Medical errors and patient safety: Strategies for reducing errors using artificial intelligence
Keywords:
Medical Errors, Patient Safety, Artificial Intelligence, Diagnostic Support, Medication Management, Risk ReductionAbstract
Background: Medical errors remain a significant challenge in healthcare, contributing to adverse patient outcomes, increased costs, and extended hospitalizations. These errors encompass diagnostic inaccuracies, medication mistakes, surgical errors, and communication breakdowns. The global prevalence of medical errors underscores the urgent need for effective strategies to enhance patient safety. Aim: This article explores the role of Artificial Intelligence (AI) in reducing medical errors and improving patient safety. It aims to evaluate how AI technologies can mitigate various types of medical errors, and the challenges associated with their implementation. Methods: The study reviews current literature on AI applications in healthcare, focusing on diagnostic support, medication safety, surgical precision, and patient monitoring. It analyzes the effectiveness of AI-driven systems in reducing errors across different medical disciplines and examines the integration challenges, including ethical and regulatory concerns. Results: AI technologies, including machine learning algorithms and decision support systems, have demonstrated significant potential in enhancing diagnostic accuracy, preventing medication errors, and improving surgical outcomes. AI-driven systems have shown promising results in real-time patient monitoring, early detection of adverse events, and optimizing healthcare management. However, challenges related to data privacy, algorithm transparency, and integration into clinical workflows persist.
Downloads
References
Brennan, T. A., Leape, L. L., Laird, N. M., Hebert, L., Localio, A. R., Lawthers, A. G., ... & Hiatt, H. H. (1991). Incidence of adverse events and negligence in hospitalized patients: Results of the Harvard Medical Practice Study I. New England Journal of Medicine, 324(6), 370-376. DOI: https://doi.org/10.1056/NEJM199102073240604
Esteva, A., Kuprel, B., Novoa, R. A., Ko, J., Swetter, S. M., Blau, H. M., & Thrun, S. (2017). Dermatologist-level classification of skin cancer with deep neural networks. Nature, 542(7639), 115-118. DOI: https://doi.org/10.1038/nature21056
Lundberg, S. M., & Lee, S. I. (2017). A unified approach to interpreting model predictions. arXiv preprint arXiv:1705.07874.
Hatib, F., Jian, Z., Buddi, S., Lee, C., Settels, J., Sibert, K., ... & Cannesson, M. (2018). Machine-learning algorithm to predict hypotension based on high-fidelity arterial pressure waveform analysis. Anesthesiology, 129(4), 663-674.
Zhang, Q. (2018). Predictive big data analytics for precision medicine and healthcare delivery. J Healthcare Informatics Research, 2(2-3), 81-115.
Chen, J. H., & Asch, S. M. (2017). Machine learning and prediction in medicine—beyond the peak of inflated expectations. New England Journal of Medicine, 376(26), 2507-2509. DOI: https://doi.org/10.1056/NEJMp1702071
Topol, E. J. (2019). High-performance medicine: The convergence of human and artificial intelligence. Nature Medicine, 25(1), 44-56. DOI: https://doi.org/10.1038/s41591-018-0300-7
Gandhi, T. K., Kachalia, A., Thomas, E. J., Puopolo, A. L., Yoon, C., Brennan, T. A., & Studdert, D. M. (2006). Missed and delayed diagnoses in the ambulatory setting: A study of closed malpractice claims. Annals of Internal Medicine, 145(7), 488-496. DOI: https://doi.org/10.7326/0003-4819-145-7-200610030-00006
Donaldson, M. S., Corrigan, J. M., & Kohn, L. T. (Eds.). (2000). To err is human: Building a safer health system. National Academies Press.
Studdert, D. M., Mello, M. M., Gawande, A. A., Gandhi, T. K., Kachalia, A., Yoon, C., ... & Brennan, T. A. (2006). Claims, errors, and compensation payments in medical malpractice litigation. New England Journal of Medicine, 354(19), 2024-2033. DOI: https://doi.org/10.1056/NEJMsa054479
Catchpole, K. R. (2010). The importance of teamwork and communication in the prevention of adverse events in healthcare: A systematic review of interventions. BMJ Quality & Safety, 19(5), 1-10.
