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Table 2 Extracted data

From: Artificial intelligent tools: evidence-mapping on the perceived positive effects on patient-care and confidentiality

Ser

Author(s)

Purpose/ Objective

Approach

Continent

Opportunities

Conclusions

1

Al’Aref et al. (2019) [31]

Using the New York Percutaneous Coronary Intervention Reporting System to elucidate the determinants of in-hospital mortality in patients undergoing percutaneous coronary intervention

Quantitative

North America

1. Accurate diagnosis

2. Improved referrals

High accuracy predictive potential for in-hospital mortality in patients undergoing percutaneous coronary intervention

2

Al’Aref et al. (2020) [32]

Culprit Lesion (CL) precursors among Acute Coronary Syndrome (ACS) patients based on computed tomography-based plaque characteristics

Quantitative

North America

1. Accurate diagnosis

2. Saves time

A boosted ensemble algorithm can be used to predict culprit lesion from non-culprit lesion precursors on coronary Computed Tomography Angiography (CTA)

3

Aljarboa and Miah (2021) [33]

Perceptions about Clinical Decision Support Systems (CDSS) uptake among healthcare sectors

Qualitative

Asia

1. Improved quality of care

2. Improved patient health outcomes

3. Reduced patient waiting time

Patients’ confidence and diagnostic accuracy were new determinants of CDSS acceptability that emerged in this study

4

Aljarboa et al. (2019) [34]

Acceptance and intention of using Clinical Decision Support Systems (CDSS)

Qualitative

Asia

1. Improved quality of diagnosis

2. Reduction in medical errors

3. Reduced cost of care

4. Improved patient waiting time

Participants were positive that AI tools would contribute positively to patients care

5

Al-Zaiti et al. (2020) [35]

Machine learning-based methods for the prediction of underlying Acute Myocardial Ischemia in patients with chest pain

Quantitative

North America

1. Improved patient outcomes

2. Prompt referrals

3. Accurate diagnosis

4. Improved workflow

Machine learning model outperformed both commercial interpretation software and experienced clinician interpretation

6

Alumran et al. (2020) [36]

Electronic Canadian Triage and Acute Scale (E-CTAS) utilisation in emergency department

Quantitative

Asia

1. Very useful during emergency care

2. Improved patient health outcome

Years of nursing experience moderated the utilisation of E-CTAS

7

Amarbayasgalan et al. (2019) [37]

Deep learning-based model, Reconstructive Error (RE) based Deep Neural Networks (DNNs) to predict risk of developing Coronary Heart Disease (CHD)

Quantitative

Asia

1. Improved diagnostic capacity

2. High predictive capacity

The autoencoder (AE)-DNNs outperformed regular machine learning-based classifiers for coronary heart disease risk prediction

8

Ayatollahi et al. (2019) [38]

Positive Predictive Value (PPV) of Cardiovascular Disease using Artificial Intelligence Neural Network (ANN) and Support Vector Machine (SVM) algorithm and their distinction in terms of predicting Cardiovascular Disease

Quantitative

Asia

Improved diagnosis

The SVM algorithm presented higher accuracy and better performance than the ANN model and was characterised by higher power and sensitivity

9

Baskaran (2020) [39]

Using machine learning to gain insight into the relative importance of variables to predict obstructive Coronary Artery Disease (CAD)

Quantitative

North America

High potential for accurate diagnosis

Machine learning model showed BMI to be an important variable, although it is currently not included in most risk scores

10

Betriana (2021b) [40]

Interactions between healthcare robots and older persons

Qualitative

Asia

Improved quality of care

Interaction between healthcare robots and older people may improve quality of care

11

Beunza et al. (2019) [41]

Machine Learning (ML) algorithms for predicting clinical events in terms of their internal validity and accuracy

Quantitative

Europe

Improved diagnostic, prognostic, and therapeutic tools

Machine learning algorithms can reinforce the diagnostic and prognostic capacity of traditional regression techniques

12

Blanco et al. (2018) [42]

Barriers and facilitators related to uptake of Computerised Clinical Decision Support (CCDS) tools as part of a Clostridium Difficile Infection (CDI) reduction bundle

Qualitative

North America

Standardisation and error reduction

Findings shaped the development of Clostridium Difficile Infection reduction bundle

13

Borracci et al. (2021) [43]

Application of Neural Network (NN) algorithm-based models to improve the Global Registry of Acute Coronary Events (GRACE) score performance to predict in-hospital mortality and acute Coronary Syndrome

