長期介護の効率向上:臨床レポートの要約と介護者サポートのための組み込みLLM
Arnaud Michelet1,2, Gaetano Manzo1, Abraham Ritz2
1University of Applied Sciences and Arts Western Switzerland HES-SO, Switzerland.
Abstract:
Long-term care facilities face a critical shortage of nursing staff and an increasing administrative burden, reducing time for direct patient care. Generative artificial intelligence offers a promising solution to automate administrative tasks and support caregivers. This paper evaluates the relevance of using a fine-tuned large language model (LLM) to address these challenges. Interviews with healthcare professionals identified key needs, leading to the selection of two use cases: caregiver-patient communication assistance and medical record summarization. To comply with privacy and security constraints, the model was deployed in an embedded scenario. Performance evaluations showed significant improvements in BLEU and ROUGE metrics for both use cases, demonstrating enhanced accuracy. This study demonstrates the feasibility of leveraging LLMs to streamline workflows, reduce administrative strain, and improve operational efficiency. This work highlights the potential for broader AI applications in long-term care, paving the way for better working conditions for caregivers and improved patient care quality.
関連する概念動画
Documentation in Long-Term and Home Healthcare Setting
Long-Term Care Facilities
Methods of Documentation VI: Case Management Model
For example, a patient with a chronic...
Introduction to Documentation and Reporting
Nursing documentation records essential information and details regarding a patient's care and treatment in written or electronic form. It is a critical aspect of nursing practice that involves documenting assessments, interventions, outcomes, and other relevant details about a patient's health status.
Documentation maps the patient's health journey by creating a comprehensive...
Nursing Clinical Information System
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
Types of Reports I: Hands-off Report
Following are the key components and categories of hand-off reports:
Purpose and Process:
Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...

