scholarly journals Artificial Intelligence and the Implementation Challenge (Preprint)

Author(s):  
James Shaw ◽  
Frank Rudzicz ◽  
Trevor Jamieson ◽  
Avi Goldfarb

BACKGROUND Applications of artificial intelligence (AI) in health care have garnered much attention in recent years, but the implementation issues posed by AI have not been substantially addressed. OBJECTIVE In this paper, we have focused on machine learning (ML) as a form of AI and have provided a framework for thinking about use cases of ML in health care. We have structured our discussion of challenges in the implementation of ML in comparison with other technologies using the framework of Nonadoption, Abandonment, and Challenges to the Scale-Up, Spread, and Sustainability of Health and Care Technologies (NASSS). METHODS After providing an overview of AI technology, we describe use cases of ML as falling into the categories of decision support and automation. We suggest these use cases apply to clinical, operational, and epidemiological tasks and that the primary function of ML in health care in the near term will be decision support. We then outline unique implementation issues posed by ML initiatives in the categories addressed by the NASSS framework, specifically including meaningful decision support, explainability, privacy, consent, algorithmic bias, security, scalability, the role of corporations, and the changing nature of health care work. RESULTS Ultimately, we suggest that the future of ML in health care remains positive but uncertain, as support from patients, the public, and a wide range of health care stakeholders is necessary to enable its meaningful implementation. CONCLUSIONS If the implementation science community is to facilitate the adoption of ML in ways that stand to generate widespread benefits, the issues raised in this paper will require substantial attention in the coming years.

Information ◽  
2021 ◽  
Vol 12 (7) ◽  
pp. 275
Author(s):  
Peter Cihon ◽  
Jonas Schuett ◽  
Seth D. Baum

Corporations play a major role in artificial intelligence (AI) research, development, and deployment, with profound consequences for society. This paper surveys opportunities to improve how corporations govern their AI activities so as to better advance the public interest. The paper focuses on the roles of and opportunities for a wide range of actors inside the corporation—managers, workers, and investors—and outside the corporation—corporate partners and competitors, industry consortia, nonprofit organizations, the public, the media, and governments. Whereas prior work on multistakeholder AI governance has proposed dedicated institutions to bring together diverse actors and stakeholders, this paper explores the opportunities they have even in the absence of dedicated multistakeholder institutions. The paper illustrates these opportunities with many cases, including the participation of Google in the U.S. Department of Defense Project Maven; the publication of potentially harmful AI research by OpenAI, with input from the Partnership on AI; and the sale of facial recognition technology to law enforcement by corporations including Amazon, IBM, and Microsoft. These and other cases demonstrate the wide range of mechanisms to advance AI corporate governance in the public interest, especially when diverse actors work together.


1996 ◽  
Vol 1 (3) ◽  
pp. 175-178 ◽  
Author(s):  
Colin Gordon

Expert systems to support medical decision-making have so far achieved few successes. Current technical developments, however, may overcome some of the limitations. Although there are several theoretical currents in medical artificial intelligence, there are signs of them converging. Meanwhile, decision support systems, which set themselves more modest goals than replicating or improving on clinicians' expertise, have come into routine use in places where an adequate electronic patient record exists. They may also be finding a wider role, assisting in the implementation of clinical practice guidelines. There is, however, still much uncertainty about the kinds of decision support that doctors and other health care professionals are likely to want or accept.


