Implementation frameworks for artificial intelligence translation into health care practice: scoping review.
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Author(s)
Type
Journal Article
Abstract
BACKGROUND: Significant efforts have been made to develop artificial intelligence (AI) solutions for health care improvement. Despite the enthusiasm, health care professionals still struggle to implement AI in their daily practice. OBJECTIVE: This paper aims to identify the implementation frameworks used to understand the application of AI in health care practice. METHODS: A scoping review was conducted using the Cochrane, Evidence Based Medicine Reviews, Embase, MEDLINE, and PsycINFO databases to identify publications that reported frameworks, models, and theories concerning AI implementation in health care. This review focused on studies published in English and investigating AI implementation in health care since 2000. A total of 2541 unique publications were retrieved from the databases and screened on titles and abstracts by 2 independent reviewers. Selected articles were thematically analyzed against the Nilsen taxonomy of implementation frameworks, and the Greenhalgh framework for the nonadoption, abandonment, scale-up, spread, and sustainability (NASSS) of health care technologies. RESULTS: In total, 7 articles met all eligibility criteria for inclusion in the review, and 2 articles included formal frameworks that directly addressed AI implementation, whereas the other articles provided limited descriptions of elements influencing implementation. Collectively, the 7 articles identified elements that aligned with all the NASSS domains, but no single article comprehensively considered the factors known to influence technology implementation. New domains were identified, including dependency on data input and existing processes, shared decision-making, the role of human oversight, and ethics of population impact and inequality, suggesting that existing frameworks do not fully consider the unique needs of AI implementation. CONCLUSIONS: This literature review demonstrates that understanding how to implement AI in health care practice is still in its early stages of development. Our findings suggest that further research is needed to provide the knowledge necessary to develop implementation frameworks to guide the future implementation of AI in clinical practice and highlight the opportunity to draw on existing knowledge from the field of implementation science.
Date Issued
2022-01-27
Date Acceptance
2021-12-27
Citation
Journal of Medical Internet Research, 2022, 24 (1), pp.1-13
ISSN
1438-8871
Publisher
JMIR Publications
Start Page
1
End Page
13
Journal / Book Title
Journal of Medical Internet Research
Volume
24
Issue
1
Copyright Statement
©Fábio Gama, Daniel Tyskbo, Jens Nygren, James Barlow, Julie Reed, Petra Svedberg. Originally published in the Journal of
Medical Internet Research (https://www.jmir.org), 27.01.2022. This is an open-access article distributed under the terms of the
Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution,
and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is
properly cited. The complete bibliographic information, a link to the original publication on https://www.jmir.org/, as well as
this copyright and license information must be included.
Medical Internet Research (https://www.jmir.org), 27.01.2022. This is an open-access article distributed under the terms of the
Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution,
and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is
properly cited. The complete bibliographic information, a link to the original publication on https://www.jmir.org/, as well as
this copyright and license information must be included.
License URL
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/35084349
PII: v24i1e32215
Subjects
artificial intelligence
implementation framework
scoping review
Artificial Intelligence
Delivery of Health Care
Health Personnel
Humans
Implementation Science
Technology
Publication Status
Published
Coverage Spatial
Canada
Date Publish Online
2022-01-27