Aiken, L. H., Clarke, S. P., Sloane, D. M., Sochalski, J., & Silber, J. H. (2002). Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. JAMA, 288(16), 1987-1993. DOI: https://doi.org/10.1001/jama.288.16.1987
Croskerry, P. (2018). Diagnostic error and clinical reasoning. Medical Clinics of North America, 102(5), 961-974.
Lingard, L., Espin, S., Whyte, S., Regehr, G., Baker, G. R., Reznick, R., ... & Grober, E. (2004). Communication failures in the operating room: An observational classification of recurrent types and effects. BMJ Quality & Safety, 13(5), 330-334. DOI: https://doi.org/10.1136/qshc.2003.008425
Kane, R. L., Shamliyan, T. A., Mueller, C., Duval, S., & Wilt, T. J. (2007). The association of registered nurse staffing levels and patient outcomes: Systematic review and meta-analysis. Medical Care, 45(12), 1195-1204. DOI: https://doi.org/10.1097/MLR.0b013e3181468ca3
Arora, V. M. (2016). The Checklist of Handoffs: Evaluation of a new assessment tool for transfer of patient care in the operating room and intensive care unit. Journal of Surgical Education, 73(1), 92-98.
Madigosky, W. S. (2010). Patient safety education: Medical student preferences and attitudes. BMC Medical Education, 10, 21.
Kaushal, R., Shojania, K. G., & Bates, D. W. (2003). Effects of computerized physician order entry and clinical decision support systems on medication safety: A systematic review. Archives of Internal Medicine, 163(12), 1409-1416. DOI: https://doi.org/10.1001/archinte.163.12.1409
Poon, E. G. (2006). Effectiveness of a barcode medication administration system in reducing preventable adverse drug events in a neonatal intensive care unit: A prospective cohort study. Journal of Pediatrics, 147(6), 761-767.
Hibbard, J. H. (2013). The impact of patient activation and engagement on health outcomes: A systematic review. Health Services Research, 48(2 Pt 1), 377-395.
Beam, A. L., & Kohane, I. S. (2018). Big data and machine learning in health care. JAMA, 319(13), 1317-1318. DOI: https://doi.org/10.1001/jama.2017.18391
Bates, D. W., Leape, L. L., Cullen, D. J., Laird, N., Petersen, L. A., Teich, J. M., ... & Seger, D. L. (1998). Effect of computerized physician order entry and a team intervention on prevention of serious medication errors. JAMA, 280(15), 1311-1316. DOI: https://doi.org/10.1001/jama.280.15.1311
Mabotuwana, T. (2019). Clinical applications of artificial intelligence in sepsis: A narrative review. Computational and Structural Biotechnology Journal, 17, 1036-1049.
Cruz, J. A., & Wishart, D. S. (2007). Applications of machine learning in cancer prediction and prognosis. Cancer Informatics, 2(2), 59-77. DOI: https://doi.org/10.1177/117693510600200030
Hatib, F., Jian, Z., Buddi, S., Lee, C., Settels, J., Sibert, K., ... & Cannesson, M. (2018). Machine-learning algorithm to predict hypotension based on high-fidelity arterial pressure waveform analysis. Anesthesiology, 129(4), 663-674. DOI: https://doi.org/10.1097/ALN.0000000000002300
Alimi, R. S. (2016). A review of automated identification and classification of errors in electronic health records. Journal of Biomedical Informatics, 59, 76-83.
Wang, L., Chen, X., Zhang, L., Li, L., Huang, Y., Sun, Y., & Yuan, X. (2023). Artificial intelligence in clinical decision support systems for oncology. International Journal of Medical Sciences, 20(1), 79. DOI: https://doi.org/10.7150/ijms.77205
Najjar, R. (2023). Redefining radiology: a review of artificial intelligence integration in medical imaging. Diagnostics, 13(17), 2760. DOI: https://doi.org/10.3390/diagnostics13172760
Huang, T., Ma, Y., Li, S., Ran, J., Xu, Y., Asakawa, T., & Lu, H. (2023). Effectiveness of an artificial intelligence-based training and monitoring system in prevention of nosocomial infections: A pilot study of hospital-based data. Drug Discoveries & Therapeutics, 17(5), 351-356. DOI: https://doi.org/10.5582/ddt.2023.01068
Nakagawa, K., Moukheiber, L., Celi, L. A., Patel, M., Mahmood, F., Gondim, D., ... & Levenson, R. (2023, March). AI in pathology: what could possibly go wrong?. In Seminars in Diagnostic Pathology (Vol. 40, No. 2, pp. 100-108). WB Saunders. DOI: https://doi.org/10.1053/j.semdp.2023.02.006
AI, H. (2023). AI FOR PERSONALIZED MEDICINE: ANALYZING.
