Evidence map›Paper›PMID 36602843›Full record

ArticleJMIR human factors2023

Intensive Care Unit Physicians' Perspectives on Artificial Intelligence-Based Clinical Decision Support Tools: Preimplementation Survey Study.

Siri L van der Meijden, Anne A H de Hond, Patrick J Thoral, Ewout W Steyerberg, Ilse M J Kant, Giovanni Cinà, M Sesmu Arbous

Abstract read
In one paragraph

Article in JMIR human factors, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Siri L van der MeijdenDepartment of Intensive Care Medicine, Leiden University Medical Center, Leiden, Netherlands.ORCID https://orcid.org/0000-0002-9343-0899
Anne A H de HondClinical AI Implementation and Research Lab, Leiden University Medical Center, Leiden, Netherlands.ORCID https://orcid.org/0000-0002-3473-3398
Patrick J ThoralDepartment of Intensive Care Medicine, Laboratory for Critical Care Computational Intelligence, Amsterdam Medical Data Science, Amsterdam University Medical Centers, Amsterdam, Netherlands.ORCID https://orcid.org/0000-0001-6140-7195
Ewout W SteyerbergDepartment of Biomedical Data Sciences, Leiden University Medical Center, Leiden, Netherlands.ORCID https://orcid.org/0000-0002-7787-0122
Ilse M J KantClinical AI Implementation and Research Lab, Leiden University Medical Center, Leiden, Netherlands.ORCID https://orcid.org/0000-0002-5273-5178
Giovanni CinàPacmed, Amsterdam, Netherlands.ORCID https://orcid.org/0000-0002-3521-8208
M Sesmu ArbousDepartment of Intensive Care Medicine, Leiden University Medical Center, Leiden, Netherlands.ORCID https://orcid.org/0000-0001-5242-3257

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundArtificial intelligence-based clinical decision support (AI-CDS) tools have great potential to benefit intensive care unit (ICU) patients and physicians. There is a gap between the development and implementation of these tools.

objectiveWe aimed to investigate physicians' perspectives and their current decision-making behavior before implementing a discharge AI-CDS tool for predicting readmission and mortality risk after ICU discharge.

methodsWe conducted a survey of physicians involved in decision-making on discharge of patients at two Dutch academic ICUs between July and November 2021. Questions were divided into four domains: (1) physicians' current decision-making behavior with respect to discharging ICU patients, (2) perspectives on the use of AI-CDS tools in general, (3) willingness to incorporate a discharge AI-CDS tool into daily clinical practice, and (4) preferences for using a discharge AI-CDS tool in daily workflows.

resultsMost of the 64 respondents (of 93 contacted, 69%) were familiar with AI (62/64, 97%) and had positive expectations of AI, with 55 of 64 (86%) believing that AI could support them in their work as a physician. The respondents disagreed on whether the decision to discharge a patient was complex (23/64, 36% agreed and 22/64, 34% disagreed); nonetheless, most (59/64, 92%) agreed that a discharge AI-CDS tool could be of value. Significant differences were observed between physicians from the 2 academic sites, which may be related to different levels of involvement in the development of the discharge AI-CDS tool.

conclusionsICU physicians showed a favorable attitude toward the integration of AI-CDS tools into the ICU setting in general, and in particular toward a tool to predict a patient's risk of readmission and mortality within 7 days after discharge. The findings of this questionnaire will be used to improve the implementation process and training of end users.

Indexed as

acceptanceadoptionAIartificial intelligenceattitudeclinical decision supportclinical supportdecision-makingdecision supportdigital healthdischargeeHealthhospitalintensive care unitopinionperspectivepredictionrisksurvey

Identifiers

PMID36602843
PMCPMC9853335

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.