Artificial Intelligence in NICU and PICU: A Need for Ecological Validity, Accountability, and Human Factors

Pediatric patients, particularly in neonatal and pediatric intensive care units (NICUs and PICUs), are typically at an increased risk of fatal decompensation. That being said, any delay in treatment or minor errors in medication dosage can overcomplicate patient health. Under such an environment, cl...

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Main Authors: Avishek Choudhury, Estefania Urena
Format: Article
Language:English
Published: MDPI AG 2022-05-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/10/5/952
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author Avishek Choudhury
Estefania Urena
author_facet Avishek Choudhury
Estefania Urena
author_sort Avishek Choudhury
collection DOAJ
description Pediatric patients, particularly in neonatal and pediatric intensive care units (NICUs and PICUs), are typically at an increased risk of fatal decompensation. That being said, any delay in treatment or minor errors in medication dosage can overcomplicate patient health. Under such an environment, clinicians are expected to quickly and effectively comprehend large volumes of medical information to diagnose and develop a treatment plan for any baby. The integration of Artificial Intelligence (AI) into the clinical workflow can be a potential solution to safeguard pediatric patients and augment the quality of care. However, before making AI an integral part of pediatric care, it is essential to evaluate the technology from a human factors perspective, ensuring its readiness (technology readiness level) and ecological validity. Addressing AI accountability is also critical to safeguarding clinicians and improving AI acceptance in the clinical workflow. This article summarizes the application of AI in NICU/PICU and consecutively identifies the existing flaws in AI (from clinicians’ standpoint), and proposes related recommendations, which, if addressed, can improve AIs’ readiness for a real clinical environment.
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spelling doaj.art-f08c6dd0d43f41d0ae5be544d23cafe12023-11-23T11:15:38ZengMDPI AGHealthcare2227-90322022-05-0110595210.3390/healthcare10050952Artificial Intelligence in NICU and PICU: A Need for Ecological Validity, Accountability, and Human FactorsAvishek Choudhury0Estefania Urena1Industrial and Management Systems Engineering, West Virginia University, Morgantown, WV 26506, USARegistered Nurse, Intensive Critical Unit, Lincoln Medical and Mental Health Centre, New York, NY 10451, USAPediatric patients, particularly in neonatal and pediatric intensive care units (NICUs and PICUs), are typically at an increased risk of fatal decompensation. That being said, any delay in treatment or minor errors in medication dosage can overcomplicate patient health. Under such an environment, clinicians are expected to quickly and effectively comprehend large volumes of medical information to diagnose and develop a treatment plan for any baby. The integration of Artificial Intelligence (AI) into the clinical workflow can be a potential solution to safeguard pediatric patients and augment the quality of care. However, before making AI an integral part of pediatric care, it is essential to evaluate the technology from a human factors perspective, ensuring its readiness (technology readiness level) and ecological validity. Addressing AI accountability is also critical to safeguarding clinicians and improving AI acceptance in the clinical workflow. This article summarizes the application of AI in NICU/PICU and consecutively identifies the existing flaws in AI (from clinicians’ standpoint), and proposes related recommendations, which, if addressed, can improve AIs’ readiness for a real clinical environment.https://www.mdpi.com/2227-9032/10/5/952Artificial Intelligencetechnology readiness levelaccountabilityreliabilityliabilityworkload
spellingShingle Avishek Choudhury
Estefania Urena
Artificial Intelligence in NICU and PICU: A Need for Ecological Validity, Accountability, and Human Factors
Healthcare
Artificial Intelligence
technology readiness level
accountability
reliability
liability
workload
title Artificial Intelligence in NICU and PICU: A Need for Ecological Validity, Accountability, and Human Factors
title_full Artificial Intelligence in NICU and PICU: A Need for Ecological Validity, Accountability, and Human Factors
title_fullStr Artificial Intelligence in NICU and PICU: A Need for Ecological Validity, Accountability, and Human Factors
title_full_unstemmed Artificial Intelligence in NICU and PICU: A Need for Ecological Validity, Accountability, and Human Factors
title_short Artificial Intelligence in NICU and PICU: A Need for Ecological Validity, Accountability, and Human Factors
title_sort artificial intelligence in nicu and picu a need for ecological validity accountability and human factors
topic Artificial Intelligence
technology readiness level
accountability
reliability
liability
workload
url https://www.mdpi.com/2227-9032/10/5/952
work_keys_str_mv AT avishekchoudhury artificialintelligenceinnicuandpicuaneedforecologicalvalidityaccountabilityandhumanfactors
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