Improving AI-Based Clinical Decision Support Systems and Their Integration Into Care From the Perspective of Experts: Interview Study Among Different Stakeholders.

Journal: JMIR medical informatics
Published Date: Jul 7, 2025

Abstract

BACKGROUND: Artificial intelligence (AI)-based systems are receiving increasing attention in the health care sector. While the use of AI is well advanced in some medical applications, such as image recognition, it is still in its infancy in others, such as clinical decision support systems (CDSS). Examples of AI-based CDSS can be found in the context of sepsis prediction or antibiotic prescription. Scientific literature indicates that such systems can support physicians in their daily work and lead to improved patient outcomes. Nevertheless, there are various problems and barriers in this context that should be considered.

Authors

  • Godwin Denk Giebel
    Institute for Health Care Management and Research, University of Duisburg-Essen, Essen, Germany.
  • Pascal Raszke
    Institute for Health Care Management and Research, University of Duisburg-Essen, Essen, Germany.
  • Hartmuth Nowak
    Department of Anaesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Knappschaftskrankenhaus, Bochum, Ruhr-University Bochum, In der Schornau 23-25, 44892, Bochum, Germany.
  • Lars Palmowski
    Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie, Universitätsklinikum Knappschaftskrankenhaus Bochum GmbH, Bochum, Germany.
  • Michael Adamzik
    Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie, Universitätsklinikum Knappschaftskrankenhaus Bochum GmbH, Bochum, Germany.
  • Philipp Heinz
    Knappschaft Kliniken GmbH, Recklinghausen, Germany.
  • Marianne Tokic
    Department of Medical Informatics, Biometry and Epidemiology, Ruhr University Bochum, Bochum, Germany.
  • Nina Timmesfeld
    Department of Medical Informatics, Biometry and Epidemiology, Ruhr University Bochum, Bochum, Germany.
  • Frank Martin Brunkhorst
    German Sepsis Society, Jena, Germany.
  • Jürgen Wasem
    Institute for Health Care Management and Research, University of Duisburg-Essen, Essen, Germany.
  • Nikola Blase
    Institute for Health Care Management and Research, University of Duisburg-Essen, Essen, Germany.

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