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arXiv 2407.16902cs.CYcs.AI
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生成式人工智能在质量改进与患者安全方面的潜力与风险

The Potential and Perils of Generative Artificial Intelligence for Quality Improvement and Patient Safety

University of California, Los Angeles (UCLA)(加州大学洛杉矶分校);University of Washington(华盛顿大学)

Laleh Jalilian, Daniel McDuff, Achuta Kadambi

AI总结:

本文探讨生成式AI在医疗保健质量改进与患者安全中的潜力与风险,提出近期应用应聚焦于诊疗点的小型基础模型微调以自动化工作流程,而通用AI用于端到端临床决策仍需更多研究,强调实施科学对系统整合的重要性。

摘要:

生成式人工智能(GenAI)有潜力通过自动化提升患者护理的质量与安全性来改善医疗保健。GenAI由经过预训练且能生成复杂内容的基础模型驱动,标志着一种范式转变,有别于迄今为止主导AI领域的传统任务特定分类器。我们推测,GenAI在医疗保健中的近期应用将是通过定义明确、低风险、高价值和狭窄的应用,在诊疗点利用较小的基础模型自动化医疗保健工作流程。这些模型将针对不同能力和特定应用场景进行微调,并具备提供医学解释、在检索增强框架内引用证据以及使用外部工具的能力。我们将其与用于端到端临床决策的通用AI模型进行对比,后者旨在提升临床医生表现,包括安全关键的诊断任务,在实施前需要更多研究。我们探讨了“人在回路”的生成式AI可通过自动化日常任务来提升医疗保健质量与安全的领域。运用实施科学的原则对于整合将被医疗团队接受的“端到端”GenAI系统至关重要。

英文摘要:

Generative artificial intelligence (GenAI) has the potential to improve healthcare through automation that enhances the quality and safety of patient care. Powered by foundation models that have been pretrained and can generate complex content, GenAI represents a paradigm shift away from the more traditional focus on task-specific classifiers that have dominated the AI landscape thus far. We posit that the imminent application of GenAI in healthcare will be through well-defined, low risk, high value, and narrow applications that automate healthcare workflows at the point of care using smaller foundation models. These models will be finetuned for different capabilities and application specific scenarios and will have the ability to provide medical explanations, reference evidence within a retrieval augmented framework and utilizing external tools. We contrast this with a general, all-purpose AI model for end-to-end clinical decision making that improves clinician performance, including safety-critical diagnostic tasks, which will require greater research prior to implementation. We consider areas where 'human in the loop' Generative AI can improve healthcare quality and safety by automating mundane tasks. Using the principles of implementation science will be critical for integrating 'end to end' GenAI systems that will be accepted by healthcare teams.

机构、总结、中文摘要均由AI分析而来,可能存在错误,请以论文正文为准。

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