Quantitative

South America

1. Improved diagnosis

2. Improved turnaround time

Treatment of individual predictors of GRACE score with NN algorithms improved accuracy and discrimination power in all models

14

Bouzid et al. (2021) [44]

Consecutive patients evaluated for suspected Acute Coronary Syndrome

Quantitative

North America

1. Improved turnaround time

2. Improved diagnosis

A subset of novel electrocardiograph features predictive of acute coronary syndrome with a fully interpretable model highly adaptable to clinical decision support application

15

Catho et al. (2020) [45]

Adherence to antimicrobial prescribing guidelines and Computerised Decision Support Systems (CDSSs) adoption

Qualitative

Europe

Improve clinicians’ adherence to guidelines and patient care

Features that could improve adoption include friendliness, ergonomics, transparency of the decision-making process and workflow

16

Cho (2020) [46]

Deep learning models to automatically classify Cervical Neoplasms on cloposcopic photographs

Quantitative

Asia

Early detection of disease

Provide a better potential of detecting high-risk lesions than previously reported

17

Chow et al. (2015) [47]

Physicians’ perceptions and attitudes toward antibiotic Computerised Decision Support Systems (CDSS) recommendations for empirical therapy

Mixed

Asia

Confidence in the credibility of CDSS recommendations

Physicians would prefer to rely on their own or clinical team’s decision over CDSS recommendations in complex patient situations when the antibiotic needs are not met

18

Davari Dolatabadi et al. (2017) [48]

Automatic diagnosis of normal and Coronary Artery Disease conditions using Heart Rate Variability (HRV) signal extracted from electrocardiogram

Quantitative

Asia

1. Improved data quality

2. Reduced cost of care

Methods based on the feature extraction of the biomedical signals are an appropriate approach to predict the health situation of patients

19

Davis (2020) [49]

Machine Learning (ML) algorithm for marking Computer Tomography (CT) head examinations pending interpretation as higher probability of intracranial haemorrhage (ICH), on metrics across healthcare system

Quantitative

North America

1. Reduced waiting time

2. Improved patient’s condition

3. Quality of diagnosis improved

There was significant reduction in length of stay for patients without ICH, but not for emergency department patients with intensive care unit

20

Dogan et al. (2018) [50]

Examined whether similar machine learning approaches could be used to develop a similar panel to predict Coronary Heart Disease (CHD)

Quantitative

North America

Accurate and improved diagnosis

The AI tool is more sensitive than conventional risk-factor based approaches, and performs well in both males and females

21

Du et al. (2020) [51]

Using high-precision Coronary Heart Disease (CHD) prediction model through big data and machine-learning

Quantitative

Asia

1. Accurate and improved diagnosis

2. Real time diagnosis

Accurate risk-prediction of coronary heart disease from electronic health records is possible given a sufficiently large population of training data

22

Elahi et al. (2020) [52]

Traumatic Brain Injury (TBI) prognostic models

Mixed

Africa

Very effective in patient assessment at the triage especially in resource-limited settings

Addressed unmet needs to determine feasibility of TBI clinical decision support systems in low-resource settings

23

English et al. (2017) [53]

Application of a modified version of the unified theory of acceptance and use of technology (UTAUT) to evaluate disposition and satisfaction with computerised decision support systems (CDSS)

Quantitative

North America

Positively impacted the work of pharmacists

Organisational structures that facilitate CDSS use and user satisfaction affect the extent to which pharmacy and health care management maximise use in clinical pharmacy setting

24

Fan et al. (2021) [54]

Real-world utilisation of AI health chatbot for primary care self-diagnosis

Mixed

Asia

1. Trusted to support patients care

2. Easily applicable in patient care

Although the AI tool is perceived convenient in improving patient-care, issues and barriers exist

25

Fritsch et al. (2022) [55]

Perception about artificial intelligence in healthcare

Quantitative

Europe

1. Accurate diagnosis

2. Improved patient outcomes

3. Promotes personal care

Patients and their companions are open to AI usage in healthcare and see it as a positive development

26

Garzon-Chavez et al. (2021) [56]

Utilisation of AI-assisted computed tomography screening tool for COVID-19 patient at triage

Quantitative

South America

1. Facilitates diagnostic decisions by clinicians

2. Facilitates workflow

3. Compatible with existing technology

There were differences in laboratory parameters between cases at the intensive care and non-intensive care units

