Evidence map›Paper›PMID 38767890›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2024

Strengthening the use of artificial intelligence within healthcare delivery organizations: balancing regulatory compliance and patient safety.

Mark P Sendak, Vincent X Liu, Ashley Beecy, David E Vidal, Keo Shaw, Mark A Lifson, Danny Tobey, Alexandra Valladares, Brenna Loufek, Murtaza Mogri and 1 more

Abstract 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 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Recent Advances in AI and GenAI for Health Informatics.Healthcare (Basel, Switzerland) · 2026
    Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. 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

11 authors.

Mark P SendakDuke Institute for Health Innovation, Duke University, Durham, NC 27701, United States.ORCID 0000-0001-5828-4497
Vincent X LiuDivision of Research, Kaiser Permanente, Oakland, CA 94612, United States.
Ashley BeecyDivision of Cardiology, Department of Medicine, Weill Cornell Medicine and NewYork-Presbyterian Hospital, New York, NY 10021, United States.
David E VidalCenter for Digital Health, Mayo Clinic, Rochester, MN 55905, United States.
Keo ShawDLA Piper, Washington, DC 20004, United States.
Mark A LifsonCenter for Digital Health, Mayo Clinic, Rochester, MN 55905, United States.
Danny TobeyDLA Piper, Washington, DC 20004, United States.
Alexandra ValladaresDuke Institute for Health Innovation, Duke University, Durham, NC 27701, United States.
Brenna LoufekCenter for Digital Health, Mayo Clinic, Rochester, MN 55905, United States.
Murtaza MogriDivision of Research, Kaiser Permanente, Oakland, CA 94612, United States.
Suresh BaluDuke Institute for Health Innovation, Duke University, Durham, NC 27701, United States.

Funding

Gordon and Betty Moore Foundation 10849
6 · The paper itself

Abstract

objectivesSurface the urgent dilemma that healthcare delivery organizations (HDOs) face navigating the US Food and Drug Administration (FDA) final guidance on the use of clinical decision support (CDS) software. MATERIALS AND

methodsWe use sepsis as a case study to highlight the patient safety and regulatory compliance tradeoffs that 6129 hospitals in the United States must navigate.

resultsSepsis CDS remains in broad, routine use. There is no commercially available sepsis CDS system that is FDA cleared as a medical device. There is no public disclosure of an HDO turning off sepsis CDS due to regulatory compliance concerns. And there is no public disclosure of FDA enforcement action against an HDO for using sepsis CDS that is not cleared as a medical device. DISCUSSION AND

conclusionWe present multiple policy interventions that would relieve the current tension to enable HDOs to utilize artificial intelligence to improve patient care while also addressing FDA concerns about product safety, efficacy, and equity.

Indexed as

Artificial IntelligenceDecision Support Systems, ClinicalPatient SafetyUnited States Food and Drug AdministrationDelivery of Health CareGuideline AdherenceHumansSepsisUnited Statesartificial intelligenceFood and Drug Administrationhealth policymachine learningmedical device regulation

Identifiers

PMID38767890
PMCPMC11187419

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.