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

被引:0
|
作者
Rinne, Seppo T. [1 ,2 ]
Brunner, Julian [3 ]
Hogan, Timothy P. [1 ]
Ferguson, Jacqueline M. [4 ]
Helmer, Drew A. [5 ,6 ]
Hysong, Sylvia J. [5 ]
Mckee, Grace [7 ,8 ]
Midboe, Amanda [9 ,10 ]
Shepherd-Banigan, Megan E. [11 ,12 ]
Elwy, A. Rani [1 ]
机构
[1] VA Bedford Healthcare Syst, Ctr Healthcare Org & Implementat Res, Bedford, MA 01730 USA
[2] Dartmouth Hitchcock Med Ctr, Pulm & Crit Care Med, Lebanon, NH 03766 USA
[3] VA Greater Angeles Healthcare Syst, Ctr Study Healthcare Innovat Implementat & Policy, Los Angeles, CA USA
[4] Vet Affairs Palo Alto Hlth Care Syst, Ctr Innovat Implementat, Menlo Pk, CA USA
[5] Michael E DeBakey VA Med Ctr, Ctr Innovat Qual Effectiveness & Safety, Houston, TX USA
[6] Baylor Coll Med, Dept Med, Houston, TX USA
[7] San Francisco VA Med Ctr, Measurement Sci QUERI, San Francisco, CA USA
[8] Univ Calif San Francisco, Dept Med, San Francisco, VA USA
[9] VA Palo Alto Hlth Care Syst, VA HSR&D Ctr Innovat Implementat Ci2i, Menlo Pk, CA USA
[10] Univ Calif Davis, Sch Med, Dept Publ Hlth Sci, Davis, CA USA
[11] Durham VA Hlth Care Syst, Dept Populat Hlth Sci, Durham, NC USA
[12] Duke Univ, Dept Populat Hlth Sci, Durham, NC USA
来源
关键词
artificial intelligence; large language models; expert panel discussion; electronic health records; implementation science; TOOL;
D O I
10.3389/fdgth.2024.1426057
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
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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页数:7
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