Evidence map›Paper›PMID 40999533›Full record

ArticleJournal of anesthesia, analgesia and critical care2025

AI policy in healthcare: a checklist-based methodology for structured implementation.

Elena Bignami, Luigino Jalale Darhour, Gabriele Franco, Matteo Guarnieri, Valentina Bellini

Abstract readEditorial
In one paragraph

Article in Journal of anesthesia, analgesia and critical care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

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

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

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Artificial Intelligence Literacy in Intensive Care: From Algorithmic Fluency to Clinical Accountability.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2026
    Article
  7. 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

5 authors.

Elena BignamiAnesthesiology, Critical Care and Pain Medicine Division, Department of Medicine and Surgery, University of Parma, Viale Gramsci 14, Parma, 43126, Italy. elenagiovanna.bignami@unipr.it.
Luigino Jalale DarhourAnesthesiology, Critical Care and Pain Medicine Division, Department of Medicine and Surgery, University of Parma, Viale Gramsci 14, Parma, 43126, Italy.
Gabriele FrancoDepartment of Legal Sciences, University of Udine, Via Francesco Tomadini 3, Udine, 33100, Italy.
Matteo GuarnieriAnesthesiology, Critical Care and Pain Medicine Division, Department of Medicine and Surgery, University of Parma, Viale Gramsci 14, Parma, 43126, Italy.
Valentina BelliniAnesthesiology, Critical Care and Pain Medicine Division, Department of Medicine and Surgery, University of Parma, Viale Gramsci 14, Parma, 43126, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionArtificial Intelligence (AI) is transforming anaesthesia and intensive care medicine, enhancing diagnostic precision, workflow efficiency, and patient safety. However, deploying AI in high-acuity environments involves regulatory, ethical, and operational challenges. The European Union Artificial Intelligence Act (AI Act), effective 2025, imposes binding obligations on healthcare organizations, creating an urgent need for structured, governance-focused AI policies. This work presents a checklist-based methodology for responsible, safe, ethical, and regulation-aligned AI adoption in clinical units. THE NEED FOR A METHODOLOGY TO DEVELOP AN AI POLICY: Effective AI policies must ensure transparency, safety, fairness, and regulatory compliance while remaining adaptable to rapid technological and legislative changes. The proposed methodology employs a domain-specific checklist to generate critical evaluative questions, enabling healthcare professionals to systematically assess AI systems' appropriateness, reliability, and legal implications without relying on rigid, quickly outdated prescriptive rules. THE AI ACT AND ITS RELEVANCE: Regulation (EU) 2024/1689 establishes the first comprehensive AI legal framework, introducing risk-based classification, imposing stringent requirements for high-risk AI, often including medical devices. Compliance obligations extend to both AI-system providers and deployers, making operational compliance instruments and AI literacy programmes essential for lawful implementation. AI LITERACY: OBLIGATION AND PLANNING: From February 2025, the AI Act mandates AI literacy for all personnel interacting with AI-systems. Training should cover baseline competencies for all staff, advanced modules for specialists, continuous professional development, and integration of ethical, legal, and governance principles. Competency acquisition and updates must be systematically documented to meet institutional and EU compliance standards. OPERATIONAL CHECKLIST FOR THE ADOPTION OF AI POLICY: The checklist has two integrated domains: clinical and technical validation, including evidence-based performance assessment, real-world validation, MDR compliance, GDPR adherence, and post-deployment monitoring; and governance and compliance, covering AI Act conformity, organizational accountability, decision traceability, human oversight, AI literacy, and structured audit and update mechanisms. FUTURE PERSPECTIVES: The checklist methodology offers a scalable, adaptable, regulation-ready framework for AI policy development. By embedding legal compliance, clinical safety, governance, and continuous staff training, it supports sustainable AI integration. Future updates will incorporate regulatory changes, real-world feedback, and impact metrics, enhancing AI's contribution to quality, safety, and equity in patient care.

Indexed as

AI-ActAI-GovernanceAI-LiteracyArtificial IntelligenceEducationEthicsPolicyRegulation

Identifiers

PMID40999533
PMCPMC12465464

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.