Après avoir rappelé une étude de 2013 qui montrait que l'erreur médicale était la troisième cause de décès au USA, le professeur Mignon explique que la simulation permet d'améliorer la formation des soignants et que l'IA deviendra un outil générant des alertes à partir des multiples données physiologiques dans les services d'urgence.

1. Pr Alexandre MIGNON
Port-Royal Cochin AP-HP
Université Sorbonne Paris Cité
alexandre.mignon@ilumens.org
Intelligence Artificielle
Vue de l’anesthésie réanimation
Alexandre Mignon
@iLumens
@ampcmignon

2. Improving Healthcare through Global Education
A Global education experience aimed at developing numeric and simulation programs
for the next 5 years to make sure that medical knowledge is used appropriately, and
associated with expert skills and optimal team communication to save lives and money.
Mission and Vision

4. Why Simulation ?
Changing Education Paradigm for the Y Generation

5. MOOC
(Massive Open-Online
Courses)
OER
(Open Educational
Resources)
…
1
LMS
(Learning Managing System)
Platforms, SCORM
Networks, Communities
3
Blended Learning
PBLD
(Problem Based Learning Discussion)
OSCE
(Objective Structured Clinical Examination)
Simulation
2
Flipped Classroom

6. AI in Medicine grows rapidly
Pubmed cites to "Artificial Intelligence"
0
500
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3500
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Year
NumberofCitations

7. ≥ 1995
Algorithms;
Reproducibility of Results;
Sensitivity and Specificity;
Computer Simulation;
Pattern Recognition, Automated;
Image Interpretation, Computer-Assisted;
Neural Networks (Computer);
Signal Processing, Computer-Assisted;
Cluster Analysis;
Image Enhancement;
Models, Biological;
User-Computer Interface;

8. Escalating amount of information that doctors have to deal with everyday
Physician shortage, Costs, Search for “Humanism”
Perform diagnosis
Make therapy recommendations
Critical care is the permanent and thorough care
provided to the critical patients in intensive care
units, with constant monitoring
Early Warning Scores
DATA
JAMA 26 oct 2017
Rapid decisions
Large and disparate array of information
AI : simultaneously gather and display multiple physiological signals,
derive clinically important parameters, and generate alerts
JAMA Dec 2016

9. • Making Health Information Systems Smarter and More Usable
Clinical Data are Mostly Text
• Need Text Understanding
– Discharge summaries
– Clinical notes (admitting, doctors’, nurses’, …)
– Reports (radiology, pathology, …)
– Letters
• Exceptions :
– Lab data
– Pharmacy orders
– Billing codes
– Images (but, need image understanding)

10. Text is critical, even in ICU and in the OR
• Data not otherwise captured:
– Procedures
– Patient state
– Medications
– Episodic measurements
– …