人工智能生成的草案回复患者的收件箱消息
Patricia Garcia1, Stephen P Ma1, Shreya Shah1,2
1Department of Medicine, Stanford University School of Medicine, Stanford, California.
JAMA network open
|March 20, 2024
概括
医疗保健中的生成人工智能 (AI) 是有希望的,一项试点研究发现,人工智能起草的患者信息的利用率为20%. 这种实施减少了临床医生的负担和倦怠,但没有影响反应时间.
科学领域:
- 医疗信息学 医疗信息学
- 人工智能在医学中的应用
- 临床工作流的优化 临床工作流优化
背景情况:
- 生成型人工智能 (AI) 正在成为医疗保健中的转型技术.
- 在临床环境中评估生成性AI工具的实际实施对于战略决策至关重要.
- 大型语言模型 (LLM) 提供了自动化管理任务的潜力,例如起草患者通讯.
研究的目的:
- 评估大型语言模型 (LLM) 的实施情况,旨在帮助临床医生起草对患者信息的响应.
- 评估使用情况,对时间效率的影响以及与使用电子收件箱管理人工智能工具相关的临床医生经验.
主要方法:
- 在一个单一的学术医疗中心进行了为期5周的前性质量改善研究.
- 这项研究涉及了162名初级保健和胃肠病学/肝病学部门的临床医生.
- 一个集成的电子健康记录,符合HIPAA的LLM生成了对患者门户消息的回复草案.
主要成果:
- 在所有参与的临床医生中,人工智能生成的草稿答案的平均利用率为20%.
- 没有观察到响应行动,写入或阅读时间的显著变化.
- 在医生任务负载得分和工作疲劳方面,发现了统计学上显著的减少,这表明临床医生经验得到了改善.
结论:
- 早期实施用于起草患者信息的生成人工智能显示出了显著的采用和可用性.
- 人工智能工具导致了临床医生报告的负担和倦怠的改善,而不会对时间指标产生负面影响.
- 需要进一步的研究和测试,以指导人工智能的未来发展和在临床实践中进行战略整合.
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