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AI in patient flow: applications of artificial intelligence to improve patient flow in NHS acute mental health inpatient units

INTRODUCTION: Growing demand for mental health services, coupled with funding and resource limitations, creates an opportunity for novel technological solutions including artificial intelligence (AI). This study aims to identify issues in patient flow on mental health units and align them with poten...

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Autores principales: Dawoodbhoy, Fatema Mustansir, Delaney, Jack, Cecula, Paulina, Yu, Jiakun, Peacock, Iain, Tan, Joseph, Cox, Benita
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8134991/
https://www.ncbi.nlm.nih.gov/pubmed/34036191
http://dx.doi.org/10.1016/j.heliyon.2021.e06993
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author Dawoodbhoy, Fatema Mustansir
Delaney, Jack
Cecula, Paulina
Yu, Jiakun
Peacock, Iain
Tan, Joseph
Cox, Benita
author_facet Dawoodbhoy, Fatema Mustansir
Delaney, Jack
Cecula, Paulina
Yu, Jiakun
Peacock, Iain
Tan, Joseph
Cox, Benita
author_sort Dawoodbhoy, Fatema Mustansir
collection PubMed
description INTRODUCTION: Growing demand for mental health services, coupled with funding and resource limitations, creates an opportunity for novel technological solutions including artificial intelligence (AI). This study aims to identify issues in patient flow on mental health units and align them with potential AI solutions, ultimately devising a model for their integration at service level. METHOD: Following a narrative literature review and pilot interview, 20 semi-structured interviews were conducted with AI and mental health experts. Thematic analysis was then used to analyse and synthesise gathered data and construct an enhanced model. RESULTS: Predictive variables for length-of-stay and readmission rate are not consistent in the literature. There are, however, common themes in patient flow issues. An analysis identified several potential areas for AI-enhanced patient flow. Firstly, AI could improve patient flow by streamlining administrative tasks and optimising allocation of resources. Secondly, real-time data analytics systems could support clinician decision-making in triage, discharge, diagnosis and treatment stages. Finally, longer-term, development of solutions such as digital phenotyping could help transform mental health care to a more preventative, personalised model. CONCLUSIONS: Recommendations were formulated for NHS trusts open to adopting AI patient flow enhancements. Although AI offers many promising use-cases, greater collaborative investment and infrastructure are needed to deliver clinically validated improvements. Concerns around data-use, regulation and transparency remain, and hospitals must continue to balance guidelines with stakeholder priorities. Further research is needed to connect existing case studies and develop a framework for their evaluation.
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spelling pubmed-81349912021-05-24 AI in patient flow: applications of artificial intelligence to improve patient flow in NHS acute mental health inpatient units Dawoodbhoy, Fatema Mustansir Delaney, Jack Cecula, Paulina Yu, Jiakun Peacock, Iain Tan, Joseph Cox, Benita Heliyon Research Article INTRODUCTION: Growing demand for mental health services, coupled with funding and resource limitations, creates an opportunity for novel technological solutions including artificial intelligence (AI). This study aims to identify issues in patient flow on mental health units and align them with potential AI solutions, ultimately devising a model for their integration at service level. METHOD: Following a narrative literature review and pilot interview, 20 semi-structured interviews were conducted with AI and mental health experts. Thematic analysis was then used to analyse and synthesise gathered data and construct an enhanced model. RESULTS: Predictive variables for length-of-stay and readmission rate are not consistent in the literature. There are, however, common themes in patient flow issues. An analysis identified several potential areas for AI-enhanced patient flow. Firstly, AI could improve patient flow by streamlining administrative tasks and optimising allocation of resources. Secondly, real-time data analytics systems could support clinician decision-making in triage, discharge, diagnosis and treatment stages. Finally, longer-term, development of solutions such as digital phenotyping could help transform mental health care to a more preventative, personalised model. CONCLUSIONS: Recommendations were formulated for NHS trusts open to adopting AI patient flow enhancements. Although AI offers many promising use-cases, greater collaborative investment and infrastructure are needed to deliver clinically validated improvements. Concerns around data-use, regulation and transparency remain, and hospitals must continue to balance guidelines with stakeholder priorities. Further research is needed to connect existing case studies and develop a framework for their evaluation. Elsevier 2021-05-12 /pmc/articles/PMC8134991/ /pubmed/34036191 http://dx.doi.org/10.1016/j.heliyon.2021.e06993 Text en © 2021 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Research Article
Dawoodbhoy, Fatema Mustansir
Delaney, Jack
Cecula, Paulina
Yu, Jiakun
Peacock, Iain
Tan, Joseph
Cox, Benita
AI in patient flow: applications of artificial intelligence to improve patient flow in NHS acute mental health inpatient units
title AI in patient flow: applications of artificial intelligence to improve patient flow in NHS acute mental health inpatient units
title_full AI in patient flow: applications of artificial intelligence to improve patient flow in NHS acute mental health inpatient units
title_fullStr AI in patient flow: applications of artificial intelligence to improve patient flow in NHS acute mental health inpatient units
title_full_unstemmed AI in patient flow: applications of artificial intelligence to improve patient flow in NHS acute mental health inpatient units
title_short AI in patient flow: applications of artificial intelligence to improve patient flow in NHS acute mental health inpatient units
title_sort ai in patient flow: applications of artificial intelligence to improve patient flow in nhs acute mental health inpatient units
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8134991/
https://www.ncbi.nlm.nih.gov/pubmed/34036191
http://dx.doi.org/10.1016/j.heliyon.2021.e06993
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