Balancing Innovation and Safety When Integrating Digital Tools Into Health Care
Authors: Andrew D. Auerbach, Aaron Neinstein, Raman Khanna
Journal: Annals of Internal Medicine (2018)

Ideas and Opinions15 May 2018Balancing Innovation and Safety When Integrating Digital Tools Into Health CareAndrew D. Auerbach, MD, MPH, Aaron Neinstein, MD, and Raman Khanna, MDAndrew D. Auerbach, MD, MPHUniversity of California, San Francisco, San Francisco, California (A.D.A., A.N., R.K.), Aaron Neinstein, MDUniversity of California, San Francisco, San Francisco, California (A.D.A., A.N., R.K.), and Raman Khanna, MDUniversity of California, San Francisco, San Francisco, California (A.D.A., A.N., R.K.)Author, Article, and Disclosure Informationhttps://doi.org/10.7326/M17-3108 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Experienced observers hope that digital tools, such as software applications, personal sensors, and new types of data and data analysis, will stimulate innovation in health care delivery. They also hope that this innovation will change the way we diagnose and treat many diseases (1). We believe that now is the time to consider how to introduce these new tools into care safely and effectively.Not all digital tools will require careful scrutiny. For example, fitness trackers and other applications that help people maintain healthy lifestyles are unlikely to require evaluation when used for educational purposes or to support personal goals, ...References1. Lewis ZH, Lyons EJ, Jarvis JM, Baillargeon J. Using an electronic activity monitor system as an intervention modality: a systematic review. BMC Public Health. 2015;15:585. [PMID: 26104189] doi:10.1186/s12889-015-1947-3 CrossrefMedlineGoogle Scholar2. Tyler LS, Cole SW, May JR, Millares M, Valentino MA, Vermeulen LC, et al; ASHP Expert Panel on Formulary Management. ASHP guidelines on the pharmacy and therapeutics committee and the formulary system. Am J Health Syst Pharm. 2008;65:1272-83. [PMID: 18589893] CrossrefMedlineGoogle Scholar3. Mandl KD, Kohane IS. No small change for the health information economy. N Engl J Med. 2009;360:1278-81. [PMID: 19321867] doi:10.1056/NEJMp0900411 CrossrefMedlineGoogle Scholar4. Shuren J, Califf RM. Need for a national evaluation system for health technology. JAMA. 2016;316:1153-4. [PMID: 27398696] doi:10.1001/jama.2016.8708 CrossrefMedlineGoogle Scholar5. U.S. Food and Drug Administration. Software Precertification Program Model. 2017. Accessed at www.fda.gov/downloads/MedicalDevices/DigitalHealth/DigitalHealthPreCertProgram/UCM577331.pdf on 1 February 2018. Google Scholar Author, Article, and Disclosure InformationAffiliations: University of California, San Francisco, San Francisco, California (A.D.A., A.N., R.K.)Acknowledgment: The authors thank Erin Hartman, MS, for expert editorial assistance, as well as Drs. Russell Cucina, Michael Blum, Seth Bokser, and Robert Wachter for helpful reviews of the manuscript.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M17-3108.Corresponding Author: Andrew D. Auerbach, MD, MPH, UCSF Division of Hospital Medicine, UCSF Box 0131, San Francisco, CA 94143-0131; e-mail, andrew.[email protected]edu.Current Author Addresses: Dr. Auerbach: UCSF Division of Hospital Medicine, UCSF Box 0131, San Francisco, CA 94143-0131.Dr. Neinstein: University of California, San Francisco, 1700 Owens Street, Suite 541, San Francisco, CA 94158.Dr. Khanna: University of California, San Francisco, 533 Parnassus Avenue, San Francisco, CA 94143-0131.Author Contributions: Conception and design: A.D. Auerbach, A. Neinstein, R. Khanna.Analysis and interpretation of the data: A.D. Auerbach, R. Khanna.Drafting of the article: A.D. Auerbach, A. Neinstein, R. Khanna.Critical revision of the article for important intellectual content: A.D. Auerbach, R. Khanna.Final approval of the article: A.D. Auerbach, A. Neinstein, R. Khanna.Administrative, technical, or logistic support: A.D. Auerbach.Collection and assembly of data: A.D. Auerbach, R. Khanna.This article was published at Annals.org on 27 March 2018. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoBalancing Innovation and Safety When Integrating Digital Tools Into Health Care Andrew D. Auerbach , Aaron Neinstein , and Raman Khanna Balancing Innovation and Safety When Integrating Digital Tools Into Health Care Jayne Barr Metrics Cited byArtificial Intelligence/Machine Learning in Respiratory Medicine and Potential Role in Asthma and COPD DiagnosisPersonalized predictions of patient outcomes during and after hospitalization using artificial intelligenceDesign and development of Referrals Automation, a SMART on FHIR solution to improve patient access to specialty careDeploying Patient-Facing Application Programming Interfaces: Thematic Analysis of Health System ExperiencesEvaluating Digital Health Tools—Prospective, Experimental, and Real WorldMachine Learning in MedicineBalancing Innovation and Safety When Integrating Digital Tools Into Health CareJayne Barr, MD, MPH 15 May 2018Volume 168, Issue 10Page: 733-734KeywordsDiagnostic techniquesDigital healthDisclosureElectronic medical recordsForecastingGeneticsHealth careHospital medicineInformation technologySafety ePublished: 27 March 2018 Issue Published: 15 May 2018 Copyright & PermissionsCopyright © 2018 by American College of Physicians. 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