Aug 2026· Nature Medicine· 1 citation· 39 references
Medicine
TL;DR
It is suggested that sustained clinician engagement, rather than algorithmic accuracy, may be the key barrier to effective clinical AI use in emergency departments.
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 con...
Jonathan A. Handler, Marlene Robles-Granda, Jacob E. Mefford et al.· 0 citations
Emergency departments (EDs) operate under time pressure, diagnostic uncertainty, and cognitive overload. Artificial intelligence (AI)–driven clinical decision support systems (CDSS) promise to enhance diagnostic accuracy, risk stratification, and workflow efficiency. However, translation from algorithmic performance to...
Ritu Khandelwal, C. Gadkari, Aditya Pundkar et al.· International Journal of Eme...· 0 citations
Sustainable implementation of AI-CDSSs in emergency medicine will require prospective multi-site evaluation, sociotechnical integration, adaptive governance, and greater attention to equity.
Mohammad Saleem, Mahdieh Zare Bidoki, Wafa Alsuraihi et al.· Healthcare· 0 citations
Although promising, LLM-based systems are not yet reliable enough for autonomous medical diagnosis, and multiple recommendations for future research are contained to ensure a high level of safety, transparency, and clinical applicability for LLMs and other AI/ML-related technologies and devices.
M. U. K. Gunawardhna, Pirunthavi Wijikumar, D. Weerasinghe· Sri Lankan Journal of Applie...· 1 citation
Objectives To evaluate whether access to a certified large language model (LLM)-based clinical decision support system improves physician diagnostic performance in rheumatology compared with conventional diagnostic resources alone. Methods In this multicentre, open-label, randomised controlled trial, 82 physicians from...
P. Kremer, N. Schlicker, R. Hasnaj et al.· medRxiv· 0 citations
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