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人工智能(AI)在临床决策支持系统和医疗服务中的有效性。

Effectiveness of Artificial Intelligence (AI) in Clinical Decision Support Systems and Care Delivery.

机构信息

Department of Health Informatics, College of Health Sciences, Saudi Electronic University, Dammam, Saudi Arabia.

Department of Health Informatics, College of Health Sciences, Saudi Electronic University, 11673, Riyadh, Saudi Arabia.

出版信息

J Med Syst. 2024 Aug 12;48(1):74. doi: 10.1007/s10916-024-02098-4.

Abstract

This review aims to assess the effectiveness of AI-driven CDSSs on patient outcomes and clinical practices. A comprehensive search was conducted across PubMed, MEDLINE, and Scopus. Studies published from January 2018 to November 2023 were eligible for inclusion. Following title and abstract screening, full-text articles were assessed for methodological quality and adherence to inclusion criteria. Data extraction focused on study design, AI technologies employed, reported outcomes, and evidence of AI-CDSS impact on patient and clinical outcomes. Thematic analysis was conducted to synthesise findings and identify key themes regarding the effectiveness of AI-CDSS. The screening of the articles resulted in the selection of 26 articles that satisfied the inclusion criteria. The content analysis revealed four themes: early detection and disease diagnosis, enhanced decision-making, medication errors, and clinicians' perspectives. AI-based CDSSs were found to improve clinical decision-making by providing patient-specific information and evidence-based recommendations. Using AI in CDSSs can potentially improve patient outcomes by enhancing diagnostic accuracy, optimising treatment selection, and reducing medical errors.

摘要

本次综述旨在评估人工智能驱动的临床决策支持系统(CDSS)对患者结局和临床实践的影响。我们在 PubMed、MEDLINE 和 Scopus 上进行了全面检索。符合纳入标准的研究为 2018 年 1 月至 2023 年 11 月期间发表的研究。经过标题和摘要筛选后,对全文文章进行了方法学质量评估和纳入标准的评估。数据提取重点关注研究设计、所使用的人工智能技术、报告的结果,以及人工智能-CDSS 对患者和临床结局影响的证据。我们采用主题分析法来综合研究结果并确定关于人工智能-CDSS 有效性的关键主题。文章筛选后共选择了 26 篇符合纳入标准的文章。内容分析揭示了四个主题:早期检测和疾病诊断、增强决策制定、药物错误以及临床医生的观点。基于人工智能的 CDSS 可以通过提供患者特定信息和基于证据的建议来改善临床决策。在 CDSS 中使用人工智能有可能通过提高诊断准确性、优化治疗选择和减少医疗错误来改善患者结局。

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