Evidence map›Paper›PMID 38594344›Full record

ArticleNPJ digital medicine2024

The algorithm journey map: a tangible approach to implementing AI solutions in healthcare.

William Boag, Alifia Hasan, Jee Young Kim, Mike Revoir, Marshall Nichols, William Ratliff, Michael Gao, Shira Zilberstein, Zainab Samad, Zahra Hoodbhoy and 5 more

Abstract read
In one paragraph

Article in NPJ digital medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. 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

15 authors.

William Boag *Duke Institute for Health Innovation, Durham, NC, USA.
Alifia Hasan *Duke Institute for Health Innovation, Durham, NC, USA.ORCID http://orcid.org/0009-0000-1361-3744
Jee Young KimDuke Institute for Health Innovation, Durham, NC, USA.ORCID http://orcid.org/0000-0003-4850-9757
Mike RevoirDuke Institute for Health Innovation, Durham, NC, USA.
Marshall NicholsDuke Institute for Health Innovation, Durham, NC, USA.ORCID http://orcid.org/0000-0002-0969-1982
William RatliffDuke Institute for Health Innovation, Durham, NC, USA.ORCID http://orcid.org/0000-0003-4015-3805
Michael GaoDuke Institute for Health Innovation, Durham, NC, USA.
Shira ZilbersteinDuke Institute for Health Innovation, Durham, NC, USA.ORCID http://orcid.org/0000-0001-7564-727X
Zainab SamadAga Khan University, Karachi, Pakistan.
Zahra HoodbhoyAga Khan University, Karachi, Pakistan.
Mushyada AliAga Khan University, Karachi, Pakistan.
Nida Saddaf KhanAga Khan University, Karachi, Pakistan.
Manesh PatelDuke University School of Medicine, Durham, NC, USA.
Suresh BaluDuke Institute for Health Innovation, Durham, NC, USA.ORCID http://orcid.org/0000-0003-4929-9130
Mark SendakDuke Institute for Health Innovation, Durham, NC, USA. mark.sendak@duke.edu.ORCID http://orcid.org/0000-0001-5828-4497

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

When integrating AI tools in healthcare settings, complex interactions between technologies and primary users are not always fully understood or visible. This deficient and ambiguous understanding hampers attempts by healthcare organizations to adopt AI/ML, and it also creates new challenges for researchers to identify opportunities for simplifying adoption and developing best practices for the use of AI-based solutions. Our study fills this gap by documenting the process of designing, building, and maintaining an AI solution called SepsisWatch at Duke University Health System. We conducted 20 interviews with the team of engineers and scientists that led the multi-year effort to build the tool, integrate it into practice, and maintain the solution. This "Algorithm Journey Map" enumerates all social and technical activities throughout the AI solution's procurement, development, integration, and full lifecycle management. In addition to mapping the "who?" and "what?" of the adoption of the AI tool, we also show several 'lessons learned' throughout the algorithm journey maps including modeling assumptions, stakeholder inclusion, and organizational structure. In doing so, we identify generalizable insights about how to recognize and navigate barriers to AI/ML adoption in healthcare settings. We expect that this effort will further the development of best practices for operationalizing and sustaining ethical principles-in algorithmic systems.

Identifiers

PMID38594344
PMCPMC11003994

What OpenQuestion holds

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Registered trials

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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.