2022 ◽  
Vol 2022 ◽  
pp. 1-10
Author(s):  
WenNing Wu ◽  
ZhengHong Deng

Wi-Fi-enabled information terminals have become enormously faster and more powerful because of this technology’s rapid advancement. As a result of this, the field of artificial intelligence (AI) was born. Artificial intelligence (AI) has been used in a wide range of societal contexts. It has had a significant impact on the realm of education. Using big data to support multistage views of every subject of opinion helps to recognize the unique characteristics of each aspect and improves social network governance’s suitability. As public opinion in colleges and universities becomes an increasingly important vehicle for expressing public opinion, this paper aims to explore the concepts of public opinion based on the web crawler and CNN (Convolutional Neural Network) model. Web crawler methodology is utilised to gather the data given by students of college and universities and mention them in different dimensions. This CNN has robust data analysis capability; this proposed model uses the CNN to analyse the public opinion. Preprocessing of data is done using the oversampling method to maximize the effect of classification. Through the association of descriptions, comprehensive utilization of image information like user influence, stances of comments, topics, time of comments, etc., to suggest guidance phenomenon for various schemes, helps to enhance the effectiveness and targeted social governance of networks. The overall experimentation was carried out in python here in which the suggested methodology was predicting the positive and negative opinion of the students over the web crawler technology with a low rate of error when compared to other existing methodology.


2020 ◽  
Author(s):  
Maria Beatriz Walter Costa ◽  
Mark Wernsdorfer ◽  
Alexander Kehrer ◽  
Markus Voigt ◽  
Carina Cundius ◽  
...  

BACKGROUND Laboratory results are of central importance for clinical decision making. The time span between availability and review of results by clinicians is crucial to patient care. Clinical decision support systems (CDSS) are computational tools that can identify critical values automatically and help decrease treatment delay. OBJECTIVE With this work, we aimed to implement and evaluate a CDSS that supports health care professionals and improves patient safety. In addition to our experiences, we also describe its main components in a general manner to make it applicable to a wide range of medical institutions and to empower colleagues to implement a similar system in their facilities. METHODS Technical requirements must be taken into account before implementing a CDSS that performs laboratory diagnostics (labCDSS). These can be planned within the functional components of a reactive software agent, a computational framework for such a CDSS. RESULTS We present AMPEL (Analysis and Reporting System for the Improvement of Patient Safety through Real-Time Integration of Laboratory Findings), a labCDSS that notifies health care professionals if a life-threatening medical condition is detected. We developed and implemented AMPEL at a university hospital and regional hospitals in Germany (University of Leipzig Medical Center and the Muldental Clinics in Grimma and Wurzen). It currently runs 5 different algorithms in parallel: hypokalemia, hypercalcemia, hyponatremia, hyperlactatemia, and acute kidney injury. CONCLUSIONS AMPEL enables continuous surveillance of patients. The system is constantly being evaluated and extended and has the capacity for many more algorithms. We hope to encourage colleagues from other institutions to design and implement similar CDSS using the theory, specifications, and experiences described in this work.


2019 ◽  
Vol 37 (15_suppl) ◽  
pp. e18303-e18303
Author(s):  
Zuochao Wang ◽  
Zhonghe Yu ◽  
Xuejing Zhang

e18303 Background: Traditional diagnostic model for cancer heavily relies on physicians and their teams’ knowledge. However, under this diagnostic model, patients’ source of information is quite limited. Cancer patients usually fill with negative emotion. Lack of knowledge to the disease and treatment options further leads to less confidence to their treatment outcome. Methods: In order to improve their faith in getting proper treatment and the hope for surviving the deadly disease, we has introduced an artificial intelligence based clinical decision-support system, the Watson for Oncology (WFO), since May-2018. WFO is developed by IBM, it assesses information from a patient’s medical record, evaluates medical evidence, and displays potential treatment options. Our oncologist can then apply their own expertise to identify the most appropriate treatment options. We have generated a new 7-step consultation system with the help of WFO. That include 1: introduce the WFO to patients, 2: patients express their demands and expectations, 3: the oncologist presents patient’s medical condition, 4: discussion with other members in the consultation team, 5: input patients’ information into WFO system and review treatment options, 6: discuss and finalize treatment options with patients, 7: feedbacks form patients after consultation. 70 patients who were hospitalized from May-2018 to Dec-2018 were divided into two groups, 50 patients volunteered to be assigned to the new 7-step consultation system and 20 patients stayed with the traditional diagnostic method to find them treatment options. All patients were followed up by questionnaire. Results: The results showed that patients in the 7-step consultation group presented significantly higher satisfaction rate towards treatment options, confidence level to their health care workers, and willingness to follow the treatment option when compared to patients in the traditional diagnostic group. Conclusions: The WFO assisted 7-step consultation system not only provides a more efficient way to find treatment options, but also improves patients’ understanding to their disease and possible side effects towards the treatment. Most importantly, patients build stronger confidence with their health care team and are willing to believe they will benefit from the treatment plans.


