References

Abe D, Inaji M, Hase T A prehospital triage system to detect traumatic intracranial hemorrhage using machine learning algorithms. JAMA Netw Open. 2022; 5:(6) https://doi.org/10.1001/jamanetworkopen.2022.16393

Bajwa J, Munir U, Nori A, Williams B. Artificial intelligence in healthcare: transforming the practice of medicine. Future Healthc J. 2021; 8:(2)e188-e194 https://doi.org/10.7861/fhj.2021-0095

Baştanlar Y, Özuysal M. Introduction to machine learning. In: Yousef M, Allmer J (eds). Totowa (NJ): Humana Press; 2014

Chew KS, van Merrienboer JJG, Durning SJ. Perception of the usability and implementation of a metacognitive mnemonic to check cognitive errors in clinical setting. BMC Med Educ. 2019; 19:(1) https://doi.org/10.1186/s12909-018-1451-4

Cotton D, Cotton P, Shipway JR. Chatting and cheating. ensuring academic integrity in the era of chatgpt. 2023; https://doi.org/10.35542/osf.io/mrz8h

Davenport T, Kalakota R. The potential for artificial intelligence in healthcare. Future Healthc J. 2019; 6:(2)94-98 https://doi.org/10.7861/futurehosp.6-2-94

Dehouche N. Plagiarism in the age of massive generative pre-trained transformers (GPT-3). Ethics Sci Environ Polit. 2021; 21:17-23 https://doi.org/10.3354/esep00195

Feretzakis G, Karlis G, Loupelis E Using machine learning techniques to predict hospital admission at the emergency department. J Crit Care Med. 2022; 8:(2)107-116 https://doi.org/10.2478/jccm-2022-0003

FitzGerald C, Hurst S. Implicit bias in healthcare professionals: a systematic review. BMC Med Ethics. 2017; 18:(1) https://doi.org/10.1186/s12910-017-0179-8

Gerke S, Minssen T, Cohen G. Ethical and legal challenges of artificial intelligence-driven healthcare. In: Bohr A, Memerzadeh K. London: Elsevier; 2020 https://doi.org/10.1016/B978-0-12-818438-7.00012-5

González-Gonzalo C, Thee EF, Klaver CC Trustworthy AI: closing the gap between development and integration of AI systems in ophthalmic practice. Prog Retin Eye Res. 2022; 90:(101034) https://doi.org/10.1016/j.preteyeres.2021.101034

Green J, Ewings S, Wortham R, Walsh B. New ‘nature of call’ telephone screening tool, employed prior to nhs pathways triage, can accurately identify those later treated for out of hospital cardiac arrest: analysis of sensitivity and specificity using routine ambulance service data. Emerg Med J. 2019a; 36:(1) https://doi.org/10.1136/emermed-2019-999.12

Green J, Ewings S, Wortham R, Walsh B. The NHS pathways (NHSP) medical call triage system and new ‘nature of call’ telephone screening tool, employed prior to NHSP, can accurately identify high acuity patients: analysis of sensitivity and specificity using routine ambulance service data. Emerg Med J. 2019b; 36:(1)e5-e6 https://doi.org/10.1136/emermed-2019-999.13

Hammond MEH, Stehlik J, Drakos SG, Kfoury AG. Bias in medicine: lessons learned and mitigation strategies. JACC Basic Transl Sci. 2021; 6:(1)78-85 https://doi.org/10.1016/j.jacbts.2020.07.012

Hannun AY, Rajpurkar P, Haghpanahi M Cardiologist-level arrhythmia detection and classification in ambulatory electrocardiograms using a deep neural network. Nature Med. 2019; 25:(1)65-69 https://doi.org/10.1038/s41591-018-0268-3

Haleem A, Javaid M, Qadri MA, Suman R. Understanding the role of digital technologies in education: a review. Sustainable Operations and Comput. 2022; 3:275-285 https://doi.org/10.1016/j.susoc.2022.05.004

