使用ChatGPT在PICU中为家长的问题提供患者特定的答案
R Brandon Hunter1,2, Satid Thammasitboon1,2, Sreya S Rahman2
1Texas Children's Hospital, Houston, Texas.
Pediatrics
|October 7, 2024
概括
通过使用患者特定数据,ChatGPT有效地回答儿科重症监护室 (PICU) 的家长问题. 人工智能在答案中表现出高准确度,完整性和同情心.
科学领域:
- 人工智能在医学中的应用
- 临床决策支持系统 临床决策支持系统
- 儿科重症监护 儿科重症监护
背景情况:
- 在儿科重症监护室 (PICU) 中,家长的理解至关重要.
- 聊天GPT提供患者特定医疗信息的潜力在很大程度上尚未被探索.
- 需要有效的沟通工具来支持重症监护机构中的家庭.
研究的目的:
- 评估ChatGPT能够在PICU中对家长的问题产生高质量的,针对患者的具体反应的能力.
- 测试ChatGPT可以为个别儿科患者提供准确,完整和富有同情心的答案的假设.
- 评估人工智能为家长产生的反应的可理解性和安全性.
主要方法:
- 一项涉及3名患有复杂疾病 (呼吸衰竭,败血症休克, status epilepticus) 的PICU患者的横截面研究.
- 聊天GPT得到了患者评估,计划和8个典型的家长问题.
- 六名PICU医生使用标准化工具 (PEMAT,Flesch-Kincaid) 评估了准确性,完整性,同情力和可理解性.
主要成果:
- 聊天GPT始终将患者特定的细节纳入其答案中,在59%的句子中使用它们.
- 答案显示了高准确度 (中位数5.0/6),完整性 (97%),同理心 (中位数5.0/6) 和可理解性 (PEMAT 100%,Flesch-Kincaid 8.7).
- 不同的临床场景或问题类型之间没有发现质量的显著差异;观察到高的评价者间可靠性.
结论:
- 在PICU场景中,ChatGPT成功地利用了患者特定的信息,为父母的查询提供了高质量的答案.
- 人工智能产生的反应是准确的,同情的,完整的,可以理解的,没有发现安全问题.
- 聊天GPT是一个有希望的工具,可以增强儿童重症监护中的家庭的沟通和支持.
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