Wu, C. T., Lin, T. Y., Lin, C. J., & Hwang, D. K. (2023). The future application of artificial intelligence and telemedicine in the retina: A perspective. Taiwan Journal of Ophthalmology, 13(2), 133-141. DOI: https://doi.org/10.4103/tjo.TJO-D-23-00028
Pierre, K., Haneberg, A. G., Kwak, S., Peters, K. R., Hochhegger, B., Sananmuang, T., ... & Forghani, R. (2023, April). Applications of artificial intelligence in the radiology roundtrip: process streamlining, workflow optimization, and beyond. In Seminars in Roentgenology (Vol. 58, No. 2, pp. 158-169). WB Saunders. DOI: https://doi.org/10.1053/j.ro.2023.02.003
Talati, D. (2023). Artificial Intelligence (Ai) In Mental Health Diagnosis and Treatment. Journal of Knowledge Learning and Science Technology ISSN: 2959-6386 (online), 2(3), 251-253. DOI: https://doi.org/10.60087/jklst.vol2.n3.p262
Jadhav, B. (2023). The Role of Data Science and Analytics in Predictive Modelling and Decision-Making.
Yip, M., Salcudean, S., Goldberg, K., Althoefer, K., Menciassi, A., Opfermann, J. D., ... & Lee, I. C. (2023). Artificial intelligence meets medical robotics. Science, 381(6654), 141-146. DOI: https://doi.org/10.1126/science.adj3312
Mangano, F. G., Admakin, O., Lerner, H., & Mangano, C. (2023). Artificial intelligence and augmented reality for guided implant surgery planning: a proof of concept. Journal of Dentistry, 133, 104485. DOI: https://doi.org/10.1016/j.jdent.2023.104485
Allen, K. S., Hood, D. R., Cummins, J., Kasturi, S., Mendonca, E. A., & Vest, J. R. (2023). Natural language processing-driven state machines to extract social factors from unstructured clinical documentation. JAMIA open, 6(2), ooad024. DOI: https://doi.org/10.1093/jamiaopen/ooad024
Alanzi, T., Alsalem, A. A., Alzahrani, H., Almudaymigh, N., Alessa, A., Mulla, R., ... & Alanzi, N. (2023). AI-Powered Mental Health Virtual Assistants' Acceptance: An Empirical Study on Influencing Factors Among Generations X, Y, and Z. Cureus, 15(11). DOI: https://doi.org/10.7759/cureus.49486
Selvarajan, S., Srivastava, G., Khadidos, A. O., Khadidos, A. O., Baza, M., Alshehri, A., & Lin, J. C. W. (2023). An artificial intelligence lightweight blockchain security model for security and privacy in IIoT systems. Journal of Cloud Computing, 12(1), 38. DOI: https://doi.org/10.1186/s13677-023-00412-y
Pun, F. W., Ozerov, I. V., & Zhavoronkov, A. (2023). AI-powered therapeutic target discovery. Trends in pharmacological sciences. DOI: https://doi.org/10.1016/j.tips.2023.06.010
Cox Jr, L. A. (2023). Toward More Practical Causal Epidemiology and Health Risk Assessment Using Causal Artificial Intelligence. In AI-ML for Decision and Risk Analysis: Challenges and Opportunities for Normative Decision Theory (pp. 351-379). Cham: Springer International Publishing. DOI: https://doi.org/10.1007/978-3-031-32013-2_11
Published
How to Cite
Issue
Section
Copyright (c) 2023 International journal of health sciences
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.