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View article: Nursing judgment in the age of generative artificial intelligence: A cross-national study on clinical decision-making performance among emergency nurses
Nursing judgment in the age of generative artificial intelligence: A cross-national study on clinical decision-making performance among emergency nurses Open
Generative Artificial Intelligence models demonstrated consistency and expert alignment but lacked the contextual sensitivity vital in emergency care. These results highlight the potential of Generative Artificial Intelligence as a clinica…
View article: Gestational Diabetes—Screening, Prevalence and Postpartum Diabetes: Population‐Based Cohort Study
Gestational Diabetes—Screening, Prevalence and Postpartum Diabetes: Population‐Based Cohort Study Open
Aims To evaluate GDM screening compliance and prevalence, and the association between gestational glucose intolerance and 5‐year postpartum diabetes mellitus (DM). Materials and Methods We used population‐based data from three Israeli heal…
View article: When investigator meets large language models: a qualitative analysis of cancer patient decision-making journeys
When investigator meets large language models: a qualitative analysis of cancer patient decision-making journeys Open
Large language models (LLMs) are transforming the landscape of healthcare research, yet their role in qualitative analysis remains underexplored. This study compares human-led and LLM-assisted approaches to analyzing cancer patient narrati…
View article: Efficacy of diabetes specialist nurse-led remote care in community clinics: a retrospective cohort study
Efficacy of diabetes specialist nurse-led remote care in community clinics: a retrospective cohort study Open
The diabetes specialist nurse intervention positively impacted glycemic control and healthcare utilization, particularly through increased remote consultations. Despite higher healthcare costs, the intervention improved access to care and …
View article: Comparison of CT referral justification using clinical decision support and large language models in a large European cohort
Comparison of CT referral justification using clinical decision support and large language models in a large European cohort Open
Background Ensuring appropriate use of CT scans is critical for patient safety and resource optimization. Decision support tools and artificial intelligence (AI), such as large language models (LLMs), have the potential to improve CT refer…
View article: Leveraging natural language processing to elucidate real-world clinical decision-making paradigms: A proof of concept study
Leveraging natural language processing to elucidate real-world clinical decision-making paradigms: A proof of concept study Open
This study represents the first use of integrated qualitative and computational methods to systematically elucidate clinical decision-making. Findings supported experience-based heuristics guiding cognition. With methodological enhancement…
View article: Bridging generational gaps in medication safety: insights from nurses, students, and generative AI models
Bridging generational gaps in medication safety: insights from nurses, students, and generative AI models Open
The study highlights generational differences in medication safety approaches and suggests potential benefits of incorporating GenAI as an additional verification layer. These findings contribute to improving nursing education and practice…
View article: Personalized Approaches to Diabetic Foot Care: The Impact of Ethnic and Socioeconomic Disparities
Personalized Approaches to Diabetic Foot Care: The Impact of Ethnic and Socioeconomic Disparities Open
Objective: To explore the impact of ethnic and socioeconomic disparities on diabetic foot ulcer (DFU) care and outcomes, emphasizing the need for personalized treatment approaches tailored to diverse patient populations. Methods: This retr…
View article: Augmenting Community Nursing Practice With Generative AI: A Formative Study of Diagnostic Synergies Using Simulation-Based Clinical Cases
Augmenting Community Nursing Practice With Generative AI: A Formative Study of Diagnostic Synergies Using Simulation-Based Clinical Cases Open
Objective: To compare the diagnostic accuracy and clinical decision-making of experienced community nurses versus state-of-the-art generative AI (GenAI) systems for simulated patient case scenarios. Methods: In the months of 5 to 6/2024, 1…
View article: Ethnicity, Patient Satisfaction, and Clinical Outcomes among Israeli Dialysis Recipients
Ethnicity, Patient Satisfaction, and Clinical Outcomes among Israeli Dialysis Recipients Open
Key Points Growing interest in health-related quality of life underscores the need to explore patient satisfaction among diverse dialysis populations. In this study, patient ethnicity in Israel showed no significant effect on satisfaction,…
View article: Evaluating Large Language Model‐Assisted Emergency Triage: A Comparison of Acuity Assessments by <scp>GPT</scp>‐4 and Medical Experts
Evaluating Large Language Model‐Assisted Emergency Triage: A Comparison of Acuity Assessments by <span>GPT</span>‐4 and Medical Experts Open
Aim To evaluate the accuracy of the Emergency Severity Index (ESI) assignments by GPT‐4, a large language model (LLM), compared to senior emergency department (ED) nurses and physicians. Method An observational study of 100 consecutive adu…
View article: Risk Factors for Major Bleeding among Patients with Chronic Kidney Disease Treated with Acetylsalicylic Acid
Risk Factors for Major Bleeding among Patients with Chronic Kidney Disease Treated with Acetylsalicylic Acid Open
Introduction: Individuals with chronic kidney disease (CKD) are at increased risk of thrombotic events and bleeding. Acetylsalicylic acid (ASA), an effective antiplatelet agent, is one of the most frequently used medications for both prima…
