Evidence map›Paper›PMID 40199296›Full record

ReviewYearbook of medical informatics2024

Bridging the Gap: Challenges and Strategies for the Implementation of Artificial Intelligence-based Clinical Decision Support Systems in Clinical Practice.

Niels Peek, Daniel Capurro, Vlada Rozova, Sabine N van der Veer

Abstract readReview
In one paragraph

Review in Yearbook of medical informatics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 citing papers in PubMed.

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  11. AI in primary care - a general practitioner's bucket list.The European journal of general practice · 2025
    Article
  12. Article
  13. Article
  14. Review
  15. Digital Health for Precision Prevention.Yearbook of medical informatics · 2024
    Article
  16. 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

4 authors.

Niels PeekThe Healthcare Improvement Studies Institute (THIS Institute), Department of Public Health and Primary Care, University of Cambridge. Cambridge, UK.
Daniel CapurroCentre for the Digital Transformation of Health, University of Melbourne & The Royal Melbourne Hospital. Melbourne, Australia.
Vlada RozovaCentre for the Digital Transformation of Health, University of Melbourne. Melbourne, Australia.
Sabine N van der VeerCentre for Health Informatics, Division of Informatics, Imaging and Data Science, Faculty of Biology, Medicine and Health, University of Manchester. Manchester, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesDespite the surge in development of artificial intelligence (AI) algorithms to support clinical decision-making, few of these algorithms are used in practice. We reviewed recent literature on clinical deployment of AI-based clinical decision support systems (AI-CDSS), and assessed the maturity of AI-CDSS implementation research. We also aimed to compare and contrast implementation of rule-based CDSS with implementation of AI-CDSS, and to give recommendations for future research in this area.

methodsWe searched PubMed and Scopus for publications in 2022 and 2023 that focused on AI and/or CDSS, health care, and implementation research, and extracted: clinical setting; clinical task; translational research phase; study design; participants; implementation theory, model or framework used; and key findings.

resultsWe selected and described a total of 31 recent papers addressing implementation of AI-CDSS in clinical practice, categorised into four groups: (i) Implementation theories, frameworks, and models (4 papers); (ii) Stakeholder perspectives (22 papers); (iii) Implementation feasibility (three papers); and (iv) Technical infrastructure (2 papers). Stakeholders saw potential benefits of AI-CDSS, but emphasized the need for a strong evidence base and indicated that systems should fit into clinical workflows. There were clear similarities with rule-based CDSS, but also differences with respect to trust and transparency, knowledge, intellectual property, and regulation.

conclusionsThe field of AI-CDSS implementation research is still in its infancy. It can be strengthened by grounding studies in established theories, models and frameworks from implementation science, focusing on the perspectives of stakeholder groups other than healthcare professionals, conducting more real-world implementation feasibility studies, and through development of reusable technical infrastructure that facilitates rapid deployment of AI-CDSS in clinical practice.

Indexed as

Artificial IntelligenceClinical Decision-MakingDecision Support Systems, ClinicalAlgorithmsHumans

Identifiers

PMID40199296
PMCPMC12020628

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 Socratic graph.