A use case of ChatGPT: summary of an expert panel discussion on electronic health records and implementation science.

IF 3.2 Q1 HEALTH CARE SCIENCES & SERVICES Frontiers in digital health Pub Date : 2024-10-24 eCollection Date: 2024-01-01 DOI:10.3389/fdgth.2024.1426057
Seppo T Rinne, Julian Brunner, Timothy P Hogan, Jacqueline M Ferguson, Drew A Helmer, Sylvia J Hysong, Grace McKee, Amanda Midboe, Megan E Shepherd-Banigan, A Rani Elwy
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Abstract

Objective: Artificial intelligence (AI) is revolutionizing healthcare, but less is known about how it may facilitate methodological innovations in research settings. In this manuscript, we describe a novel use of AI in summarizing and reporting qualitative data generated from an expert panel discussion about the role of electronic health records (EHRs) in implementation science.

Materials and methods: 15 implementation scientists participated in an hour-long expert panel discussion addressing how EHRs can support implementation strategies, measure implementation outcomes, and influence implementation science. Notes from the discussion were synthesized by ChatGPT (a large language model-LLM) to generate a manuscript summarizing the discussion, which was later revised by participants. We also surveyed participants on their experience with the process.

Results: Panelists identified implementation strategies and outcome measures that can be readily supported by EHRs and noted that implementation science will need to evolve to assess future EHR advancements. The ChatGPT-generated summary of the panel discussion was generally regarded as an efficient means to offer a high-level overview of the discussion, although participants felt it lacked nuance and context. Extensive editing was required to contextualize the LLM-generated text and situate it in relevant literature.

Discussion and conclusions: Our qualitative findings highlight the central role EHRs can play in supporting implementation science, which may require additional informatics and implementation expertise and a different way to think about the combined fields. Our experience using ChatGPT as a research methods innovation was mixed and underscores the need for close supervision and attentive human involvement.

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ChatGPT 使用案例:电子病历和实施科学专家小组讨论摘要。
目的:人工智能(AI)正在彻底改变医疗保健行业,但人们对其如何促进研究环境中的方法创新却知之甚少。在本手稿中,我们描述了人工智能在总结和报告专家小组讨论中产生的定性数据方面的新用途,专家小组讨论的主题是电子健康记录(EHR)在实施科学中的作用。材料与方法:15 位实施科学家参加了一个小时的专家小组讨论,讨论电子健康记录如何支持实施策略、衡量实施结果并影响实施科学。讨论笔记由 ChatGPT(一种大型语言模型--LLM)合成,生成一份讨论总结手稿,随后由与会者进行修改。我们还调查了与会者对这一过程的体验:小组成员确定了电子病历可随时支持的实施策略和结果测量,并指出实施科学需要不断发展,以评估未来电子病历的进步。与会者普遍认为,由 ChatGPT 生成的小组讨论摘要是提供高层次讨论概述的有效手段,尽管与会者认为该摘要缺乏细微差别和背景。需要对 LLM 生成的文本进行大量编辑,使其符合背景情况,并将其置于相关文献中:我们的定性研究结果凸显了电子病历在支持实施科学方面所能发挥的核心作用,这可能需要更多的信息学和实施方面的专业知识,以及以不同的方式来思考这两个领域的结合。我们使用 ChatGPT 作为研究方法创新的经验喜忧参半,强调了密切监督和专人参与的必要性。
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CiteScore
4.20
自引率
0.00%
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0
审稿时长
13 weeks
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