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In Journal of the American Medical Informatics Association : JAMIA

The development and implementation of clinical decision support (CDS) that trains itself and adapts its algorithms based on new data-here referred to as Adaptive CDS-present unique challenges and considerations. Although Adaptive CDS represents an expected progression from earlier work, the activities needed to appropriately manage and support the establishment and evolution of Adaptive CDS require new, coordinated initiatives and oversight that do not currently exist. In this AMIA position paper, the authors describe current and emerging challenges to the safe use of Adaptive CDS and lay out recommendations for the effective management and monitoring of Adaptive CDS.

Petersen Carolyn, Smith Jeffery, Freimuth Robert R, Goodman Kenneth W, Jackson Gretchen Purcell, Kannry Joseph, Liu Hongfang, Madhavan Subha, Madhavan Subha, Sittig Dean F, Wright Adam

2021-Jan-15

artificial intelligence, clinical decision support, health policy, machine learning, software as a medical device