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人工智能如何改变急救护理。

How artificial intelligence could transform emergency care.

机构信息

US Acute Care Solutions, Canton, OH, United States of America; Department of Emergency Medicine, Virginia Hospital Center, Arlington, VA, United States of America.

US Acute Care Solutions, Canton, OH, United States of America; Department of Emergency Medicine, Inova Alexandria Hospital, Alexandria, VA, United States of America.

出版信息

Am J Emerg Med. 2024 Jul;81:40-46. doi: 10.1016/j.ajem.2024.04.024. Epub 2024 Apr 16.

DOI:10.1016/j.ajem.2024.04.024
PMID:38663302
Abstract

Artificial intelligence (AI) in healthcare is the ability of a computer to perform tasks typically associated with clinical care (e.g. medical decision-making and documentation). AI will soon be integrated into an increasing number of healthcare applications, including elements of emergency department (ED) care. Here, we describe the basics of AI, various categories of its functions (including machine learning and natural language processing) and review emerging and potential future use-cases for emergency care. For example, AI-assisted symptom checkers could help direct patients to the appropriate setting, models could assist in assigning triage levels, and ambient AI systems could document clinical encounters. AI could also help provide focused summaries of charts, summarize encounters for hand-offs, and create discharge instructions with an appropriate language and reading level. Additional use cases include medical decision making for decision rules, real-time models that predict clinical deterioration or sepsis, and efficient extraction of unstructured data for coding, billing, research, and quality initiatives. We discuss the potential transformative benefits of AI, as well as the concerns regarding its use (e.g. privacy, data accuracy, and the potential for changing the doctor-patient relationship).

摘要

人工智能(AI)在医疗保健领域的应用是指计算机执行与临床护理相关任务的能力(例如医疗决策和文件记录)。人工智能很快将被整合到越来越多的医疗保健应用中,包括急诊(ED)护理的元素。在这里,我们描述了 AI 的基础知识,其各种功能类别(包括机器学习和自然语言处理),并回顾了 AI 在急诊护理方面的新兴和潜在的未来应用案例。例如,AI 辅助症状检查器可以帮助患者选择合适的就诊场所,模型可以帮助分配分诊级别,环境 AI 系统可以记录临床就诊情况。AI 还可以帮助提供图表的重点摘要,为交接班总结就诊情况,并以适当的语言和阅读水平创建出院医嘱。其他用例包括决策规则的医学决策、预测临床恶化或败血症的实时模型,以及高效提取用于编码、计费、研究和质量计划的非结构化数据。我们讨论了 AI 的潜在变革性好处,以及对其使用的担忧(例如隐私、数据准确性以及改变医患关系的可能性)。

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