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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...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2021
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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. |
format | Online Article Text |
id | pubmed-8134991 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
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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