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A lesson in implementation: A pre-post study of providers' experience with artificial intelligence-based clinical
Santiago Romero-Brufau1, Kirk D Wyatt2, Patricia Boyum3
1Mayo Clinic Kern Center for the Science of Health Care Delivery, Mayo Clinic, Minnesota, United States; Department of Biostatistics, Harvard T. H. Chan School of Public Health, Harvard University, Massachussets, United States.
Staff found artificial intelligence (AI)-based clinical decision support (CDS) improved care coordination but had concerns about intervention recommendations. Realistic expectations for AI in healthcare are crucial for successful adoption.
Area of Science:
- Healthcare Informatics
- Artificial Intelligence in Medicine
- Clinical Decision Support Systems
Background:
- Staff attitudes towards AI-based clinical decision support (CDS) are crucial for technology adoption.
- Understanding user experience with AI tools is essential for optimizing healthcare delivery.
Purpose of the Study:
- To explore healthcare staff attitudes towards AI-based CDS tools.
- To assess the impact of AI-based CDS on care coordination and user recommendations.
Main Methods:
- Anonymous surveys were administered to clinical staff before and after AI-based CDS implementation.
- The AI-based CDS aimed to improve glycemic control in diabetic patients.
- Surveys assessed staff perceptions of care coordination and willingness to recommend the tool.
Main Results:
- Care coordination significantly improved post-implementation (p < 0.01).
- Only 14% of users would recommend the AI-based CDS.
- The most favored aspect was promoting team dialogue; the least favored was inadequate intervention recommendations.
Conclusions:
- Negative perceptions of AI-based CDS interventions can temper staff enthusiasm for AI technology.
- Hands-on experience with AI can lead to more realistic expectations of its capabilities.
- AI developers must differentiate tasks best suited for AI versus human clinical teams.
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