Artificial intelligence (AI) is changing many fields, including healthcare. In the United States, AI could help improve how patients are cared for, make administrative work easier, and help doctors make decisions fast by handling large amounts of data. But using AI in hospitals and clinics is not simple. It needs teamwork between hospital leaders, IT staff, doctors, and AI creators.
There is a difference between making AI tools in research and actually using them in real hospitals. Sometimes, even AI models that work well in tests have trouble fitting into daily medical work. The U.S. healthcare system faces similar problems.
Some key problems are:
These problems stop healthcare workers from using AI fully, even when research shows AI could help.
To make AI work well, many different people must work together. This includes doctors, hospital leaders, data experts, IT staff, lawmakers, and patients. Working as a team helps ensure AI tools:
An example is Dr. Lindsey Knake who works on AI that watches vital signs of babies in neonatal intensive care units. She teams up with universities to create AI that writes discharge notes for these fragile newborns. This kind of teamwork helps make AI that supports doctors instead of replacing them. It also helps doctors notice small changes in babies’ health that might be missed otherwise.
Hospitals in the U.S. must follow many rules when using AI. Laws like HIPAA protect patient privacy but require careful handling of data, affecting how AI is built.
Rules can be confusing because they differ across states. For example, a safety guideline used in the UK shows the importance of checks to make sure AI is safe and effective. The U.S. can think about using similar ideas.
Programs like the one at Duke Health support regular checks of AI tools, not just one-time approval. They use systems that help keep AI safe, fair, and working well over time, adjusting to new situations.
Ethics also matter. AI can sometimes be biased, giving worse results for minority patients. Studies find AI may be less accurate by 17% for these groups because the training data wasn’t balanced. To fix this, AI builders need to be clear, check for bias often, and include diverse groups when creating AI.
Doctors and nurses must trust AI for it to be used well. They need to feel sure that AI is safe and helpful. Without trust, even good AI tools might be ignored.
Building trust means:
One AI tool called Nabla uses voice recognition to turn doctor-patient talks into clinical notes. It helps reduce paperwork and follows privacy rules. Such tools can help build trust by making work easier, not competing with doctors.
Many healthcare workers in the U.S. don’t have much AI experience and may feel unsure about new tech. A review found many don’t have enough training about AI. This reduces excitement about using AI.
Hospital leaders and IT managers should create ongoing education programs about AI, how to understand its data, and its ethical issues. Teaching the workforce can lower resistance and improve how AI is used.
Changing to include AI smoothly also needs good planning. This includes:
For example, Viz.ai uses AI in stroke centers. With good training and simple interfaces, it helps teams communicate better and care for patients efficiently.
AI can help reduce health gaps by giving better diagnoses and personalized care. It is useful in rural areas where access to doctors is limited. AI-enhanced telemedicine has cut the time to proper care by 40% in these places by removing travel issues.
But AI benefits are not shared equally. About 29% of rural adults in the U.S. don’t get these AI health services because they lack digital skills or internet access. Bias in AI can also lower accuracy for minority patients, making disparities worse.
To help all groups, AI tools should be made with feedback from communities and built to reduce bias. Teaching digital skills to underserved people helps them use new health technologies.
One practical use of AI is automating front-office jobs like taking calls and scheduling appointments. Good communication with patients improves their experience and helps clinics run smoothly.
Companies such as Simbo AI make AI phone systems for U.S. medical offices. These systems can handle many calls well without stressing the front desk, especially when busy or short-staffed.
Automating simple questions like booking or canceling appointments, or refilling prescriptions, helps staff focus on harder tasks. AI phone systems also cut wait times, boost patient interaction, and cut dropped calls.
Besides front office, AI is also used inside clinics to help with notes, decision-making, and monitoring patients. Digital scribes, tested by frameworks like SCRIBE, show how AI can take notes from clinical talks accurately while ensuring quality and fairness.
To work well, AI must connect with current digital records, follow security rules, and have easy-to-use interfaces for staff. If AI doesn’t fit in well, it can cause confusion, frustrated staff, and unsafe care.
Using AI in healthcare is not just a one-time setup. Because medical care and data change, AI tools need ongoing checking, updates, and careful management to keep working safely and well.
Governance programs, like those at Duke Health, focus on:
These steps help lower risks like wrong diagnoses or bias in AI over time. Nurses leading efforts on ethical AI use help keep care fair and focused on patients, especially for groups at risk.
Medical practice leaders and IT managers in the U.S. play a key role in AI use. They should:
Leaders who keep patients’ needs first and encourage teamwork can make AI fit more smoothly in their facilities. This can lead to better care and smoother operations.
AI can help healthcare in many ways if used carefully and with teamwork. By closing the gap between technology and medical work through cooperation, following rules, training staff, and fitting AI into daily routines, U.S. healthcare groups can use AI’s benefits while handling challenges.
Automating front-office tasks with AI can improve clinic work and free staff for more important jobs. With good management and focus on fairness, these ideas help American healthcare use AI responsibly.
Lindsey Knake’s research focuses on harnessing artificial intelligence (AI) to improve patient outcomes in neonatal care, particularly for fragile newborns in the neonatal intensive care unit (NICU).
Dr. Knake characterizes AI as ‘augmented intelligence’ that enhances clinical decision-making by analyzing continuous data from bedside monitors and electronic health records.
AI can help clinicians detect subtle changes in patients’ conditions, confirm stability for procedures like extubation, and identify warning signs indicating potential complications.
Data from bedside vital sign monitors and ventilators is continuously recorded and analyzed to create AI models aimed at improving patient care and outcomes.
Dr. Knake collaborates with researchers to use generative AI to summarize clinical notes, creating better discharge summaries for infants transitioning from the NICU to ongoing care.
Nabla, an AI voice-recognition and medical transcription tool, is used to document physician-patient interactions, generating draft notes for clinicians to review and finalize.
She believes the next frontier involves earning clinicians’ trust in AI algorithms and ensuring they augment rather than replace human decision-making.
Trust in AI algorithms is crucial because it ensures clinicians can confidently use these analytical tools to support their decision-making processes, ultimately affecting patient care.
Dr. Knake’s background in biomedical engineering, medicine, and informatics enables her to bridge the gap between technology and clinical practice, making her a key player in AI implementation.
The collaborative approach brings together clinicians, data scientists, and IT specialists, fostering the development of effective, trustworthy AI tools for enhanced patient care.