Hayashi Y, Shimada T, Hattori N A prehospital diagnostic algorithm for strokes using machine learning: a prospective observational study. Sci Rep. 2021; 11:(20519)

Itoe Mote NJ, Karadas G. The impact of automation and knowledge workers on employees' outcomes: Mediating role of knowledge transfer. Sustainability. 2022; 14:(3) https://doi.org/10.3390/su14031377

Kang D, Cho K, Kwon O Artificial intelligence algorithm to predict the need for critical care in prehospital emergency medical services. Scand J Trauma Resusc Emerg Med. 2020; 28:(1) https://doi.org/10.1186/s13049-020-0713-4

Kirubarajan A, Taher A, Khan S, Masood S. Artificial intelligence in emergency medicine: A scoping review. J Am Coll Emerg Physicians Open. 2020; 1:(6)1691-1702 https://doi.org/10.1002/emp2.12277

Korteling JE, van de Boer-Visschedijk GC, Blankendaal RAM, Boonekamp RC, Eikelboom AR. Human-versus artificial intelligence. Front Artif Intell. 2021; https://doi.org/10.3389/frai.2021.622364

Kruse O. The origins of writing in the disciplines. Written Comm. 2006; 23:(3)331-352 https://doi.org/10.1177/0741088306289259

Masic I. Medical decision making - an overview. Acta Inform Med. 2022; 30:(3)230-235 https://doi.org/10.5455/aim.2022.30.230-235

Mencl F, Wilber S, Frey J, Zalewski J, Maiers JF, Bhalla MC. Paramedic ability to recognize st-segment elevation myocardial infarction on prehospital electrocardiograms. Prehosp Emerg Care. 2013; 17:(2)203-210 https://doi.org/10.3109/10903127.2012.755585

Miles J, Turner J, Jacques R, Williams J, Mason S. Using machine-learning risk prediction models to triage the acuity of undifferentiated patients entering the emergency care system: a systematic review. Diagnost Prognost Res. 2020; 4:(1)1-12 https://doi.org/10.1186/s41512-020-00084-1

NHS England. The ambulance response programme review. 2018. https//tinyurl.com/yc2ccbzr (accessed 27 April 2023)

NHS England. Delivery plan for recovering urgent and emergency care services. 2023. https//tinyurl.com/yvrbu9jk (accessed 27 April 2023)

Norori N, Hu Q, Aellen FM, Faraci FD, Tzovara A. Addressing bias in big data and AI for health care: A call for open science. Patterns. 2021; 2:(10) https://doi.org/10.1016/j.patter.2021.100347

Owoc ML, Sawicka A, Weichbroth P. Artificial intelligence technologies in education: benefits, challenges and strategies of implementation,”. IFIP Adv Info Comm Technol. 2021; 37-58 https://doi.org/10.1007/978-3-030-85001-2_4

Phillips JS. Paramedics' perceptions and experiences of NHS 111 in the south west of England. J Para Pract. 2020; 12:(6)227-234 https://doi.org/10.12968/jpar.2020.12.6.227

Poon AIF, Sung JJY. Opening the black box of AI-Medicine. J Gastroenterol Hepatol. 2021; 36:(3)581-584 https://doi.org/10.1111/jgh.15384

Rivenbark JG, Ichou M. Discrimination in healthcare as a barrier to care: experiences of socially disadvantaged populations in France from a nationally representative survey. BMC Public Health. 2020; 20:(1) https://doi.org/10.1186/s12889-019-8124-z

Rogers PL. Barriers to adopting emerging technologies in Education. J Educ Comput Res. 2000; 22:(4)455-472 https://doi.org/10.2190/4uje-b6vw-a30n-mce5

Sharples M. Automated essay writing: an AIED opinion. Int J Artif Intell Educ. 2022; 32:1119-1126 https://doi.org/10.1007/s40593-022-00300-7

