Evidence map›Paper›PMID 40333664›Full record

ArticlePLOS digital health2025

Exploring the complex nature of implementation of Artificial intelligence in clinical practice: an interview study with healthcare professionals, researchers and Policy and Governance Experts.

Jobbe P L Leenen, Paul Hiemstra, Martine M Ten Hoeve, Anouk C J Jansen, Joris D van Dijk, Brian Vendel, Guido Versteeg, Gido A Hakvoort, Marike Hettinga

Abstract read
In one paragraph

Article in PLOS digital health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–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

11 citing papers in PubMed.

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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

9 authors.

Jobbe P L LeenenConnected Care Center, Isala, Zwolle, Overijssel, The Netherlands.ORCID https://orcid.org/0000-0001-7269-2892
Paul HiemstraResearch Group IT Innovations in Healthcare, Windesheim University of Applied Sciences, Zwolle, Overijssel, The Netherlands.
Martine M Ten HoeveResearch Group IT Innovations in Healthcare, Windesheim University of Applied Sciences, Zwolle, Overijssel, The Netherlands.
Anouk C J JansenResearch Group IT Innovations in Healthcare, Windesheim University of Applied Sciences, Zwolle, Overijssel, The Netherlands.ORCID https://orcid.org/0009-0001-6245-7722
Joris D van DijkDepartment of Nuclear Medicine, Isala, Zwolle, Overijssel, The Netherlands.
Brian VendelDepartment of Nuclear Medicine, Isala, Zwolle, Overijssel, The Netherlands.
Guido VersteegAppbakkers, Zwolle, Overijssel, The Netherlands.
Gido A HakvoortResearch Group IT Innovations in Healthcare, Windesheim University of Applied Sciences, Zwolle, Overijssel, The Netherlands.
Marike HettingaResearch Group IT Innovations in Healthcare, Windesheim University of Applied Sciences, Zwolle, Overijssel, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Artificial Intelligence (AI)-based tools have shown potential to optimize clinical workflows, enhance patient quality and safety, and facilitate personalized treatment. However, transitioning viable AI solutions to clinical implementation remains limited. To understand the challenges of bringing AI into clinical practice, we explored the experiences of healthcare professionals, researchers, and Policy and Governance Experts in hospitals. We conducted a qualitative study with thirteen semi-structured interviews (mean duration 52.1 ± 5.4 minutes) with healthcare professionals, researchers, and Policy and Governance Experts, with prior experience on AI development in hospitals. The interview guide was based on value, application, technology, governance, and ethics from the Innovation Funnel for Valuable AI in Healthcare, and the discussions were analyzed through thematic analysis. Six themes emerged: (1) demand-pull vs. tech-push: AI development focusing on innovative technologies may face limited success in large-scale clinical implementation. (2) Focus on generating knowledge, not solutions: Current AI initiatives often generate knowledge without a clear path for implementing AI models once proof-of-concept is achieved. (3) Lack of multidisciplinary collaboration: Successful AI initiatives require diverse stakeholder involvement, often hindered by late involvement and challenging communication. (4) Lack of appropriate skills: Stakeholders, including IT departments and healthcare professionals, often lack the required skills and knowledge for effective AI integration in clinical workflows. (5) The role of the hospital: Hospitals need a clear vision for integrating AI, including meeting preconditions in infrastructure and expertise. (6) Evolving laws and regulations: New regulations can hinder AI development due to unclear implications but also enforce standardization, emphasizing quality and safety in healthcare. In conclusion, this study highlights the complexity of AI implementation in clinical settings. Multidisciplinary collaboration is essential and requires facilitation. Balancing divergent perspectives is crucial for successful AI implementation. Hospitals need to assess their readiness for AI, develop clear strategies, standardize development processes, and foster better collaboration among stakeholders.

Identifiers

PMID40333664
PMCPMC12057897

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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.