open source machine learning platforms

Every inpatient and outpatient EHR could theoretically be integrated with a machine learning platform to generate predictions, in order to alert clinicians about important events such as sepsis, pulmonary emboli, etc. This approach may become essential when genetic information is also included in the EHR which would mandate more advanced computation. However, using machine learning and artificial intelligence (AI) in every EHR will be a significant undertaking because not only do subject matter experts and data scientists need to create and validate the models, they must be re-tested over time and tested in a variety of patient populations. Models could change over time and might not work well in every healthcare system. Moreover, the predictive performance must be clinically, and not just statistically significant, otherwise, they will be another source of “alert fatigue.”

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