人工智能驱动的决策支持对不确定的抗菌素处方的影响:一个随机的多方法研究
William J Bolton1, Richard Wilson2, Mark Gilchrist3
1Department of Computing, Imperial College London, London, UK; AI4Health Centre for Doctoral Training, Imperial College London, London, UK; National Institute for Health Research, Health Protection Research Unit in Healthcare Associated Infections and Antimicrobial Resistance, Imperial College London, London, UK; Centre for Antimicrobial Optimisation, Imperial College London, London, UK.
这项研究评估了一种人工智能 (AI) 临床决策支持系统 (CDSS),用于转换抗生素. 人工智能CDSS受到了好评,并影响了临床医生,使他们不再将IV转换为口服抗生素,显示出抗菌药物管理的潜力.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健中的人工智能
- 抗微生物药物管理委员会
背景情况:
- 将人工智能驱动的临床决策支持系统 (CDSS) 转化为医疗保健环境,特别是传染病,由于复杂性,行为和不确定性而带来挑战.
- 评估临床医生的看法和AI CDSS的决策影响对于静脉输入到口服抗生素的切换对于实施至关重要.
研究的目的:
- 评估临床医生对AI CDSS的看法,该AI CDSS旨在进行抗生素切换.
- 确定AI CDSS如何影响临床医生的抗生素处方决策过程.
主要方法:
- 一项随机的多方法研究,涉及42名英国医疗保健专业人员,专门从事抗生素处方.
- 采用半结构面试,用定制的网络应用程序进行临床图片实验,将标准护理 (SOC) 与SOC加AI CDSS进行比较,以及可用性问卷 (SUS,TAM).
- 评估了切换决策的差异,CDSS总体影响,决策多样性以及系统可用性和接受度.
主要成果:
- 临床医生对人工智能表现出热情,依赖于证据和可用性,但面临着行为惯性和基础设施限制.
- 人工智能CDSS影响了参与者不要将IV转换为口服抗生素 (p=0.0054).
- 人工智能CDSS获得了良好的可用性评分 (SUS:72.3) 和积极的技术接受度 (TAM:感知有用性3.6,易用性3.8,自我有效性4.1).
结论:
- 人工智能CDSS得到了积极的接待,并显示了支持抗菌素处方的潜力,特别是通过建议不切换.
- 人工智能解释在护理点起到了很小的作用;采用取决于信任,可用性和临床证据.
- 需要进一步的前性研究来评估与AI CDSS实施相关的安全性,益处和行为变化.
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