2012 ◽  
pp. 175-182
Author(s):  
G. Nicolás Marichal ◽  
Evelio J. González

The concept of agent has been successfully used in a wide range of applications such as Robotics, e-commerce, agent-assisted user training, military transport or health-care. The origin of this concept can be located in 1977, when Carl Hewitt proposed the idea of an interactive object called actor. This actor was defined as a computational agent, which has a mail address and a behaviour (Hewitt, 1977). Actors receive messages from other actors and carry out their tasks in a concurrent way. It is difficult that a single agent could be sufficient to carry out a relatively complex task. The usual approach consists of a society of agents - called Multiagent Systems (MAS) -, which communicate and collaborate among them and they are coordinated when pursuing a goal. The purpose of this chapter is to analyze the aspects related to the application of MAS to System Engineering and Robotics, focusing on those approaches that combine MAS with other Artificial Intelligence (AI) techniques.


Author(s):  
G. Nicolás Marichal ◽  
Evelio J. González

The concept of agent has been successfully used in a wide range of applications such as Robotics, e-commerce, agent-assisted user training, military transport or health-care. The origin of this concept can be located in 1977, when Carl Hewitt proposed the idea of an interactive object called actor. This actor was defined as a computational agent, which has a mail address and a behaviour (Hewitt, 1977). Actors receive messages from other actors and carry out their tasks in a concurrent way. It is difficult that a single agent could be sufficient to carry out a relatively complex task. The usual approach consists of a society of agents - called Multiagent Systems (MAS) -, which communicate and collaborate among them and they are coordinated when pursuing a goal. The purpose of this chapter is to analyze the aspects related to the application of MAS to System Engineering and Robotics, focusing on those approaches that combine MAS with other Artificial Intelligence (AI) techniques.


Complementary therapies 154 Regulation and training 156 Complementary therapies are gaining popularity with both the public and health professionals and as a result are finding a more substantial place in a number of areas of mainstream health care provision. One of these areas is that of cancer care. Patients are accessing a wide range of therapies including acupuncture, homeopathy, aromatherapy, reflexology, and massage. Complementary therapies are used in addition to, and complementing, conventional therapies for cancer or other illnesses. Increasingly, the term ...


Transport ◽  
2012 ◽  
Vol 26 (4) ◽  
pp. 425-432 ◽  
Author(s):  
Rudolf Kampf ◽  
Petr Průša ◽  
Christopher Savage

This article is focusing on exploring parameters, which are needed to determine the most suitable location for public logistic centres in the Czech Republic. There is a wide range of factors, which will have an impact on the chosen location. It is not easy to define all the factors and include them into one model, especially because some of them are difficult to quantify. The aim of the research is to design a suitable tool to support the decision making process for the location of the public logistic centres. As public logistic centres will be partly financed by the Czech government, it is necessary to find a sensible tool as decision support.


The COVID-19 pandemic has been causing a massive strain in different sectors around the globe, especially in the health care systems in many countries. Artificial Intelligence has found its way in the health care system in helping to find a cure or vaccine by screening out medicines that could be promising for cure. Not only that but by containing the virus and predicting highly effected areas and limiting the spread of the virus. Many use cases based on AI was successful to monitor the spread and lock areas that were predicted by AI algorithms to be at high risk. Broadly speaking, AI involves ‘the ability of machines to emulate human thinking, reasoning and decision - making.


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