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      Artificial Intelligence in Optimizing the Functioning of Emergency Departments; a Systematic Review of Current Solutions

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          Abstract

          Introduction:

          The burgeoning burden on emergency departments is a global challenge that we have been confronting for many years. Emerging artificial intelligence (AI)-based solutions may constitute a critical component in the optimization of these units. This systematic review was conducted to thoroughly examine and summarize the currently available AI solutions, assess potential benefits from their implementation, and identify anticipated directions of further development in this fascinating and rapidly evolving field.

          Methods:

          This systematic review utilized data compiled from three key scientific databases: PubMed (2045 publications), Scopus (877 publications), and Web of Science (2495 publications). After meticulous removal of duplicates, we conducted a detailed analysis of 2052 articles, including 147 full-text papers. From these, we selected 51 of the most pertinent and representative publications for the review.

          Results:

          Overall the present research indicates that due to high accuracy and sensitivity of machine learning (ML) models it's reasonable to use AI in support of doctors as it can show them the potential diagnosis, which could save time and resources. However, AI-generated diagnoses should be verified by a doctor as AI is not infallible

          Conclusions:

          Currently available AI algorithms are capable of analysing complex medical data with unprecedented precision and speed. Despite AI's vast potential, it is still a nascent technology that is often perceived as complicated and challenging to implement. We propose that a pivotal point in effectively harnessing this technology is the close collaboration between medical professionals and AI experts. Future research should focus on further refining AI algorithms, performing comprehensive validation, and introducing suitable legal regulations and standard procedures, thereby fully leveraging the potential of AI to enhance the quality and efficiency of healthcare delivery.

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          Most cited references59

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          ChatGPT in medicine: an overview of its applications, advantages, limitations, future prospects, and ethical considerations

          This paper presents an analysis of the advantages, limitations, ethical considerations, future prospects, and practical applications of ChatGPT and artificial intelligence (AI) in the healthcare and medical domains. ChatGPT is an advanced language model that uses deep learning techniques to produce human-like responses to natural language inputs. It is part of the family of generative pre-training transformer (GPT) models developed by OpenAI and is currently one of the largest publicly available language models. ChatGPT is capable of capturing the nuances and intricacies of human language, allowing it to generate appropriate and contextually relevant responses across a broad spectrum of prompts. The potential applications of ChatGPT in the medical field range from identifying potential research topics to assisting professionals in clinical and laboratory diagnosis. Additionally, it can be used to help medical students, doctors, nurses, and all members of the healthcare fraternity to know about updates and new developments in their respective fields. The development of virtual assistants to aid patients in managing their health is another important application of ChatGPT in medicine. Despite its potential applications, the use of ChatGPT and other AI tools in medical writing also poses ethical and legal concerns. These include possible infringement of copyright laws, medico-legal complications, and the need for transparency in AI-generated content. In conclusion, ChatGPT has several potential applications in the medical and healthcare fields. However, these applications come with several limitations and ethical considerations which are presented in detail along with future prospects in medicine and healthcare.
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            Acceptability of artificial intelligence (AI)-led chatbot services in healthcare: A mixed-methods study

            Background Artificial intelligence (AI) is increasingly being used in healthcare. Here, AI-based chatbot systems can act as automated conversational agents, capable of promoting health, providing education, and potentially prompting behaviour change. Exploring the motivation to use health chatbots is required to predict uptake; however, few studies to date have explored their acceptability. This research aimed to explore participants’ willingness to engage with AI-led health chatbots. Methods The study incorporated semi-structured interviews (N-29) which informed the development of an online survey (N-216) advertised via social media. Interviews were recorded, transcribed verbatim and analysed thematically. A survey of 24 items explored demographic and attitudinal variables, including acceptability and perceived utility. The quantitative data were analysed using binary regressions with a single categorical predictor. Results Three broad themes: ‘Understanding of chatbots’, ‘AI hesitancy’ and ‘Motivations for health chatbots’ were identified, outlining concerns about accuracy, cyber-security, and the inability of AI-led services to empathise. The survey showed moderate acceptability (67%), correlated negatively with perceived poorer IT skills OR = 0.32 [CI95%:0.13–0.78] and dislike for talking to computers OR = 0.77 [CI95%:0.60–0.99] as well as positively correlated with perceived utility OR = 5.10 [CI95%:3.08–8.43], positive attitude OR = 2.71 [CI95%:1.77–4.16] and perceived trustworthiness OR = 1.92 [CI95%:1.13–3.25]. Conclusion Most internet users would be receptive to using health chatbots, although hesitancy regarding this technology is likely to compromise engagement. Intervention designers focusing on AI-led health chatbots need to employ user-centred and theory-based approaches addressing patients’ concerns and optimising user experience in order to achieve the best uptake and utilisation. Patients’ perspectives, motivation and capabilities need to be taken into account when developing and assessing the effectiveness of health chatbots.
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              Deep Neural Networks Can Predict New-Onset Atrial Fibrillation From the 12-Lead ECG and Help Identify Those at Risk of Atrial Fibrillation–Related Stroke

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                Author and article information

                Journal
                Arch Acad Emerg Med
                Arch Acad Emerg Med
                AAEM
                Archives of Academic Emergency Medicine
                Shahid Beheshti University of Medical Sciences (Tehran, Iran )
                2645-4904
                2024
                27 January 2024
                : 12
                : 1
                : e22
                Affiliations
                [1 ]Department of Emergency Medicine, Medical University of Gdansk, Smoluchowskiego 17, 80-214 Gdansk, Poland
                Author notes
                [* ]Corresponding author: Szymczyk Aleksandra; Department of Emergency Medicine, Medical University of Gdansk, Smoluchowskiego 17, 80-214 Gdansk, Poland. Tel: +48 881 442 885, Email: azszymczyk@gmail.com, ORCID: 0009-0007-1530-9536.
                Article
                10.22037/aaem.v12i1.2110
                10988184
                38572221
                c882a1ac-e434-4bb6-8a11-a256bc2a266e

                This open-access article distributed under the terms of the Creative Commons Attribution NonCommercial 3.0 License (CC BY-NC 3.0). ( https://creativecommons.org/licenses/by-nc/3.0/)

                History
                : November 2023
                : December 2023
                Categories
                Review Article

                artificial intelligence,emergency service,hospital,emergency medicine,machine learning

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