环境人工智能与紧急部门的人类书记相比
Jacob Morey1, Derick Jones1, Laura Walker1
1Department of Emergency Medicine, Mayo Clinic, Rochester, MN.
Annals of emergency medicine
|November 18, 2025
概括
环境人工智能 (AI) 在急诊室的书记增加了电子健康记录和医生笔记贡献的时间. 人工智能书记者与人类书记者相比,表现出类似或较低的笔记质量,特别是对于儿科患者.
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
- 紧急医疗 紧急医疗
背景情况:
- 人工智能 (AI) 在医疗保健中的整合旨在提高效率和文档.
- 传统上,人类书记被用来协助医生处理电子健康记录 (EHR) 文件.
研究的目的:
- 为了比较笔记质量和环境人工智能书记者与紧急部门设置中的人类书记者的EHR时间利用率.
主要方法:
- 进行了一项试点质量改进研究,医生使用人类或人工智能书记.
- 盲目的医生使用医生文档质量仪器 (PDQI-9) 评估了笔记质量.
- 在EHR中记录了时间指标和医生贡献,并在书记者组之间进行了比较.
主要成果:
- 人工智能书记与成人和儿科患者在EHR笔记部分花费的时间增加有关.
- 当使用AI书记时,医生对笔记的贡献显著更高.
- 笔记质量对于成年人来说是相似的,但在使用人工智能书记者时,与人类书记者相比,儿童患者的笔记质量较低.
结论:
- 与人类写字员相比,环境AI写字员需要更多的EHR时间,并增加医生文档输入.
- 人工智能生成的笔记的质量可能较低,特别是在儿科急诊护理中.
- 需要进一步的研究来优化AI写字器的性能并评估长期影响.
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