Emergency Department Revisit Quality Review Screening: Exploring Human Decision-Making and Artificial Intelligence Support
[cs.CY] Autorzy: Jonathan A. Handler, Marlene I. Robles-Granda, Jacob E. Mefford i 5 więcej
Background: Emergency Department (ED) return visits are commonly reviewed for quality assurance, but are often limited (e.g., to revisits within 48-72 hours) to increase actionable finding yield while minimizing chart review burden. Those limitations may lead to missed quality improvement opportunities. Methods: We conducted an exploratory, retrospective study of randomly selected ED visits to a multihospital health system having an ED revisit within 1-14 days to the same health system. Given only each visit's primary diagnosis, raters (2-3 clinicians and GPT-4 large language model [LLM]) assessed characteristics of the diagnosis pairs, including the "target": whether a pair warranted further assessment. Informed by rater response analyses, an algorithm leveraging an LLM-populated knowledge graph ("KGA") was created to automatically screen for potentially concerning pairs, then prelimin…
- Kategoria arxiv
- cs.CY
- Kategoria
- cs.CY