Evidence map›Paper›PMID 38015593›Full record

ArticleJMIR medical informatics2023

Standardized Comparison of Voice-Based Information and Documentation Systems to Established Systems in Intensive Care: Crossover Study.

Arne Peine, Maike Gronholz, Katharina Seidl-Rathkopf, Thomas Wolfram, Ahmed Hallawa, Annika Reitz, Leo Anthony Celi, Gernot Marx, Lukas Martin

Abstract read
In one paragraph

Article in JMIR medical informatics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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

  1. Pooled it
  2. Trial
  3. Article
  4. Article
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

9 authors.

Arne PeineDepartment of Intensive Care Medicine and Intermediate Care, University Hospital RWTH Aachen, Aachen, Germany.ORCID https://orcid.org/0000-0003-4163-2402
Maike GronholzClinomic Group GmbH, Aachen, Germany.ORCID https://orcid.org/0009-0000-2287-177X
Katharina Seidl-RathkopfClinomic Group GmbH, Aachen, Germany.ORCID https://orcid.org/0009-0005-4896-5543
Thomas WolframClinomic Group GmbH, Aachen, Germany.ORCID https://orcid.org/0000-0002-2868-7284
Ahmed HallawaDepartment of Intensive Care Medicine and Intermediate Care, University Hospital RWTH Aachen, Aachen, Germany.ORCID https://orcid.org/0000-0003-3932-4873
Annika ReitzClinomic Group GmbH, Aachen, Germany.ORCID https://orcid.org/0000-0002-1172-9812
Leo Anthony CeliLaboratory of Computational Physiology, Harvard-MIT Division of Health Sciences Technology, Cambridge, MA, United States.ORCID https://orcid.org/0000-0001-6712-6626
Gernot MarxDepartment of Intensive Care Medicine and Intermediate Care, University Hospital RWTH Aachen, Aachen, Germany.ORCID https://orcid.org/0000-0003-0866-4234
Lukas MartinDepartment of Intensive Care Medicine and Intermediate Care, University Hospital RWTH Aachen, Aachen, Germany.ORCID https://orcid.org/0000-0001-8650-5090

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe medical teams in intensive care units (ICUs) spend increasing amounts of time at computer systems for data processing, input, and interpretation purposes. As each patient creates about 1000 data points per hour, the available information is abundant, making the interpretation difficult and time-consuming. This data flood leads to a decrease in time for evidence-based, patient-centered care. Information systems, such as patient data management systems (PDMSs), are increasingly used at ICUs. However, they often create new challenges arising from the increasing documentation burden.

objectiveNew concepts, such as artificial intelligence (AI)-based assistant systems, are hence introduced to the workflow to cope with these challenges. However, there is a lack of standardized, published metrics in order to compare the various data input and management systems in the ICU setting. The objective of this study is to compare established documentation and retrieval processes with newer methods, such as PDMSs and voice information and documentation systems (VIDSs).

methodsIn this crossover study, we compare traditional, paper-based documentation systems with PDMSs and newer AI-based VIDSs in terms of performance (required time), accuracy, mental workload, and user experience in an intensive care setting. Performance is assessed on a set of 6 standardized, typical ICU tasks, ranging from documentation to medical interpretation.

resultsA total of 60 ICU-experienced medical professionals participated in the study. The VIDS showed a statistically significant advantage compared to the other 2 systems. The tasks were completed significantly faster with the VIDS than with the PDMS (1-tailed t

conclusionsThe results of this study show that the VIDS reduced error rate, documentation time, and mental workload regarding the set of 6 standardized typical ICU tasks. In conclusion, this indicates that AI-based systems such as the VIDS tested in this study have the potential to reduce this workload and improve evidence-based and safe patient care.

Indexed as

artificial intelligencedocumentationICUintensive care medicinespeech-recognitionuser perceptionworkload

Identifiers

PMID38015593
PMCPMC10716746

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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.