可读性是可靠性的代理吗? 在骨科创伤传播中对ChatGPT-4.0的定性评估
Mehmet Okan Atahan1, Çağrı Üner2, Mehmet Aydemir2
1Department of Orthopedics and Traumatology, Afyonkarahisar State Hospital, Afyonkarahisar, Turkey.
Journal of evaluation in clinical practice
|August 14, 2025
概括
聊天GPT-4.0提供可读的骨科创伤信息,但其可读性并不表明内容的准确性或安全性. 专家审查对于人工智能生成的医疗内容至关重要,以确保可靠性和患者安全.
科学领域:
- 人工智能在医学中的应用
- 整形外科创伤手术 整形外科创伤手术
背景情况:
- 越来越多的人工智能聊天机器人如ChatGPT-4.0用于医疗信息,需要对其输出进行评估.
- 骨科创伤呈现出复杂的场景,其中准确和安全的信息至关重要.
研究的目的:
- 评估ChatGPT-4.0响应骨科创伤常见问题问题的准确性,可读性和安全性.
- 确定响应可读性是否与内容质量和可靠性相关.
主要方法:
- 十个骨科创伤患者的问题被提出给ChatGPT-4.0.0.
- 答案由三个骨科创伤外科医生对准确性,适当性和安全性进行评估.
- 使用弗莱什-金凯德等级水平 (FKGL) 测量可读性;使用ICC评估评审者之间的可靠性.
主要成果:
- 聊天GPT-4.0响应的平均FKGL为10.5 (高中水平).
- 在优秀,糟糕和危险的反应中,可读性得分相似,这表明可靠性没有预测价值.
- 准确性和安全性各不相同,临床适当性显示高一致性 (ICC=0.81) 和安全性低一致性 (ICC=0.68).
- 10个回答中有9个包含免责声明,但在高风险场景中缺少一个.
结论:
- 聊天GPT-4.0为骨科创伤常见问题生成可读内容,但可读性不能可靠地区分准确的信息和潜在的有害信息.
- 对人工智能产生的内容进行专家医疗审查对于临床沟通至关重要,以确保患者安全和信息完整性.
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