Evidence map›Paper›PMID 41608759›Full record

ArticleJournal of medical Internet research2026

Collaborative and Cooperative Hospital "In-House" Medical Device Development and Implementation in the AI Age: The European Responsible AI Development (EURAID) Framework Compatible With European Values.

Anett Schönfelder, Maria Eberlein-Gonska, Manfred Hülsken-Giesler, Florian Jovy-Klein, Jakob Nikolas Kather, Elisabeth Kohoutek, Thomas Lennefer, Elisabeth Liebert, Myriam Lipprandt, Rebecca Mathias and 17 more

Abstract read
In one paragraph

Article in Journal of medical Internet research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

27 authors.

Anett SchönfelderElse Kroener Fresenius Center for Digital Health, Faculty of Medicine and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Dresden, Saxony, Germany.ORCID https://orcid.org/0009-0007-7064-1611
Maria Eberlein-GonskaUniversity Hospital Carl Gustav Carus, Dresden, Germany.ORCID https://orcid.org/0009-0002-4687-3694
Manfred Hülsken-GieslerDepartment of Nursing Science, Institute of Health Research and Education, University of Osnabrück, Osnabrück, Germany.ORCID https://orcid.org/0000-0002-3912-9093
Florian Jovy-KleinInstitute for Technology and Innovation Management (TIM), RWTH Aachen University, Aachen, Germany.ORCID https://orcid.org/0009-0000-0599-0267
Jakob Nikolas KatherElse Kroener Fresenius Center for Digital Health, Faculty of Medicine and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Dresden, Saxony, Germany.ORCID https://orcid.org/0000-0002-3730-5348
Elisabeth KohoutekLuther Rechtsanwaltsgesellschaft mbH, Cologne, Germany.ORCID https://orcid.org/0009-0009-4195-5253
Thomas LenneferDepartment for Prevention, AOK Federal Association, Berlin, Germany.ORCID https://orcid.org/0009-0000-2022-582X
Elisabeth LiebertDepartment for Digital Transformation, University Medicine Essen, Essen, Germany.ORCID https://orcid.org/0009-0003-9655-9334
Myriam LipprandtInstitute of Medical Informatics, University Hospital RWTH Aachen, Aachen, North Rhine-Westphalia, Germany.ORCID https://orcid.org/0000-0001-9371-0551
Rebecca MathiasElse Kroener Fresenius Center for Digital Health, Faculty of Medicine and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Dresden, Saxony, Germany.ORCID https://orcid.org/0000-0002-3906-2415
Hannah Sophie MutiElse Kroener Fresenius Center for Digital Health, Faculty of Medicine and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Dresden, Saxony, Germany.ORCID https://orcid.org/0000-0002-3134-3837
Julius ObergasselUniversity Medical Center Hamburg - Eppendorf, Hamburg, Germany.ORCID https://orcid.org/0000-0002-3905-0203
Thomas ReibelInstitute for Technology and Innovation Management (TIM), RWTH Aachen University, Aachen, Germany.ORCID https://orcid.org/0000-0001-5053-309X
Ulrike RöslerFederal Institute for Occupational Safety and Health, Berlin, Germany.ORCID https://orcid.org/0009-0009-6159-861X
Moritz SchneiderInstitute for Occupational Safety and Health of the German Social Accident Insurance, Sankt Augustin, Germany.ORCID https://orcid.org/0000-0003-1789-8593
Larissa SchlichtFaculty of Humanities and Social Sciences, Karlsruhe Institute of Technology, Karlsruhe, Germany.ORCID https://orcid.org/0000-0002-2170-386X
Hannes SchlieterFaculty of Business and Economics, TUD Dresden University of Technology, Dresden, Germany.ORCID https://orcid.org/0000-0002-6513-9017
Malte L SchmiedingGerman Federal Ministry of Health, Berlin, Germany.ORCID https://orcid.org/0000-0002-5844-7791
Nils SchweingruberUniversity Medical Center Hamburg - Eppendorf, Hamburg, Germany.ORCID https://orcid.org/0000-0003-4340-6070
Martin SedlmayrInstitute for Medical Informatics and Biometry, Faculty of Medicine and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Dresden, Germany.ORCID https://orcid.org/0000-0002-9888-8460
Reinhard StrametzWiesbaden Institute for Healthcare Economics and Patient Safety (WiHelP), Wiesbaden, Germany.ORCID https://orcid.org/0000-0002-9920-8674
Barbara Susecver.di, Berlin, Germany.ORCID https://orcid.org/0009-0002-7435-0532
Magdalena Katharina WekenborgElse Kroener Fresenius Center for Digital Health, Faculty of Medicine and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Dresden, Saxony, Germany.ORCID https://orcid.org/0000-0002-4498-107X
Eva WeickenDepartment of Artificial Intelligence, Fraunhofer Heinrich Hertz Institute, Berlin, Germany.ORCID https://orcid.org/0009-0007-5185-8145
Katharina WeitzDepartment of Artificial Intelligence, Fraunhofer Heinrich Hertz Institute, Berlin, Germany.ORCID https://orcid.org/0000-0003-1001-2278
Anke Diehl *Department for Digital Transformation, University Medicine Essen, Essen, Germany.ORCID https://orcid.org/0000-0002-7890-6107
Stephen Gilbert *Else Kroener Fresenius Center for Digital Health, Faculty of Medicine and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Dresden, Saxony, Germany.ORCID https://orcid.org/0000-0002-1997-1689

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The last years have seen an acceleration in the development and uptake of artificial intelligence (AI) systems by "early adopter" hospitals, caught between the pressures to "perform" and "transform" in a struggling health care system. This transformation has raised concerns among health care providers as their voices and location-specific workflows have often been overlooked, resulting in technologies that fail to integrate meaningfully into routine care and worsen rather than improve care processes. How can positive AI implementation be carried out in health care, aligned with European values? Based on a perspective that spans all stakeholders, we have created EURAID (European Responsible AI Development), a practical, human-centric framework for AI development and implementation based on agreed goals and values. We illustrate this approach through the co-development of a narrow-purpose "in-house" AI system, designed to help bridge the AI implementation gap in real-world clinical settings. This example is then expanded to address the broader challenges associated with complex, multiagent AI systems. By portraying all key stakeholders across the AI development life cycle and highlighting their roles and contributions within the process, real use cases, and methods for achieving iterative consensus, we offer a unique practical approach for safe and fast progress in hospital digital transformation in the AI age.

Indexed as

Artificial IntelligenceCooperative BehaviorEquipment and SuppliesHospitalsEuropeHumansagentic AIAI ActAI life cycleartificial intelligencedigital transformationin-house medical device development

Identifiers

PMID41608759
PMCPMC12902763

What OpenQuestion holds

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LicenceCC BY
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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.