Steve Smoke

Informatics Pharmacist

[Steve Smoke @steve_smoke]

@ABC .
I'm u

[Steve Smoke @steve_smoke]

@ASHP_EmergSci Always excited to talk AI, thanks for the opportunity!

[Steve Smoke @steve_smoke]

@ASHP_EmergSci @IDstewardship

[Steve Smoke @steve_smoke]

@ASHP_EmergSci Hard to pick three.

- Productivity tools: more here - https://t.co/x0r3G0lS1e
- Assessing patient charts: automated quality metrics, adverse events / med error capture, targeted clinical interventions
- Lit search: efficiently navigate ever-expanding medical lit

[Steve Smoke @steve_smoke]

@ASHP_EmergSci My generation had an advantage when coming out of school - we grew up on computers. Your generation has a similar opportunity with AI. Play with AI chatbots and tools. Learn good and bad uses. This foundational experience will be essential to navigating applications to medicine.

[Steve Smoke @steve_smoke]

@ASHP_EmergSci There is always a lag between innovation and widespread adoption. Adoption requires infrastructure. With AI, we are in that gap, AI is available everywhere on the internet, but nowhere to be found in healthcare. But infrastructure is coming…and so will widespread adoption

[Steve Smoke @steve_smoke]

@ASHP_EmergSci Accountability. No matter what tools I use, I am responsible for my work.

Also, transparency / integrity. I feel no shame for using AI tools safely in appropriate situations. But give credit where credit is due.

[Steve Smoke @steve_smoke]

@ASHP_EmergSci Health systems are moving towards AI review committees - https://t.co/TjnROkqlTK. Pharmacy leaders need to make sure pharmacy is involved. Others should advocate to their leaders about the importance of pharmacy representation.

Speaking of, what are we doing @RWJBHPharmacy?

[Steve Smoke @steve_smoke]

@ASHP_EmergSci - Bias: AI tools learn from data, biases in the data = biases in the output
- Inaccuracy / hallucination: Sometimes they’re wrong
- Decay: Good performance today does not mean good performance tomorrow
- Privacy / Security: we must protect patient info

[Steve Smoke @steve_smoke]

@ASHP_EmergSci Break down the AMS job into tasks. For prospective audit and feedback:
- Screening patient charts: inefficient and time-consuming
- Intervening: improves patient outcomes.

Hand #1 to AI and spend more time on #2. Dramatically improve reach and impact.

[Steve Smoke @steve_smoke]

@ASHP_EmergSci Start with the terms below. Then, my favorite resource atm is here: https://t.co/JVYZmRH9Pl, 1 hr course, bite-sized portions.

And a great, more pharmacy-specific resource is here: https://t.co/h9A7imQMnP

[Steve Smoke @steve_smoke]

@IDstewardship @SIDPharm @RWJBHPharmacy

[ASHPEmergingSciences @ASHP_EmergSci]

Emerging Sciences X Journal Club is back! Join us for our next journal discussion on AI in Pharmacy with @steve_smoke
https://t.co/V1SGpRF4RP

[Steve Smoke @steve_smoke]

@mmPharmD @IDstewardship @PharmacyPosts @Prof_J_NYC @RSPugliese @ThePeoplesRuben @Kerry_LaPlante @KisgenUF @ABsteward @Floralquinolone @LinezoLiv I wish I could've... it took me hours to make that 15 sec clip!

[Steve Smoke @steve_smoke]

@ErinMcCreary @mmPharmD @SIDPharm Yeah, turns out that the royalties from podcast intro music ain't that much, so I do some stewardship too!

[Eric Topol @EricTopol]

Big for #COVID19 therapy: the compassionate use results for remdesivir in 53 patients looks very encouraging, especially in very sick patients on mechanical ventilation with 18% fatality (only, expect > 50%) and overall 68% improvement https://t.co/oP8eDK6jYL @NEJM

[Steve Smoke @steve_smoke]

@GoBig303 @SIDPharm Would love to see them, [email protected], thanks!

[Steve Smoke @steve_smoke]

@RWJBHPharmacy https://t.co/BkVToCzQmW

[JAMA Internal Medicine @JAMAInternalMed]

Don't Just Do Something, Stand There! https://t.co/JajXOPH1Wq

[Steve Smoke @steve_smoke]

@amyondo https://t.co/3U8Jo5N7in

[NEJM @NEJM]

New Quick Take video: Preventive Therapy for Chronic #Migraine https://t.co/E1iKmH2flF

[Steve Smoke @steve_smoke]

@amyondo https://t.co/mHwgI8ZD3r

[NEJM @NEJM]

Editorial: CGRP — The Next Frontier for #Migraine https://t.co/PJ1L5NZYlN

[Steve Smoke @steve_smoke]

Antibiotics aren’t always the answer when you're sick. Learn why and #BeAntibioticsAware https://t.co/ooGYeeZrHk