27

Goldman et al. (2021) [57]

Model based on Artificial Intelligence Neural Network (ANN) for predicting Coronary Heart Diseases risk

Quantitative

Asia

1. Accurate diagnosis

2. Facilitates referral decisions

The artificial intelligence neural network model is a promising approach for predicting coronary heart disease-risk and a good screening procedure to identify high-risk subjects

28

Golpour et al. (2020) [58]

Compare support vector machine, naïve Bayes and logistic regressions to determine the diagnostic factors that can predict the need for Coronary Angiography

Quantitative

Asia

1. Cost effective

2. Accurate and improved diagnosis

3. Supports workflow

Gender, age and fasting blood sugar found to be the most important factors that predict the result of coronary angiography

29

Gonçalves (2020) [59]

Nurses’ experiences with technological tools to support the early detection of sepsis

Qualitative

South America

1. Early diagnosis

2. Reduced waiting time.

Nurses in the technology incorporation process enable a rapid decision-making in the identification of sepsis

30

Gonzalez-Briceno (2020) [60]

Diabetes retinopathy screening programme based on artificial intelligence

Quantitative

North America

1. Prompt and early detection of disease

2. Improved patient waiting time

3. Improved referral systems

Implementation of diabetes retinopathy screening programme in primary care promotes the early detection and prompt treatment of patients

31

Grau et al. (2019) [61]

Using Electronic Support Tools and Orders for Prevention of Smoking (E-STOPS)

Qualitative

North America

Provide essential information for physician use

Improvements in provider training and feedback as well as the timing and content of the electronic tools may increase their use by physicians

32

Hand et al. (2018) [62]

Fertility preservation discussions with pediatric and adolescent cancer patients

Quantitative

Australia

Improved adherence to clinical pathways, policy, and standards of care

The Clinical Decision Support System (CDSS) provided significant perceived benefits to oncofertility care

33

Horsfall et al. (2021) [63]

Attitudes of surgeons and the wider surgical team toward the role of artificial intelligence in neurosurgery

Mixed

North America

Very useful in facilitating and predicting potential complications during surgery

Artificial intelligence widely accepted as a useful tool in neurosurgery

34

Hsiao et al. (2013) [64]

Factors affecting acceptance of Pain Management Decision Support System (PM-DSS) by nurse anaesthetists

Quantitative

Asia

Promotes the work of nurse anaesthetists

Findings would help hospital managers understand the important considerations for nurse anaesthetists in accepting PM-DSS

35

Hu et al. (2019) [65]

Using Rough Set Theory (RST) and Dempster-Shafer Theory (DST) of evidence to remedy Major Adverse Cardiac Event (MACE) prediction

Quantitative

Asia

High diagnostic potential

The model achieved better performance for the problem of MACE prediction when compared with the single models

36

Huang et al. (2017) [66]

Data-mining based approach for Major Adverse Cardiac Events (MACE) prediction

Quantitative

Asia

High potential for accurate diagnosis

The proposed iterative boosting approach has demonstrated great potential to meet the challenge of MACE prediction for acute coronary syndrome (ACS) patients

37

Huang et al. (2021) [67]

Using magneticocardiography parameters to detect Coronary Artery Diseases in patients with chest pain

Quantitative

Asia

1. Potential for accurate diagnosis

2. Could save patients time

The method of multilayer perceptron neural network, magnetcocardigraphy is applicable in identifying coronary artery disease in patients with chest pain, which is beneficial for detection of coronary artery disease

38

Isbanner et al. (2022) [68]

Public judgments about AI use in healthcare

Quantitative

Australia

1. Enhanced speed of service

2. Improved patient outcomes

3. Accurate diagnosis

AI systems should augment rather than replace humans in the provision of healthcare

39

Jauk et al. (2021) [69]

Machine learning-based application for predicting the risk of delirium for in-patients

Mixed

Europe

1. Accurate in predicting patient conditions

2. Improved workflow

In order to improve quality and safety in healthcare, computerised decision support should predict actionable events and be highly accepted by users

40

Joloudari et al. (2020) [70]

Integrated method using random trees (RTs), decision tree of C5.0, support vector machine (SVM), and decision tree of Chi-squared automatic interaction detection (CHAID)

Quantitative

Asia

High potential for accurate diagnosis

The random tree model yielded the highest accuracy rate than others

41

Jones et al. (2022) [71]

