke University School of Medicine, Durham, NC 27710, United States.
Afreen Idris ShariffDepartment of Medicine, Duke University School of Medicine, Durham, NC 27710, United States.
Michael GaoDuke Institute for Health Innovation, Duke University, Durham, NC 27701, United States.
David LeverenzDepartment of Medicine, Duke University School of Medicine, Durham, NC 27710, United States.
Ricardo HenaoDepartment of Biostatistics and Bioinformatics, Duke University School of Medicine, Durham, NC 27705, United States.
David Y MingDepartment of Medicine, Duke University School of Medicine, Durham, NC 27710, United States.
David M GallagherDepartment of Medicine, Duke University School of Medicine, Durham, NC 27710, United States.
Michael J PencinaDuke AI Health, Duke University School of Medicine, Durham, NC 27705, United States.
Eric G PoonDuke Health Technology Solutions, Duke University Health System, Durham, NC 27705, United States.ORCID 0000-0002-7251-5842
Duke University · USDuke University Health System · US

Funding

Support for QA/QC for Prior Approval ProcessUL1TR002553 · NCATS · DUKE UNIVERSITY · PI LI, JENNIFER S, MCNAMARA, JAMES O. · 2018 to 2023
$58.5M
NCATS NIH HHS UL1 TR002553NIH HHS UL1TR002553
6 · The paper itself

Abstract

objectiveThe complexity and rapid pace of development of algorithmic technologies pose challenges for their regulation and oversight in healthcare settings. We sought to improve our institution's approach to evaluation and governance of algorithmic technologies used in clinical care and operations by creating an Implementation Guide that standardizes evaluation criteria so that local oversight is performed in an objective fashion. MATERIALS AND

methodsBuilding on a framework that applies key ethical and quality principles (clinical value and safety, fairness and equity, usability and adoption, transparency and accountability, and regulatory compliance), we created concrete guidelines for evaluating algorithmic technologies at our institution.

resultsAn Implementation Guide articulates evaluation criteria used during review of algorithmic technologies and details what evidence supports the implementation of ethical and quality principles for trustworthy health AI. Application of the processes described in the Implementation Guide can lead to algorithms that are safer as well as more effective, fair, and equitable upon implementation, as illustrated through 4 examples of technologies at different phases of the algorithmic lifecycle that underwent evaluation at our academic medical center. DISCUSSION: By providing clear descriptions/definitions of evaluation criteria and embedding them within standardized processes, we streamlined oversight processes and educated communities using and developing algorithmic technologies within our institution.

conclusionsWe developed a scalable, adaptable framework for translating principles into evaluation criteria and specific requirements that support trustworthy implementation of algorithmic technologies in patient care and healthcare operations.

Indexed as

Artificial IntelligenceHealth FacilitiesAcademic Medical CentersAlgorithmsHumansPatient Compliancealgorithmsartificial intelligencehealth equityquality assurance healthcaretechnology assessment

Identifiers

PMID38031481
PMCPMC10873841
OpenAlexW4389180485

What OpenQuestion holds

Textmetadata
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.