Artificial intelligence and clinical decision support in paediatrics — OSCE

Station brief (candidate)

• Manage the child whose deterioration score reads low but who looks unwell: state that the bedside assessment overrides the score, escalate to the higher acuity, and treat the child, because automation bias has caused missed deterioration. ^[2]
• Frame the drug-interaction alert override culture as alert fatigue and a patient-safety failure, and outline the stewardship response: measure the override rate, retire or convert the lowest-value alerts to passive display, and tune the thresholds with the prescribers. ^{[7] [8] [9]}
• Manage the deep-learning retinal image flag as a prompt to escalate rather than a diagnosis, arrange the formal ophthalmology review by telehealth where the ophthalmologist is off site, and hold the clinician over-read and accountability principle. ^{[5] [6]}