Comprehensive Clinical Decision Support (CDS) to predict end-user acceptance of Thoracic Trauma CDS systems care

Qualitative

North America

1. Reduced medical errors

2. Comprehensive care

3. Reduced patient waiting time

End-user feedback reinforces intention towards factors that improve the acceptance and use of a CDS map for patients with thoracic trauma

42

Kanagasundaram et al. (2016) [72]

Using in-patient Acute Kidney Injury (AKI) Computerised Clinical Decision Support (CCDS)

Qualitative

Australia

Potentially useful prompt to early clinical re-assessment

Systems intruding on workflow, particularly involving complex interactions, may be unsustainable even if there has been a positive impact on care

43

Kayvanpour et al. (2021) [73]

Genome-wide miRNA levels in a prospective cohort of patients with clinically suspected Acute Coronary Syndromes by applying an in Silico Neural Network

Quantitative

Europe

1. High potential for accurate diagnosis

2. Saves patient time

3. Improved workflow

The approach opens the possibility to include multi-modal data points to further increase precision and performance classification of other differential diagnoses

44

Kim et al. (2017) [74]

Neural Network (NN) based prediction of Coronary Heart Disease risk using feature correlation analysis (NN-FCA)

Quantitative

Asia

High potential for accurate and timely diagnosis

The model was better than Framingham risk score (FRS) in terms of coronary heart diseases risk prediction

45

Kisling et al. (2019) [75]

Automatic treatment planning system for conventional radiotherapy of Cervical Cancer

Quantitative

Africa

1. Facilitates diagnostics decisions by clinicians

2. Promotes workflow

Fully automatic treatment planning is effective for cervical cancer radiotherapy and may provide a reliable option for low-resource clinics

46

Krittanawong et al. (2021) [76]

Deep neural network to predict in-hospital mortality in patients with Spontaneous Coronary Artery Dissection (SCAD)

Quantitative

North America

High potential for diagnostic accuracy

The deep neural network model was associated with higher predictive accuracy and discriminative power than logistic regression or ML models for identification of patients with ACS due to SCAD prone to early mortality

47

Lee (2015) [77]

Emergency department decision support system that couples machine learning, simulation, and optimisation to address improvement goals

Mixed

North America

1. Reduced EM re-admissions

2. Reduced cost of care

3. Reduced patient length of stay

4. Improved patient data

General improvement in patient care at the emergency care department

48

Liberati et al. (2017) [78]

Barriers and facilitators to the uptake of an evidence-based Computerised Decision Support Systems (CDSS)

Qualitative

Europe

Fosters organisational learning and improves practitioner skills

Attitudes of healthcare workers towards scientific evidence and guidelines, quality of inter-disciplinary relationships, and organisational ethos of transparency and accountability need to be considered when exploring facility readiness to implement AI tools

49

Li et al. (2021) [79]

Machine learning-aided risk stratification system to simplify the procedure of the diagnosis of Coronary Artery Disease

Quantitative

Asia

1. Helps improve diagnostic accuracy

2. Reduces patient waiting time

The model could be useful in risk stratification of prediction for the coronary artery disease

50

Liu et al. (2021) [80]

Machine learning models for predicting mortality in Coronary Artery Disease (CAD) patients with Atrial Fibrillation (AF)

Quantitative

Asia

1. Potential for improved and accurate diagnosis

2. Improve patient turnaround time

Combining the performance of all aspects of the models, the regularisation logistic regression model was recommended to be used in clinical practice

51

Love et al. (2018) [81]

Using AI-based Computer-Assisted Diagnosis (CADx) in training healthcare workers

Quantitative

North America

1. Facilitates diagnostics decisions by clinicians

2. Promotes workflow

A portable ultrasound system with CADx software can be successfully used by first-level healthcare workers to triage palpable breast lumps

52

MacPherson et al. (2021) [82]

Costs and yield from systematic HIV-TB screening, including computer-aided digital chest X-Ray

Quantitative

Africa

1. Facilitates diagnostics decisions by clinicians

2. Reduced patient waiting time

3. Improved patient health outcomes

Digital chest X-Ray computer-aided digital with universal HIV screening significantly increased the timelines and completeness of HIV and TB diagnosis

53

McCoy (2017) [83]

Machine learning-based sepsis prediction algorithm to identify patients with sepsis earlier

