Potential Biases in Machine Learning Algorithms Using Electronic Health Record Data

A promise of machine learning in health care is the avoidance of biases in diagnosis and treatment; a computer algorithm could objectively synthesize and interpret the data in the medical record. Integration of machine learning with clinical decision support tools, such as computerized alerts or dia...

Celý popis

Uložené v:
Podrobná bibliografia
Vydané v:JAMA internal medicine Ročník 178; číslo 11; s. 1544
Hlavní autori: Gianfrancesco, Milena A, Tamang, Suzanne, Yazdany, Jinoos, Schmajuk, Gabriela
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: United States 01.11.2018
Predmet:
Algorithms
Electronic Health Records
Healthcare Disparities
Humans
Machine Learning
Socioeconomic Factors
ISSN:2168-6114, 2168-6114
On-line prístup:Zistit podrobnosti o prístupe
Tagy: Pridať tag
Žiadne tagy, Buďte prvý, kto otaguje tento záznam!
Popis
Shrnutí:A promise of machine learning in health care is the avoidance of biases in diagnosis and treatment; a computer algorithm could objectively synthesize and interpret the data in the medical record. Integration of machine learning with clinical decision support tools, such as computerized alerts or diagnostic support, may offer physicians and others who provide health care targeted and timely information that can improve clinical decisions. Machine learning algorithms, however, may also be subject to biases. The biases include those related to missing data and patients not identified by algorithms, sample size and underestimation, and misclassification and measurement error. There is concern that biases and deficiencies in the data used by machine learning algorithms may contribute to socioeconomic disparities in health care. This Special Communication outlines the potential biases that may be introduced into machine learning-based clinical decision support tools that use electronic health record data and proposes potential solutions to the problems of overreliance on automation, algorithms based on biased data, and algorithms that do not provide information that is clinically meaningful. Existing health care disparities should not be amplified by thoughtless or excessive reliance on machines.
Bibliografia:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:2168-6114
2168-6114
DOI:10.1001/jamainternmed.2018.3763