Evidence map›Paper›PMID 40504809›Full record

ArticlePloS one2025

Societal factors influencing the implementation of AI-driven technologies in (smart) hospitals.

Ysanne de Graaf, Anam Ahmed, Carmen Sanges, Laura Herbst, Hubertus J M Vrijhoef

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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

4 citing papers in PubMed.

  1. Article
  2. Review
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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

5 authors.

Ysanne de GraafPanaxea, Den Bosch, The Netherlands.
Anam AhmedPanaxea, Den Bosch, The Netherlands.ORCID https://orcid.org/0000-0002-3452-262X
Carmen SangesUniversity Hospital of Würzburg, Würzburg, Germany.
Laura HerbstFraunhofer Institute for Production Technology IPT, Aachen, Germany.
Hubertus J M VrijhoefPanaxea, Den Bosch, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe introduction of AI in healthcare promises benefits, but also faces challenges. Currently, one of these challenges is the lack of information on the societal aspects of implementing AI in healthcare. This study aims to: 1) identify which societal factors play a key role in the implementation of AI-driven technology in (smart) hospitals according to different stakeholder groups; 2) examine how these factors play a role within (smart) hospitals by discussing their facilitators, barriers, possibilities, and preconditions; and 3) develop a societal guide to serve as a roadmap for an implementation process of AI in a healthcare setting.

methodsA survey was conducted, followed by four focus group interviews (FGIs). In the survey, participants (n = 7) assessed the relevance of factors for inclusion in the FGIs using a rating scale from 1 to 5 (1 = irrelevant, 5 = relevant). In each FGI, 2-3 participants discussed how these societal factors play a role in the implementation of AI technology in (smart) hospitals. By combining and categorizing these insights, a societal guide was set up to provide a structured approach for implementation of AI-driven healthcare innovation.

resultsThe survey revealed that 9 out of 10 proposed factors were considered relevant (90%). The FGIs demonstrated uncertainty surrounding the (future) use of AI technologies within (smart) hospitals. As this field is still in its early stages, there are limited established methodologies and (regulatory and ethical) frameworks for implementation. While much knowledge exists on different factors concerning AI in (smart) hospitals, this knowledge is often siloed. This knowledge must be integrated across stakeholders to adequately prepare for the deployment of AI technologies. The societal guide developed addresses ethical and regulatory considerations, while also covering important human-centred factors for AI implementation in healthcare.

conclusionEngaging various stakeholders throughout different phases of AI implementation in (smart) hospitals (i.e., development, implementation, monitoring and evaluation phase) is key for fostering a collaborative approach. Recognizing the interdependence and collective impact of factors is essential for creating a successful implementation trajectory.

Indexed as

Artificial IntelligenceHospitalsDelivery of Health CareFemaleFocus GroupsHumansMaleSurveys and Questionnaires

Identifiers

PMID40504809
PMCPMC12161522

What OpenQuestion holds

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LicenceCC BY
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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.