Question answering systems for health professionals at the point of care - a systematic review. | PSNet

Provide Feedback |

Submit a Case

Register

Review

Question answering systems for health professionals at the point of care - a systematic review.

March 20, 2024

Kell G, Roberts A, Umansky S, et al. J Am Med Inform Assoc. 2024;31(4):1009-1024.

View more articles from the same authors.

Clinical decision-making is a complex process requiring consideration of information from multiple sources. This systematic review, including 79 studies, explored areas for improvement with medical question answering (QA) systems, which are designed to answer clinicians’ questions in real time based on current evidence. The authors identified several characteristics that could be used to improve future QA systems, such as providing more robust answers or the use of more complex datasets for system development.

PubMed citation

Related Resources From the Same Author(s)

Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions.

August 4, 2021

Surviving Sepsis Campaign: international guidelines for management of sepsis and septic shock: 2016

March 3, 2017

Efficacy of educational video game versus traditional educational apps at improving physician decision making in trauma triage: randomized controlled trial.

January 17, 2018

Changes in medication safety indicators in England throughout the covid-19 pandemic using OpenSAFELY: population based, retrospective cohort study of 57 million patients using federated analytics.

June 7, 2023

Declaring uncertainty: using quality improvement methods to change the conversation of diagnosis.

March 17, 2021

Uncertain diagnoses in a children's hospital: patient characteristics and outcomes.

April 1, 2020

I-PASS Mentored Implementation Handoff Curriculum: implementation guide and resources.

March 10, 2019

Improving resident morning sign-out by use of daily events reports.

March 4, 2015

The effects of bar-coding technology on medication errors: a systematic literature review.

April 19, 2017

The road to zero preventable birth injuries.

April 9, 2008

Making electronic prescribing alerts more effective: scenario-based experimental study in junior doctors.

August 31, 2011

Improving patient safety and efficiency of medication reconciliation through the development and adoption of a computer-assisted tool with automated electronic integration of population-based community drug data: the RightRx project.

January 10, 2018

Preventability and causes of readmissions in a national cohort of general medicine patients.

May 4, 2016

How safe are paediatric emergency departments? A national prospective cohort study.

August 3, 2022

Changes to primary care delivery during the COVID-19 pandemic and perceived impact on medication safety: a survey study.

June 29, 2022

Prevalence of potentially inappropriate prescribing in older people in primary care and its association with hospital admission: longitudinal study.

December 5, 2018

Medication safety incidents associated with the remote delivery of primary care: a rapid review.

January 18, 2023

Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study.

November 16, 2022

A randomized trial of a multifactorial strategy to prevent serious fall injuries.

July 29, 2020

What have we learned about interventions to reduce medical errors?

February 10, 2010

Hospital deaths in patients with sepsis from 2 independent cohorts.

June 4, 2014

Incidence and trends of sepsis in US hospitals using clinical vs claims data, 2009--2014.

September 27, 2017

A comprehensive patient safety program can significantly reduce preventable harm, associated costs, and hospital mortality.

August 21, 2013

Feedback from incident reporting: information and action to improve patient safety.

March 11, 2009

Families as partners in hospital error and adverse event surveillance.

March 8, 2017

Treatment patterns and clinical outcomes after the introduction of the Medicare Sepsis Performance Measure (SEP-1).

May 5, 2021

Pharmacist-led admission medication reconciliation before and after the implementation of an electronic medication management system.

August 16, 2017

Association of provider specialty with abortion-related morbidity and adverse events among patients having procedural and medication abortions.

August 10, 2022

Patient safety after implementation of a coproduced family centered communication programme: multicenter before and after intervention study.

December 19, 2018

Antibiotic prescribing practice in residential aged care facilities—health care providers' perspectives.

August 20, 2014

We asked the experts: the WHO Surgical Safety Checklist and the COVID-19 pandemic: recommendations for content and implementation adaptations.

March 17, 2021

Perspectives about racism and patient-clinician communication among black adults with serious illness.

July 26, 2023

Scaling-up a pharmacist-led information technology intervention (PINCER) to reduce hazardous prescribing in general practices: multiple interrupted time series study.

January 11, 2023

Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical centers, April-June 2020.

September 23, 2020

All CLEAR? Preparing for IT downtime.

September 28, 2016

Impact of technological and departmental changes on incident rates in radiation oncology over a seventeen-year period.

June 30, 2021

Optimizing Pediatric Patient Safety in the Emergency Care Setting.

October 19, 2022

Association of diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative.