View article: Kidnapping-Induced Trauma and secondary stress in armed conflicts: a comparative study among women in hostage families, volunteers, and the General Population
Kidnapping-Induced Trauma and secondary stress in armed conflicts: a comparative study among women in hostage families, volunteers, and the General Population Open
Background Exposure to armed conflict negatively impacts health. However, there is limited data on secondary stress from ambiguous loss contexts, such as kidnapping. In this study we aimed to quantify changes in modifiable health behaviors…
View article: The physician-AI relationship: partnering for precision medicine via clinical decision support
The physician-AI relationship: partnering for precision medicine via clinical decision support Open
Background Clinical decision support systems (CDSSs) can enhance physician decision-making, but successful adoption depends on positive user attitudes. Understanding Israeli physicians’ attitudes toward CDSSs is crucial for overcoming impl…
View article: Computed tomography referral guidelines adherence in Europe: insights from a seven-country audit
Computed tomography referral guidelines adherence in Europe: insights from a seven-country audit Open
Background Ensuring appropriate computed tomography (CT) utilization optimizes patient care while minimizing radiation exposure. Decision support tools show promise for standardizing appropriateness. Objectives In the current study, we aim…
View article: Empathy and clarity in GPT-4-Generated Emergency Department Discharge Letters
Empathy and clarity in GPT-4-Generated Emergency Department Discharge Letters Open
Background and Aim The potential of large language models (LLMs) like GPT-4 to generate clear and empathetic medical documentation is becoming increasingly relevant. This study evaluates these constructs in discharge letters generated by G…
View article: Augmenting intensive care unit nursing practice with generative <scp>AI</scp>: A formative study of diagnostic synergies using simulation‐based clinical cases
Augmenting intensive care unit nursing practice with generative <span>AI</span>: A formative study of diagnostic synergies using simulation‐based clinical cases Open
Background As generative artificial intelligence (GenAI) tools continue advancing, rigorous evaluations are needed to understand their capabilities relative to experienced clinicians and nurses. The aim of this study was to objectively com…
View article: Evaluating the Accuracy and Impact of the ESR-iGuide Decision Support Tool in Optimizing CT Imaging Referral Appropriateness
Evaluating the Accuracy and Impact of the ESR-iGuide Decision Support Tool in Optimizing CT Imaging Referral Appropriateness Open
Radiology referral quality impacts patient care, yet factors influencing quality are poorly understood. This study assessed the quality of computed tomography (CT) referrals, identified associated characteristics, and evaluated the ESR-iGu…
View article: The Patient's Perspective: Does It Align with Dialysis Adequacy?
The Patient's Perspective: Does It Align with Dialysis Adequacy? Open
Key Points This study showed variation in satisfaction and quality of life between three dialysis centers, suggesting local factors influence outcomes. One center linked better dialysis to less satisfaction, but fully grasping satisfaction…
View article: Conflict-Related Breakdowns in Routine Medical Care - Longitudinal Outcomes for Civilians with Pre-Existing Cognitive Impairment.
Conflict-Related Breakdowns in Routine Medical Care - Longitudinal Outcomes for Civilians with Pre-Existing Cognitive Impairment. Open
Individuals with dementia face increased vulnerability during crises like armed conflicts. However, little is known about how conflicts affect dementia care delivery and patients' health. We conducted a longitudinal cohort study using medi…
View article: Modeling mortality prediction in older adults with dementia receiving COVID-19 vaccination
Modeling mortality prediction in older adults with dementia receiving COVID-19 vaccination Open
Objective This study compared COVID-19 outcomes between vaccinated and unvaccinated older adults with and without cognitive impairment. Method Electronic health records from Israel from March 2020-February 2022 were analyzed for a large co…
View article: Harnessing innovation to help meet the needs of elders: field testing an electronic tool to streamline geriatric assessments across healthcare settings
Harnessing innovation to help meet the needs of elders: field testing an electronic tool to streamline geriatric assessments across healthcare settings Open
Background As populations age globally, effectively managing geriatric health poses challenges for primary care. Comprehensive geriatric assessments (CGAs) aim to address these challenges through multidisciplinary screening and coordinated…
View article: Evaluating emergency response at a hospital near the Gaza border within 24 h of increased conflict
Evaluating emergency response at a hospital near the Gaza border within 24 h of increased conflict Open
Background Frontline hospitals near active hostilities face unique challenges in delivering emergency care amid threats to infrastructure and personnel safety. Existing literature focuses on individual aspects like mass casualty protocols …
View article: Exploring the Self-Reported Physical and Psychological Effects in a Population Exposed to a Regional Conflict
Exploring the Self-Reported Physical and Psychological Effects in a Population Exposed to a Regional Conflict Open
Background Conflict profoundly impacts community health and well-being. While post-conflict research exists, little is known about initial effects during active hostilities. Objective To assess self-reported changes in health behaviors, di…