大型语言模型在术后医学的临床和经济影响:一个随机交叉试验
Yu He Ke1,2,3, Bernard Soon Yang Ong4, Liyuan Jin5,6
1Department of Anesthesiology, Singapore General Hospital, Singapore, Singapore. ke.yuhe@singhealth.com.sg.
NPJ digital medicine
|July 21, 2025
概括
一个新的AI聊天机器人PEACH (PErioperative AI CHatbot) 显示了改善手术前文档质量的潜力,并提供了显著的成本节省,尽管它没有减少医生整体文档时间.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健中的人工智能
- 在外科手术期间的医学.
背景情况:
- 术前评估至关重要,但面临着时间,准则遵守和文档负担的挑战.
- 现有的工作流程往往导致在手术前收集和记录患者信息的效率低下.
研究的目的:
- 评估PEACH (PErioperative AI CHatbot) 系统对文档效率,质量,用户接受度和成本效益的影响.
- 评估在术前咨询中使用基于LLM的临床决策支持的可行性.
主要方法:
- 一个随机交叉试验,涉及新加坡总医院的住院医生.
- 评估文档的时间,质量指标 (包含问题列表),用户偏好和经济建模.
主要成果:
- PEACH并没有显著减少整体文档处理时间.
- 在中度复杂的病例和经验丰富的医生中观察到时间节省.
- 评估人员在57.1%的案例中更喜欢PEACH辅助的文档,并改进了问题列表的包含.
- 估计SGD197,501 (USD146,297) 的预计年度机构储蓄.
结论:
- 基于LLM的工具,如PEACH可以提高术前文档的质量,并提供经济价值.
- 进一步的研究和实施可以通过人工智能协助优化术后护理.
相关概念视频
01:15Methods of Documentation VI: Case Management Model
629
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
629
01:27Language and Cognition
448
Language serves as a bridge between ideas and communication, influencing how individuals perceive and interact with the world. Psychologists have long debated whether language shapes thought or vice versa. This discussion gained grip with Edward Sapir and Benjamin Lee Whorf in the 1940s, who proposed that language determines thought, a concept known as linguistic determinism. They suggested that the vocabulary and structure of a language influence how its speakers think and perceive reality.
448