{"id":"https://openalex.org/W4392282341","doi":"https://doi.org/10.1093/jamia/ocae036","title":"Sustainable deployment of clinical prediction tools\u2014a 360\u00b0 approach to model maintenance","display_name":"Sustainable deployment of clinical prediction tools\u2014a 360\u00b0 approach to model maintenance","publication_year":2024,"publication_date":"2024-02-29","ids":{"openalex":"https://openalex.org/W4392282341","doi":"https://doi.org/10.1093/jamia/ocae036","pmid":"https://pubmed.ncbi.nlm.nih.gov/38422379"},"language":"en","primary_location":{"id":"doi:10.1093/jamia/ocae036","is_oa":true,"landing_page_url":"https://doi.org/10.1093/jamia/ocae036","pdf_url":"https://academic.oup.com/jamia/advance-article-pdf/doi/10.1093/jamia/ocae036/56798493/ocae036.pdf","source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://academic.oup.com/jamia/advance-article-pdf/doi/10.1093/jamia/ocae036/56798493/ocae036.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5063516544","display_name":"Sharon E. Davis","orcid":"https://orcid.org/0000-0003-0792-8867"},"institutions":[{"id":"https://openalex.org/I901861585","display_name":"Vanderbilt University Medical Center","ror":"https://ror.org/05dq2gs74","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210162197","https://openalex.org/I901861585"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Sharon E Davis","raw_affiliation_strings":["Department of Biomedical Informatics, Vanderbilt University Medical Center , Nashville, TN 37203, United States"],"raw_orcid":"https://orcid.org/0000-0003-0792-8867","affiliations":[{"raw_affiliation_string":"Department of Biomedical Informatics, Vanderbilt University Medical Center , Nashville, TN 37203, United States","institution_ids":["https://openalex.org/I901861585"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5015307002","display_name":"Peter J. Emb\u00ed","orcid":"https://orcid.org/0000-0002-7733-0847"},"institutions":[{"id":"https://openalex.org/I901861585","display_name":"Vanderbilt University Medical Center","ror":"https://ror.org/05dq2gs74","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210162197","https://openalex.org/I901861585"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Peter J Emb\u00ed","raw_affiliation_strings":["Department of Biomedical Informatics, Vanderbilt University Medical Center , Nashville, TN 37203, United States","Department of Medicine, Vanderbilt University Medical Center , Nashville, TN 37232, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Biomedical Informatics, Vanderbilt University Medical Center , Nashville, TN 37203, United States","institution_ids":["https://openalex.org/I901861585"]},{"raw_affiliation_string":"Department of Medicine, Vanderbilt University Medical Center , Nashville, TN 37232, United States","institution_ids":["https://openalex.org/I901861585"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5011689338","display_name":"Michael E. Matheny","orcid":"https://orcid.org/0000-0003-3217-4147"},"institutions":[{"id":"https://openalex.org/I2799886695","display_name":"Veterans Health Administration","ror":"https://ror.org/05eq41471","country_code":"US","type":"government","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695"]},{"id":"https://openalex.org/I4210101790","display_name":"VA Tennessee Valley Healthcare System","ror":"https://ror.org/01c9rqr26","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210101790","https://openalex.org/I4210112672"]},{"id":"https://openalex.org/I901861585","display_name":"Vanderbilt University Medical Center","ror":"https://ror.org/05dq2gs74","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210162197","https://openalex.org/I901861585"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Michael E Matheny","raw_affiliation_strings":["Department of Biomedical Informatics, Vanderbilt University Medical Center , Nashville, TN 37203, United States","Department of Biostatistics, Vanderbilt University Medical Center , Nashville, TN 37203, United States","Department of Medicine, Vanderbilt University Medical Center , Nashville, TN 37232, United States","Geriatric Research, Education, and Clinical Care, Tennessee Valley Healthcare System VA Medical Center, Veterans Health Administration , Nashville, TN 37212, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Biomedical Informatics, Vanderbilt University Medical Center , Nashville, TN 37203, United States","institution_ids":["https://openalex.org/I901861585"]},{"raw_affiliation_string":"Department of Biostatistics, Vanderbilt University Medical Center , Nashville, TN 37203, United States","institution_ids":["https://openalex.org/I901861585"]},{"raw_affiliation_string":"Department of Medicine, Vanderbilt University Medical Center , Nashville, TN 37232, United States","institution_ids":["https://openalex.org/I901861585"]},{"raw_affiliation_string":"Geriatric Research, Education, and Clinical Care, Tennessee Valley Healthcare System VA Medical Center, Veterans Health Administration , Nashville, TN 37212, United States","institution_ids":["https://openalex.org/I4210101790","https://openalex.org/I2799886695"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5063516544"],"corresponding_institution_ids":["https://openalex.org/I901861585"],"apc_list":{"value":3967,"currency":"USD","value_usd":3967},"apc_paid":{"value":3967,"currency":"USD","value_usd":3967},"fwci":2.6682,"has_fulltext":true,"cited_by_count":26,"citation_normalized_percentile":{"value":0.90269479,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":94,"max":100},"biblio":{"volume":"31","issue":"5","first_page":"1195","last_page":"1198"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11636","display_name":"Artificial Intelligence in Healthcare and Education","score":0.669700026512146,"subfield":{"id":"https://openalex.org/subfields/2718","display_name":"Health Informatics"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11636","display_name":"Artificial Intelligence in Healthcare and Education","score":0.669700026512146,"subfield":{"id":"https://openalex.org/subfields/2718","display_name":"Health Informatics"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13702","display_name":"Machine Learning in