May 18, 2022

A perfect storm averted: flawed systems, a dropped ball, and cognitive biases delay a critical diagnosis.

November 2, 2022

Pursuing professional accountability: an evidence-based approach to addressing residents with behavioral problems.

August 1, 2012

National Quality Forum 30 safe practices: priority and progress in Iowa hospitals.

April 26, 2006

Effect of an emergency department process improvement package on suicide prevention: the ED-SAFE 2 cluster randomized clinical trial.

May 31, 2023

Identification and characterization of failures in infectious agent transmission precaution practices in hospitals: a qualitative study.

June 20, 2018

Assessment of adverse drug events among patients in a tertiary care medical center.

November 29, 2006

Association of patient and family reports of hospital safety climate with language proficiency in the US.

June 29, 2022

Association between Leapfrog safe practices score and hospital mortality in major surgery.

November 30, 2011

Radiologists make more errors interpreting off-hours body CT studies during overnight assignments as compared with daytime assignments.

September 9, 2020

Reasons provided by prescribers when overriding drug–drug interaction alerts.

November 28, 2007

Changes in medical errors after implementation of a handoff program.

November 12, 2014

I-PASS mentored implementation handoff curriculum: champion training materials.

March 13, 2019

Liquid medication errors and dosing tools: a randomized controlled experiment.

October 5, 2016

Liquid medication dosing errors by Hispanic parents: role of health literacy and English proficiency.

May 31, 2017

Hospital ward adaptation during the COVID-19 pandemic: a national survey of academic medical centers.

September 23, 2020

Prevalence and causes of diagnostic errors in hospitalized patients under investigation for COVID-19.

April 12, 2023

A human factors framework and study of the effect of nursing workload on patient safety and employee quality of working life.

February 2, 2011

A model for the departmental quality management infrastructure within an academic health system.

September 28, 2016

Potentially inappropriate medication combination with opioids among older dental patients: a retrospective review of insurance claims data.

October 7, 2020

Association between surgical trainee daytime sleepiness and intraoperative technical skill when performing septoplasty.

October 24, 2018

Ten years after the IOM report: engaging residents in quality and patient safety by creating a house staff quality council.

March 30, 2011

Overprescribing of opioids to adults by dentists in the U.S., 2011-2015.

March 18, 2020

Self-reported violations during medication administration in two paediatric hospitals.

May 16, 2012

Pictograms, units and dosing tools, and parent medication errors: a randomized study.

July 19, 2017

Patterns of opioid administration among opioid-naive inpatients and associations with postdischarge opioid use: a cohort study.

July 10, 2019

The value of autopsies in the era of high-tech medicine: discrepant findings persist.

April 9, 2014

Patient outcomes in dose reduction or discontinuation of long-term opioid therapy: a systematic review.

July 26, 2017

Central venous catheter guidewire retention: lessons from England's never event database.

May 4, 2022

Perceptions of standards-based electronic prescribing systems as implemented in outpatient primary care: a physician survey.

July 15, 2009

Exploring the causes of COPD misdiagnosis in primary care: a mixed methods study.

April 10, 2024

Checklist usage decreases critical task omissions when training residents to separate from simulated cardiopulmonary bypass.

October 22, 2014

Clinical impact and economic burden of hospital-acquired conditions following common surgical procedures.

February 13, 2019

Comparison of military and civilian methods for determining potentially preventable deaths: a systematic review.

May 23, 2018

Achieving the National Quality Forum's "Never Events": prevention of wrong site, wrong procedure, and wrong patient operations.

April 25, 2007

The impact of racism on child and adolescent health.

July 1, 2019

Not thinking clearly? Play a game, seriously!

November 16, 2016

Effect of a quality improvement intervention with daily round checklists, goal setting, and clinician prompting on mortality of critically ill patients.

April 20, 2016

The effect of multidisciplinary care teams on intensive care unit mortality.

March 3, 2010

Intensive care unit safety culture and outcomes: a US multicenter study.

May 12, 2010

Perceptions of safety culture vary across the intensive care units of a single institution.

December 6, 2006

Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events.

January 23, 2008

Deaths following prehospital safety incidents: an analysis of a national database.

April 6, 2016

Primary care medication safety surveillance with integrated primary and secondary care electronic health records: a cross-sectional study.

July 22, 2015

How to discuss errors and adverse events with cancer patients.

June 16, 2010

The influence of 'Tall Man' lettering on errors of visual perception in the recognition of written drug names.

March 16, 2011

World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia.

May 23, 2018

Serious incidents after death: content analysis of incidents reported to a national database.