Siebelt M, Das D, Van Den Moosdijk A, Warren T, Van Der Putten P, Van Der Weegen W. Machine learning algorithms trained with pre-hospital acquired history-taking data can accurately differentiate diagnoses in patients with hip complaints. Acta Orthopaedia. 2021; 92:(3)254-257 https://doi.org/10.1080/17453674.2021.1884408

Spangler D, Hermansson T, Smekal D, Blomberg H. A validation of machine learning-based risk scores in the prehospital setting. PLoS One. 2019; 14:(12) https://doi.org/10.1371/journal.pone.0226518

Takeda M, Oami T, Hayashi Y Prehospital diagnostic algorithm for acute coronary syndrome using machine learning: a prospective observational study. Sci Rep. 2022; 12:(14593) https://doi.org/10.1038/s41598-022-18650-6

Tamminen J, Kallonen A, Hoppu S, Kalliomäki J. Comparison of prehospital national early warning score and machine learning methods for predicting mortality. Resuscitation. 2019; 142:(s1) https://doi.org/10.1016/J.RESUSCITATION.2019.06.045

Tay SW, Ryan P, Ryan CA. Systems 1 and 2 thinking processes and cognitive reflection testing in medical students. Can Med Educ J. 2016; 7:(2)e97-e103 https://doi.org/10.36834/CMEJ.36777

Ambulance Response Programme: Evaluation of Phase 1 and Phase 2. Final Report. 2017. https//tinyurl.com/msyhjv33 (accessed 27 April 2023)

Vyas DA, Eisenstein LG, Jones DS. Hidden in plain sight - reconsidering the use of race correction in clinical algorithms,”. New Engl J Med. 2020; 383:(9)874-882 https://doi.org/10.1056/NEJMms2004740

Wadden JJ. Defining the undefinable: the black box problem in healthcare artificial intelligence. J Med Ethics. 2021; 48:(10)764-768 https://doi.org/10.1136/medethics-2021-107529

Williamson B. The hidden architecture of higher education: building a big data infrastructure for the ‘smarter niversity.’”. Int J Educ Technol Higher Educ. 2018; 15:(1) https://doi.org/10.1186/s41239-018-0094-1

The age of artificial intelligence

02 May 2023
Volume 15 · Issue 5

Artificial intelligence (AI) is gradually integrating into various sectors such as finance, transportation, energy and education. Although AI is in its infancy in healthcare, it is still being used in many ways, including medical imaging, chatbots, diagnosis, treatment, and telephone triage in an ambulance setting. The introduction of AI has given rise to ethical concerns—particularly about how data are gathered and used (Gerke et al, 2020).

The key attributes of AI are its ability to analyse and compare vast datasets and predict likely outcomes, hence its integration into patient triage and assessment systems. To achieve genuine impartiality and autonomy in the realm of AI, datasets utilised by such systems must possess analogous qualities (González-Gonzalo et al, 2022). Norori et al (2021) highlight statistical and social bias within healthcare datasets.

Statistical bias occurs when the distribution of a particular dataset does not accurately represent the distribution of the population which, in turn, causes algorithms to produce inaccurate outputs, typically at the expense of lower socioeconomic groups. The medical industry has been recognised as being susceptible to biases, which can be challenging to detect and measure, with numerous reports of discrimination against vulnerable groups (FitzGerald and Hurst, 2017; Rivenbark and Ichou, 2020). This is ultimately the data that AI draws from. Vyas et al (2020) suggest that healthcare algorithms often do not offer a rationale for why racial and ethnic differences might exist, along with the assumption that the data gathered could be outdated; this further perpetuates the risk of algorithmic bias.

Subscribe to get full access to the Journal of Paramedic Practice

Thank you for visiting the Journal of Paramedic Practice and reading our archive of expert clinical content. If you would like to read more from the only journal dedicated to those working in emergency care, you can start your subscription today for just £48.

What's included

  • CPD Focus

  • Develop your career

  • Stay informed