Healthcare","score":0.1046999990940094,"subfield":{"id":"https://openalex.org/subfields/1702","display_name":"Artificial Intelligence"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T10218","display_name":"Sepsis Diagnosis and Treatment","score":0.03350000083446503,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/software-deployment","display_name":"Software deployment","score":0.8638476729393005},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.5542758703231812},{"id":"https://openalex.org/keywords/data-science","display_name":"Data science","score":0.32604843378067017},{"id":"https://openalex.org/keywords/software-engineering","display_name":"Software engineering","score":0.193707674741745}],"concepts":[{"id":"https://openalex.org/C105339364","wikidata":"https://www.wikidata.org/wiki/Q2297740","display_name":"Software deployment","level":2,"score":0.8638476729393005},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.5542758703231812},{"id":"https://openalex.org/C2522767166","wikidata":"https://www.wikidata.org/wiki/Q2374463","display_name":"Data science","level":1,"score":0.32604843378067017},{"id":"https://openalex.org/C115903868","wikidata":"https://www.wikidata.org/wiki/Q80993","display_name":"Software engineering","level":1,"score":0.193707674741745}],"mesh":[{"descriptor_ui":"D001185","descriptor_name":"Artificial Intelligence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D001185","descriptor_name":"Artificial Intelligence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D001185","descriptor_name":"Artificial Intelligence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D001185","descriptor_name":"Artificial Intelligence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D001185","descriptor_name":"Artificial Intelligence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D004644","descriptor_name":"Emotions","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D004644","descriptor_name":"Emotions","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D004644","descriptor_name":"Emotions","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D004644","descriptor_name":"Emotions","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D004644","descriptor_name":"Emotions","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.1093/jamia/ocae036","is_oa":true,"landing_page_url":"https://doi.org/10.1093/jamia/ocae036","pdf_url":"https://academic.oup.com/jamia/advance-article-pdf/doi/10.1093/jamia/ocae036/56798493/ocae036.pdf","source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},{"id":"pmid:38422379","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/38422379","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association : JAMIA","raw_type":null},{"id":"pmh:oai:pubmedcentral.nih.gov:11031208","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/11031208","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11031208/pdf/ocae036.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"J Am Med Inform Assoc","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1093/jamia/ocae036","is_oa":true,"landing_page_url":"https://doi.org/10.1093/jamia/ocae036","pdf_url":"https://academic.oup.com/jamia/advance-article-pdf/doi/10.1093/jamia/ocae036/56798493/ocae036.pdf","source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Responsible consumption and production","id":"https://metadata.un.org/sdg/12","score":0.4399999976158142}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4392282341.pdf"},"referenced_works_count":15,"referenced_works":["https://openalex.org/W2901689923","https://openalex.org/W2990519034","https://openalex.org/W3081038317","https://openalex.org/W3096597179","https://openalex.org/W3153651148","https://openalex.org/W3177617320","https://openalex.org/W3196529262","https://openalex.org/W3197940319","https://openalex.org/W3211709392","https://openalex.org/W4281681378","https://openalex.org/W4291144505","https://openalex.org/W4294167842","https://openalex.org/W4321782827","https://openalex.org/W4385490920","https://openalex.org/W6770431503"],"related_works":["https://openalex.org/W4391375266","https://openalex.org/W2899084033","https://openalex.org/W2748952813","https://openalex.org/W2770234245","https://openalex.org/W96612179","https://openalex.org/W4229499248","https://openalex.org/W2566006169","https://openalex.org/W1567818861","https://openalex.org/W2987774938","https://openalex.org/W4256492088"],"abstract_inverted_index":{"BACKGROUND:":[0],"As":[1],"the":[2,18,38,57,104,115,125],"enthusiasm":[3],"for":[4],"integrating":[5],"artificial":[6],"intelligence":[7],"(AI)":[8],"into":[9],"clinical":[10,26,35,128],"care":[11],"grows,":[12],"so":[13],"has":[14],"our":[15],"understanding":[16],"of":[17,40,59,84,109,117,127],"challenges":[19],"associated":[20,47],"with":[21],"deploying":[22],"impactful":[23],"and":[24,46,68,88,95,107,113],"sustainable":[25],"AI":[27,41,60,129],"models.":[28],"Complex":[29],"dataset":[30],"shifts":[31],"resulting":[32],"from":[33,97],"evolving":[34],"environments":[36],"strain":[37],"longevity":[39],"models":[42,61],"as":[43],"predictive":[44],"accuracy":[45],"utility":[48],"deteriorate":[49],"over":[50],"time.":[51],"OBJECTIVE:":[52],"Responsible":[53],"practice":[54],"thus":[55],"necessitates":[56],"lifecycle":[58],"be":[62],"extended":[63],"to":[64,91,122],"include":[65],"ongoing":[66],"monitoring":[67,94],"maintenance":[69,96],"strategies":[70],"within":[71],"health":[72],"system":[73],"algorithmovigilance":[74],"programs.":[75],"We":[76,102],"describe":[77,103],"a":[78,81,119],"framework":[79],"encompassing":[80],"360\u00b0":[82],"continuum":[83],"preventive,":[85],"preemptive,":[86],"responsive,":[87],"reactive":[89],"approaches":[90,112],"address":[92],"model":[93],"critically":[98],"different":[99],"angles.":[100],"DISCUSSION:":[101],"complementary":[105],"advantages":[106],"limitations":[108],"these":[110],"four":[111],"highlight":[114],"importance":[116],"such":[118],"coordinated":[120],"strategy":[121],"help":[123],"ensure":[124],"promise":[126],"is":[130],"not":[131],"short-lived.":[132]},"counts_by_year":[{"year":2026,"cited_by_count":10},{"year":2025,"cited_by_count":14},{"year":2024,"cited_by_count":2}],"updated_date":"2026-06-17T08:01:34.144755","created_date":"2025-10-10T00:00:00"}