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. 2021 Apr 21;7(1):5.
doi: 10.1186/s42234-021-00066-8.

How artificial intelligence can help us 'Choose Wisely'

Nishila Mehta  1   2 , Karen Born  3   4 , Benjamin Fine  5   6   7
Affiliations

How artificial intelligence can help us 'Choose Wisely'

Nishila Mehta et al. Bioelectron Med. .

Abstract

The overuse of low value medical tests and treatments drives costs and patient harm. Efforts to address overuse, such as Choosing Wisely campaigns, typically rely on passive implementation strategies- a form of low reliability system change. Embedding guidelines into clinical decision support (CDS) software is a higher leverage approach to provide ordering suggestions through an interface embedded within the clinical workflow. Growth in computing power is increasingly enabling artificial intelligence (AI) to augment such decision making tools. This article offers a roadmap of opportunities for AI-enabled CDS to reduce overuse, which are presented according to a patient's journey of care.

Keywords: Artificial intelligence; Clinical decision support; Quality improvement; Resource stewardship.

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Conflict of interest statement

Nishila Mehta drafted this article during a summer studentship based at Choosing Wisely Canada. Karen Born is Knowledge Translation Lead for Choosing Wisely Canada. Choosing Wisely Canada is funded primarily through a grant from Health Canada, and is based at Unity Health Toronto in partnership with the University of Toronto andCanadian Medical Association. Benjamin Fine is a practicing radiologist, and a member of the Ontario Ministry of Health Diagnostic Imaging Expert Panel. He is a steering board member at EPIC System Radiant, and shareholder at PocketHealth and Phelix.ai. He has recieved research compute credits from Google, Amazon, RedHat, and NVIDIA.

Figures

Fig. 1
Fig. 1
How AI-enabled CDS tools can reduce overuse at various stages of a patient’s care journey
See this image and copyright information in PMC

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