Quantitative

North America

1. Improved patient outcomes

2. Reduction in mortality rate

The machine learning-based sepsis prediction algorithm improved patient outcomes

54

Mehta et al. (2021) [84]

Knowledge, perceptions, and preferences about AI use in medical education

Quantitative

North America

1. Improved clinical and administrative functions

2. Provide useful preventive health suggestions to patients

3. Accurate diagnosis

4. Improve referral procedures

Optimistic about AI's capabilities to carry out a variety of healthcare functions, including clinical and administrative

Sceptical about AI utility in personal counselling and empathetic care

55

Moon (2018) [85]

Automated delirium-risk assessment system (Auto-DelRAS) that automatically alerts healthcare providers of an intensive care unit patient’s delirium-risk

Quantitative

Asia

1. Improved data

2. Improved patient outcome

3. Quality diagnostic ability

A relatively high level of predictive validity was maintained with the Auto-DelRAS system, even one year following clinical application

56

Morgenstern et al. (2021) [86]

Impacts of artificial intelligence (AI) on public health practice

Qualitative

North America & Asia

Improved diagnosis and disease surveillance

Experts are cautiously optimistic AI’s potential to improve diagnosis and disease surveillance. However, perceived substantial barriers like inadequate regulation exist

57

Motwani et al. (2017) [87]

Traditional prognostic risk assessment in patients undergoing non-invasive imaging

Quantitative

North America

1. Potential for accurate diagnostic capacity

2. Improved turnaround time

Machine learning combining clinical and coronary computed tomographic angiography data was found to predict 5-year all-cause mortality significantly better than existing models

58

Betriana et al. (2021a) [88]

Access to palliative care (PC) by integrating predictive model into a comprehensive clinical framework

Quantitative

North America

1. Improved workflow

2. Improved patient outcomes

A machine learning model can effectively predict the need for in-patient palliative care consult and has been successfully integrated into practice to refer new patients to palliative care

59

Naushad et al. (2018) [89]

Coronary artery disease risk and percentage stenosis prediction models using ensemble machine learning algorithms, multifactor dimensionality reduction and recursive partitioning

Quantitative

Asia

1. High potential for diagnostic accuracy

2. Timely diagnosis

The model exhibited higher predictability both in terms of disease prediction and stenosis prediction

60

Nydert et al. (2017) [90]

Clinical Decision Support System (CDSS) among paediatricians

Qualitative

Europe

Very useful during emergency care

Generally, the system is considered very useful to patient drug management

61

O’Leary et al. (2014) [91]

Support systems in healthcare and the concept of decision support for clinical pathways

Mixed

Europe

1. Reduced medical error

2. Allows for multi-disciplinary intervention

The success of these systems depend on other factors outside of itself

62

Orlenko et al. (2020) [92]

Tree-based Pipeline Optimisation Tool (TPOT) to predict angiographic diagnoses of Coronary Artery Disease (CAD)

Quantitative

Europe

High potential for accurate diagnosis

Phenotypic profile that distinguishes non-obstructive coronary artery disease patients from non-coronary artery disease patients is associated with higher precision

63

Pattarabanjird et al. (2020) [93]

Novel machine learning that combine traditional Cardiac Risk Factors (CRF) with a Single Nucleotide Polymorphism (SNP) in a gene associated with human Coronary Artery Disease severity

Quantitative

North America

1. Could improve diagnostic accuracy

2. Improved workflow

The model improved prediction of coronary artery disease severity

64

Pieszko (2019) [94]

Risk assessment tool based on easily obtained features, including haematological indices and inflammation markers

Quantitative

Europe

1. High diagnostic capacity

2. Improved patient outcomes

The machine-learning model can provide long-term predictions of accuracy comparable or superior to well-validated risk scores

65

Ploug et al. (2021) [95]

Preferences for the performance and explainability of AI decision making in health care

Quantitative

Europe

1. Improved diagnosis and treatment

2. Improved patient outcomes

Physicians must take ultimately responsibility for diagnostics and treatment planning, AI decision support should be explainable, and AI system must be tested for discrimination

66

Polero (2020) [96]

Random forest and elastic net algorithms to improve acute coronary syndrome risk prediction tools

Quantitative

South America

1. High potential for accurate diagnosis

2. Improved turnaround time

Random forest significantly outperformed exiting models and can perform at par with previously developed scoring metrics

67

Prakash and Das (2020) [97]

Factors influencing the uptake and use of intelligent conversational agents in mental healthcare