May 16, 2018

Patient safety in palliative care: a mixed-methods study of reports to a national database of serious incidents.

October 3, 2018

Translating concerns into action: a detailed qualitative evaluation of an interdisciplinary intervention on medical wards.

April 26, 2017

Translating staff experience into organisational improvement: the HEADS-UP stepped wedge, cluster controlled, non-randomised trial.

November 1, 2017

Type 1 diabetes defined by severe insulin deficiency occurs after 30 years of age and is commonly treated as type 2 diabetes.

May 22, 2019

Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to improve safety and quality.

May 23, 2007

Adverse events in intensive care and continuing care units during bed-bath procedures: the prospective observational NURSIng during critical carE (NURSIE) study.

December 23, 2020

Policy and practice in the use of root cause analysis to investigate clinical adverse events: mind the gap.

July 20, 2011

The impact of improving teamwork on patient outcomes in surgery: a systematic review.

May 2, 2018

Assessment of the potential impact of a reminder system on the reduction of diagnostic errors: a quasi-experimental study.

May 17, 2006

Disclosing adverse events to patients: international norms and trends.

April 30, 2014

The epidemiology of malpractice claims in primary care: a systematic review.

July 31, 2013

Survey evaluation of the National Patient Safety Agency’s Root Cause Analysis training programme in England and Wales: knowledge, beliefs and reported practices.

August 26, 2009

Do medication samples jeopardize patient safety?

January 28, 2009

The accuracy of the Global Trigger Tool is higher for the identification of adverse events of greater harm: a diagnostic test study.

March 22, 2023

Effect of medication reconciliation at hospital admission on 30-day returns to hospital: a randomized clinical trial.

October 6, 2021

View More

Related Resources

Unmasking bias in artificial intelligence: a systematic review of bias detection and mitigation strategies in electronic health record-based models.

April 17, 2024

Clinical reasoning of a generative artificial intelligence model compared with physicians.

April 17, 2024

Inattentional blindness in medicine.

April 17, 2024

Feeling safe in the context of digitalization in healthcare: a scoping review.

April 10, 2024

Risk management and patient safety in the artificial intelligence era: a systematic review.

March 27, 2024

The limits of clinician vigilance as an AI safety bulwark.

March 27, 2024

Diagnostic errors.

March 21, 2024

All in Her Head. The Truth and Lies Early Medicine Taught Us About Women's Bodies and Why It Matters Today.

March 20, 2024

To do no harm - and the most good - with AI in health care.

March 13, 2024

Rx for reality: clinicians confront medical gaslighting.

March 13, 2024

Patient safety and artificial intelligence in clinical care.

March 6, 2024

Legacy: a Black Physician Reckons with Racism in Medicine.

March 6, 2024

Assessing diagnostic performance.

February 14, 2024

Why simulation matters: a systematic review on medical errors occurring during simulated health care.

February 14, 2024

Toward the eradication of medical diagnostic errors.

February 14, 2024

The TeamSTEPPS for Improving Diagnosis Team Assessment Tool: scale development and psychometric evaluation.

February 7, 2024

Current State of Diagnostic Safety: Implications for Research, Practice, and Policy.

February 7, 2024

Risk identification and prediction of complaints and misconduct against health practitioners: a scoping review.

February 7, 2024

Diagnostic accuracy of a large language model in pediatric case studies.

January 17, 2024

Measuring the impact of AI in the diagnosis of hospitalized patients: a randomized clinical vignette survey study.

January 10, 2024

Conceptualising learning from resilient performance: a scoping literature review.

January 10, 2024

The PRIDx framework to engage payers in reducing diagnostic errors in healthcare.

November 1, 2023

Can AI help doctors come up with better diagnoses?

October 4, 2023

Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error.

September 27, 2023

Understanding And Addressing Pre-Hospital Diagnostic Delays.

September 20, 2023

Assessing the utility of ChatGPT throughout the entire clinical workflow: development and usability study.

September 13, 2023

Striving for diagnostic excellence.

August 30, 2023

Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety.

August 16, 2023

Final Report on Prioritization of Patient Safety Practices for a New Rapid Review or Rapid Response. Making Healthcare Safer IV Series.

August 9, 2023

Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence.

August 9, 2023

View More

See More About The Topic

Ambulatory Care

Clinical Misdiagnosis

Technologic Approaches

To sign up for updates or to access your subscriber preferences, please enter your email address below.

5600 Fishers Lane
Rockville, MD 20857
Telephone: (301) 427-1364