Data-driven decision support in hospital resource planning: an artificial intelligence-based model proposal for emergency department demand

Background: The sustainability of service quality in healthcare systems is directly related to accurate resource planning, especially in #emergency departments with high unpredictability. This study aims to analyze the impact of meteorological factors on emergency department visits and propose a highly accurate and explainable artificial intelligence-based decision support model for hospital management. Within the scope… Continue reading Data-driven decision support in hospital resource planning: an artificial intelligence-based model proposal for emergency department demand

Novelty to necessity: large language models in clinical practice-a call to action for physicians

Large language models (#LLMs ) represent a rapidly advancing subset of artificial intelligence with significant potential to augment clinical practice. These tools can assist in literature synthesis, documentation, clinical reasoning, and patient communication. Despite demonstrated capabilities, adoption in healthcare remains limited due to barriers such as limited AI literacy, trust concerns, integration challenges, and generational… Continue reading Novelty to necessity: large language models in clinical practice-a call to action for physicians

Machine Learning-Based Prediction Model for Infectious Complications in Trauma and Its Association With In-Hospital Mortality

Background: Infectious complications, such as #sepsis or catheter-related infections, are common and serious sequelae after trauma. Despite their clinical significance, existing risk-prediction models are limited by reliance on in-hospital data that fail to capture complex physiological interactions. Thus, this study aimed to develop and validate an interpretable ensemble machine learning (ML) model integrating both prehospital… Continue reading Machine Learning-Based Prediction Model for Infectious Complications in Trauma and Its Association With In-Hospital Mortality

Using randomization to compare #AI and expert-generated formative assessment questions in medical education

Background: AI-generated content is being used across the education spectrum and is beneficial for creating complex multiple-choice questions, such as those used in medical education. However, evaluating AI-generated content is challenging, and existing testing and evaluation methods are falling short. This study uses randomization to compare medical students' performance on and subjective evaluation of AI… Continue reading Using randomization to compare #AI and expert-generated formative assessment questions in medical education

A Novel, Interpretable Machine Learning Model Predicts Furosemide Dosing After Congenital Cardiac Surgery

Fluid overload is common after neonatal congenital #cardiac surgery (CCS) and is frequently managed with continuous furosemide infusions requiring iterative dose titration. An interpretable prediction model could support more consistent early postoperative dosing decisions. We hypothesized that a novel, interpretable machine learning approach could accurately predict furosemide dosing decisions in neonates following CCS. We identified… Continue reading A Novel, Interpretable Machine Learning Model Predicts Furosemide Dosing After Congenital Cardiac Surgery

Optimizing temporal windows for wearable-augmented post-discharge risk prediction: a methods study

Objective: Traditional #readmission risk models relying on static discharge data have limited predictive performance and fail to capture patients' recovery trajectories after hospitalization. We sought to identify optimal modeling parameters for dynamically predicting readmission risk using post-discharge step-count data from remote monitoring devices.Methods: We combined data for adults aged 55+ from 2 studies that collected… Continue reading Optimizing temporal windows for wearable-augmented post-discharge risk prediction: a methods study

Comprehensive validation of machine learning models predicting chemotherapy related electrolyte disorders in a multicenter study

Background: Electrolyte abnormalities following #chemotherapy are common and clinically significant complications in cancer patients and are often associated with treatment delays and adverse outcomes. This study aims to develop and validate machine learning models to predict eight electrolyte abnormalities in cancer patients receiving chemotherapy.Methods: We retrospectively analyze medical records of cancer patients from two tertiary… Continue reading Comprehensive validation of machine learning models predicting chemotherapy related electrolyte disorders in a multicenter study

From Advice to Action — Real-World Behavior of Patients Using an Integrated Diagnostic Decision Support System for Navigating the Health Care System

Artificial intelligence (#AI )–powered digital front door tools are increasingly being used to guide patients to appropriate care and alleviate health care system pressure. However, most evaluations offer limited insight into stated care intent, real-world behavior, or care appropriateness.MethodsThe E-Health Self–Symptom Assessment as a Front Door and Facilitator of Care (ESSENCE) study was a prospective… Continue reading From Advice to Action — Real-World Behavior of Patients Using an Integrated Diagnostic Decision Support System for Navigating the Health Care System

Vulnerability of Large Language Models to Prompt Injection When Providing Medical Advice

Importance  Large language models (#LLMs ) are increasingly integrated into health care applications; however, their vulnerability to prompt-injection attacks (ie, maliciously crafted inputs that manipulate an LLM’s behavior) capable of altering medical recommendations has not been systematically evaluated.Objective  To evaluate the susceptibility of commercial LLMs to prompt-injection attacks that may induce unsafe clinical advice and… Continue reading Vulnerability of Large Language Models to Prompt Injection When Providing Medical Advice