Qualitative

Asia

1. Improved quality of care

2. Reduced patient waiting time

AI tools have proven efficacious in improving the health outcomes of patients. However, there are inadequate legal regimes to guide usage

68

Pumplun et al. (2021) [98]

Factors that influence the adoption of machine learning systems for medical diagnosis in clinics

Qualitative

Europe

Accurate diagnosis

Many clinics still face major problems in the application of machine learning systems for medical diagnostics

69

Richardson et al. (2021) [99]

Patient views of diverse applications of AI in healthcare

Qualitative

North America

1. Improved patient outcomes

2. Wider range of conditions

3. Accurate diagnosis

Addressing patient concerns relating to AI applications in healthcare is essential for effective clinical implementation

70

Romero-Brufau (2020) [100]

Reduce unplanned hospital readmissions through the use of artificial intelligence-based clinical decision support

Quantitative

North America

1. Reduced readmission rates

2. Improved patient outcome

Six months following a successful application of intervention, readmissions rates decreased by 25%

71

Sarwar et al. (2019) [101]

Perspectives on AI implementation in clinical practice

Quantitative

North America & Europe

1. Facilitates and improves service delivery

2. Accurate diagnosis

3. Improve traditional practice

4. Improve diagnostic capacity

Most respondents envision eventual rollout of AI-tools to complement and not replace physicians in healthcare

72

Scheetz et al. (2021) [102]

Diagnostic performance, feasibility, and end-user experiences of AI assisted diabetic retinopathy

Mixed

Australia

1. Real-time reports

2. Accurate diagnoses

AI in healthcare well-accepted by patients and clinicians

73

Schuh (2018) [103]

Creation and modification of Arden-Syntax-based Clinical Decision Support Systems (CDSSs)

Quantitative

Australia

1. Improved data quality

2. Reduced cost of care

Despite its high utility in patient care, inconsistent electronic data, lack of social acceptance among healthcare personnel, and weak legislative issues remain

74

Sendak (2020) [104]

Integration of a deep learning sepsis detection and management platform, sepsis watch, into routine clinical care

Quantitative

North America

1. Early detection of sepsis

2. Improved workflow

Although there is no playbook for integrating deep learning into clinical care, learning from the sepsis watch integration can inform efforts to develop machines learning technologies at other healthcare delivery systems

75

Sherazi et al. (2020) [105]

Propose a machine learning-based on 1-year mortality prediction model after discharge in clinical patients with acute coronary syndrome

Quantitative

Asia

1. Produced accurate diagnosis

2. Reduced delays in diagnosis

The model would be beneficial for prediction and early detection of major adverse cardiovascular events in acute coronary syndrome patients

76

Sujan et al. (2022) [106]

Views about AI in healthcare

Qualitative

Europe

1. Diagnostic precision

2. Faster services

Safety and assurance of healthcare AI need to be based on a systems approach that expands the current technology-centric focus

77

Tayefi et al. (2017) [107]

Establish a predictive model for coronary heart disease using a decision tree algorithm

Quantitative

Asia

May support accurate and timely diagnosis

Proven to be accurate, specific and sensitive model for identifying the presence of coronary heart disease

78

Terry et al. (2022) [108]

Views about the use of AI tools in healthcare

Qualitative

North America

Improved healthcare

Use of AI in primary healthcare may have a positive impact, but many factors need to be considered regarding its implementation

79

Tscholl et al. (2018) [109]

Perceptions about patient monitoring technology (visual patient) for transforming numerical and waveform data into a virtual model

Mixed

Europe

1. Improved turnaround time

2. Easy to use

3. Effective in non-monitoring care

The new avatar-based technology improves the turnaround time in patient care

80

Uzir et al. (2021) [110]

AI-enabled smartwatch use in healthcare

Quantitative

Asia

1. Significantly reduce large patient attendance

2. Reduced cost and inconvenience of access to essential healthcare

3. Promotes efficient healthcare

4. Very useful during national emergencies

5. Automation of critical health services

6. Promotes personnel care

AI promoting health democracy and personal healthcare

81

van der Heijden (2018) [111]

Incorporation of IDx-diabetes retinopathy (IDx-DR 2.0) in clinical workflow, to detect retinopathy in persons with type 2 diabetes

Quantitative

Europe

1. Improved data

2. Improved patient outcome

3. Quality diagnostic ability

High predictive validity recorded for IDx-DR 2.0 device

82

van der Zander et al. (2022) [112]

