Evidence map›Paper›PMID 40790350›Full record

ArticleNPJ digital medicine2025

A practical framework for appropriate implementation and review of artificial intelligence (FAIR-AI) in healthcare.

Brian J Wells, Hieu M Nguyen, Andrew McWilliams, Matt Pallini, Amy Bovi, Andrew Kuzma, Justin Kramer, Shih-Hsiung Chou, Timothy Hetherington, Patricia Corn and 5 more

Abstract read
In one paragraph

Article in NPJ digital medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
–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

38 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
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  12. Technology in Diabetes: A Year in Review.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2026
    Review
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  17. Ethical considerations for clinical adoption of ambient digital scribe technology.Journal of the American Medical Informatics Association : JAMIA · 2026
    Article
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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

15 authors.

Brian J WellsDepartment of Biostatistics and Data Science, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Hieu M NguyenCenter for Health System Sciences, Atrium Health, Charlotte, NC, USA. Hieu.Nguyen@advocatehealth.org.
Andrew McWilliamsDepartment of Internal Medicine, Division of Hospital Medicine, Atrium Health, Charlotte, NC, USA.
Matt PalliniAdvanced Analytics, Enterprise Data Science, Advocate Health, Charlotte, NC, USA.
Amy BoviConflict, Ethics, and Influence Program, Advocate Health, Milwaukee, WI, USA.
Andrew KuzmaConflict, Ethics, and Influence Program, Advocate Health, Milwaukee, WI, USA.
Justin KramerDepartment of Family and Community Medicine, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Shih-Hsiung ChouAdvanced Analytics, Enterprise Data Science, Advocate Health, Charlotte, NC, USA.
Timothy HetheringtonAdvanced Analytics, Enterprise Data Science, Advocate Health, Charlotte, NC, USA.
Patricia CornCompliance and Integrity, Advocate Health, Winston-Salem, NC, USA.
Yhenneko J TaylorCenter for Health System Sciences, Atrium Health, Charlotte, NC, USA.
Audrey CuisonAdvanced Analytics, Advocate Health, Charlotte, NC, USA.
Mary GagenAdvanced Analytics, Advocate Health, Charlotte, NC, USA.
McKenzie IsrealCenter for Health System Sciences, Atrium Health, Charlotte, NC, USA.
FAIR-AI Consortium

Funding

CTSA UM1 Program at Wake ForestUM1TR004929 · NCATS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Jamy D Ard, KRISTIE L FOLEY · 2024 to 2026
$11.9M
Duke Endowment AWD00002292NCATS NIH HHS UM1 TR004929
6 · The paper itself

Abstract

Health systems face the challenge of balancing innovation and safety to responsibly implement artificial intelligence (AI) solutions. The rapid proliferation, growing complexity, ethical considerations, and rising demand for these tools require timely and efficient processes for rigorous evaluation and ongoing monitoring. Current AI evaluation frameworks often lack the practical guidance for health systems to address these challenges. To fill this gap, we developed a prescriptive evaluation framework informed by a literature review, in-depth interviews with key stakeholders, including patients, and a multidisciplinary design workshop. The resulting framework provides health systems an outline of the resources, structures, criteria, and template documents to enable pre-implementation evaluation and post-implementation monitoring of AI solutions. Health systems will need to treat this or any alternative framework as a living document to maintain relevance and effectiveness as the AI landscape and regulations continue to evolve.

Identifiers

PMID40790350
PMCPMC12340025

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.