Build-up Computed Assisted History Taking, Physical Examination and Diagnosis System of Emergency Patient Through Machine Learning (II)

NCT05596929 | Unknown

• 1 other identifier: 202110012RIND
• Study Type: interventional
• Target: 3,000
• Locations: 1 country
• Sites: 1

Brief Summary

In emergency department（ED）, physicians need to complete patient evaluation and management in a short time, which required different history taking, and physical examination skill in healthcare system. Natural language processing（NLP） became easily accessible after the development of machine learning（ML）. Besides, electronic medical record（EMR） had been widely applied in healthcare systems. There are more and more tools try to capture certain information from the EMR help clinical workers handle increasing patient data and improving patient care. However, to err is human. Physicians might omit some important signs or symptoms, or forget to write it down in the record especially in a busy emergency room. It will lead to an unfavorable outcome when there were medical legal issue or national health insurance review. The condition could be limited by a EMR supporting system. The quality of care will also improve. The investigators are planning to analyze EMR of emergency room by NLP and machine learning. To establish the linkage between triage data, chief complaint, past history, present illness and physical examination. The investigators will try to predict the tentative diagnosis and patient disposition after the relationship being found. Thereafter, the investigators could try to predict the key element of history taking and physical examination of the patient and inform the physician when the miss happened. The investigators hope the system may improve the quality of medical recording and patient care.

Conditions

Internal Disease

Keywords

Artificial intelligence

Outcome Measures

Primary Outcomes (1)

• Senior doctor appraisal

  Senior doctor appraisal which measured by an established questionnaire. Senior doctor will fill an expert-verified clinical note quality evaluation questionnaire after junior doctor finished patient interview and clinical note recording. The questionnaire is designed to use 5 points likert scale and higher scores mean a better outcome.

  24 hours

Secondary Outcomes (2)

• Accuracy of diagnosis prediction

  patient discharge from ED, up to 1 week

• Rationality of diagnosis prediction

  24 hours

Study Arms (2)

Control

NO INTERVENTION

Experimental

EXPERIMENTAL

Diagnostic Test: Artificial intelligence

Interventions

Artificial intelligence DIAGNOSTIC_TEST

After the patients under triage classification to which randomly allocates in two groups. The group with AI intervention and the other without AI intervention.

Experimental

Eligibility Criteria

• Age: 20 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Over twenty years old
• Non-traumatic patient

You may not qualify if:

• Excluding the patients for administration reasons (issuing a medical certificate)
• Excluding the patients for non-emergency reasons like simply acupuncture, virus screening and prescription for medication.
• Excluding Patients who allocated to critical care station

Sponsors & Collaborators

• National Taiwan University Hospital: lead

Study Sites (1)

National Taiwan University Hospital

Taipei, 100, Taiwan

RECRUITING

MeSH Terms

Interventions

Artificial Intelligence

Intervention Hierarchy (Ancestors)

Algorithms; Mathematical Concepts

Study Officials

• Huang, Dr.

  National Taiwan University Hospital

  STUDY CHAIR

Central Study Contacts

Hui-Chih Wang, Dr.

CONTACT

+88623123456; ticoer@ntuh.gov.tw

Hsin-Hsi Chen, Dr.

CONTACT

+886233664888; hhchen@ntu.edu.tw

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 10, 2022
• First Posted: October 27, 2022
• Study Start: December 12, 2022
• Primary Completion: March 30, 2023
• Study Completion: March 30, 2023
• Last Updated: February 22, 2023

Record last verified: 2022-12

Data Sharing

• IPD Sharing: Will not share

Locations

TW (1)