Perspectives about AI use in healthcare

Quantitative

Europe

1. Improved quality of care

2. Speed of service

3. Accurate diagnostics

Both patients and physicians hold positive perspectives towards AI in healthcare

83

Velusamy et al. (2021) [113]

Machine learning algorithm to accurately diagnose coronary artery disease

Qualitative

Asia

1. High potential for accurate diagnosis

2. Can improve patient turnaround time

Weighted-average voting algorithm good in reliably discriminating the coronary artery disease patients from healthy ones with high precision, and therefore it can be used for developing a decision support system for diagnosing coronary artery disease at an early stage

84

Visram et al. (2023) [114]

Attitudes towards AI and its future applications in medicine and healthcare

Qualitative

Europe

1. Improved health outcomes

2. Accurate diagnosis

Children and young people to be included in developing AI. This requires an enabling environment for human-centred AI involving children and young people

85

Walter et al. (2020) [115]

Automatic pain recognition (APR) system for the recognition of pain quality

Quantitative

Europe

1. Accurate in detecting pain

2. Helps detect and avoid over or under-supply of analgesics in patients

Automated pain recognition system is useful in managing pain during patient care

86

Wang et al. (2021a) [116]

AI-powered clinical decision support systems in clinical decision-making scenarios

Qualitative

Asia

1. Facilitates diagnostics decisions by clinicians

2. Promotes workflow

3. Improved diagnosis and treatment

4. Improved turnaround time

Despite difficulties, there is a strong and positive expectation about the role of AI- clinical decision support systems in the future

87

Wang et al. (2021b) [117]

Utilisation of social support chatbot for online health community

Mixed

Asia

1. Improved diagnostic and treatment time

2. Improved patient health outcomes

Chatbot architecture social support has proven useful in supporting individual members who seek emotional support

88

Wittal et al. (2022) [118]

Public perception and knowledge of AI use

in healthcare, therapy, and diagnosis

Quantitative

Europe

1. Rapid and accurate diagnoses

2. Longer and better quality of life

Need to improve education and perception of medical AI applications by increasing awareness, highlighting the potentials, and ensuring compliance with guidelines and regulations to handle data protection

89

Xu (2020) [119]

Medical-grade wireless monitoring system based on wearable and artificial intelligence technology

Quantitative

Asia

1. Improved workflow

2. Fast and better diagnosis

The AI tool can provide reliable psychological monitoring for patients in general wards and has the potential to generate more personalised pathophysiological information related to disease diagnosis and treatment

90

Yurdaisik and Aksoy (2021) [120]

Knowledge and attitudes of workers at radiology department towards AI applications

Quantitative

Europe & Asia

1. Saves time

2. Improves workflow

AI applications are very helpful in improving the health outcome of patients

91

Zhai et al. (2021) [121]

Develop and test a model for investigating the factors that drive radiation oncologists’ acceptance of AI contouring technology

Quantitative

Asia

Improved workflow and patient outcome

Clinicians had very high perceptions about AI-assisted technology for radiation contouring

92

Zhang et al. (2020) [122]

Provide Optimal Detection Models for suspected Coronary Artery Disease detection

Quantitative

Asia

1. Promote accurate diagnosis

2. Improve turnaround time

Multi-modal features fusion and hybrid features selection can obtain more effective information for coronary artery disease detection and provide a reference for physicians to diagnosis coronary artery disease patients

93

Zheng et al. (2021) [123]

Clinicians’ and other professional technicians’ familiarity with, attitudes towards, and concerns about AI in ophthalmology

Quantitative

Asia

Improved health outcomes for patients

AI tools are relevant in ophthalmology and would help improve patient health outcomes

94

Zhou et al. (2019) [124]

Examine concordance between the treatment recommendation proposed by Watson for Oncology and actual clinical decisions by oncologists in a cancer centre

Quantitative

Asia

1. Facilitates diagnostics decisions by clinicians

2. Improved diagnostic tests

There is concordance between AI tools and human clinician decisions

95

Zhou et al. (2020) [125]

Develop and internally validate a Laboratory-Based Model with data from a Chinese cohort of inpatients with suspected Stable Chest Pain

Quantitative

Asia

1. Improved diagnostic potential

2. Improved turnaround time

The present model provided a large net benefit compared with coronary artery diseases consortium ½ score (CAD1/2), Duke clinical score, and Forrester score