评估人工智能书记的可用性,技术性能和准确性,用于初级保健:竞争分析
Emily Ha1,2, Isabelle Choon-Kon-Yune2,3, LaShawn Murray4
1Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
JMIR human factors
|July 23, 2025
概括
人工智能 (AI) 书记可以通过自动化文档来帮助减少初级保健提供者的倦怠. 然而,当前的人工智能书记在准确性和可用性方面存在局限性,需要进一步开发和评估才能有效实施.
科学领域:
- 医疗信息学 医疗信息学
- 人与计算机的交互
- 初级保健研究研究初级保健研究
背景情况:
- 由于广泛的行政和文档任务,初级保健提供者 (PCP) 经历了燃烧.
- 人工智能 (AI) 书记提供了自动化临床文档和减轻PCP行政负担的潜在解决方案.
- 关于人工智能书记在初级保健机构的可用性,有效性和准确性的信息有限.
研究的目的:
- 开发和实施一个框架,系统地评估用于初级保健的AI书记.
- 评估各种AI书记的可用性,技术性能和准确性.
- 为人工智能研究,政策和实践提供基准数据.
主要方法:
- 使用竞争分析和专家开发的评估框架,对6个AI书记进行系统比较.
- 该框架评估了可用性,有效性,技术性能,准确性和质量.
- 标准化患者遭遇音频文件被用于生成AI生成的SOAP笔记,与基准进行比较.
主要成果:
- 人工智能书记者表现出各种各样的性能;大多数可以与电子医疗记录集成,但数据交换有限.
- SOAP 笔记是快速生成的 (大约. 对于15分钟的遭遇,1分钟),尽管时间随着复杂性而增加.
- 所有的人工智能书记者都制作了良好的优质笔记,但没有一个是没有错误的,常见的错误包括遗漏和结构问题.
结论:
- 本研究提供了对初级保健中人工智能书记者的系统评估,突出了它们的潜在和当前局限性.
- 改进可用性,技术性能和准确性是人工智能书记者需要的,以完全减少PCP文档负担.
- 未来的研究应该专注于不同人群的现实世界表现,以确保公平可靠的AI应用.
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