为临床通信提供智能消息工具的性能
Dinh Nguyen1, Sinjin Lee1, Kien La1
1Southern California Permanente Medical Group (SCPMG), Pasadena.
JAMA network open
|January 15, 2026
概括
智能消息工具 (SMT) 显著减少了阅读高敏度患者消息的时间,改善了护理. 这种自然语言处理解决方案增强了医疗保健系统中的消息管理.
科学领域:
- 医疗信息学 医疗信息学
- 在医疗保健中的自然语言处理.
- 临床工作流程优化 临床工作流程优化
背景情况:
- 患者门户信息量增加可能导致护理延迟和临床医生倦怠.
- 有效管理患者信息对于及时和高效的医疗保健服务至关重要.
- 现有的系统难以应对不断增长的患者沟通规模.
研究的目的:
- 评估智能消息工具 (SMT) 在分类患者信息中的有效性.
- 评估SMT在一个大规模,综合,以价值为基础的医疗保健系统中的可行性.
- 为了确定SMT是否能改善高敏度患者通信的处理.
主要方法:
- 一项质量改进研究,将SMT实施 (2年) 与传统系统进行比较.
- 在SCPMG的初级保健部门部署了自然语言处理工具SMT.
- 测量了高敏度消息的第一次读取的中位时间和SMT分类准确性.
主要成果:
- 高敏度消息的初读时间中位数从22.03小时减少到5.02小时.
- SMT实现了81.0%的分类准确率,明显超过了传统系统的44.0%的成绩.
- 对于SMT,前三名和前五名的准确率分别为88.5%和90.7%.
结论:
- SMT可靠地对患者信息进行分类,支持及时处理高敏度通信.
- 该工具证明了对于面临患者信息管理挑战的组织的实际适用性.
- 利用自然语言处理为优化医疗保健沟通工作流提供了可行的解决方案.
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