Electronic Health (eHealth) and Artificial Intelligence-based Tools to Optimize In-hospital Patient Flow: A Scoping Review.

Objectives: Congested hospitals are increasingly common. Electronic health (eHealth) and artificial intelligence (AI)-based tools may improve in-hospital patient flow, however their implementation into practice varies. This study aims to identify and synthesize evidence on implementing eHealth and A...

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Publicado en:Journal of Patient Safety Vol. 21; no. 6; pp. 409 - 424
Autores principales: Thomas, Abigail C.R., Giroux, Emily E., Soril, Lesley J.J., Sauro, Khara M.
Formato: research systematic review tables/charts Journal Article
Publicado: Lippincott Williams & Wilkins Sep2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2025
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      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
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        atl: Electronic Health (eHealth) and Artificial Intelligence-based Tools to Optimize In-hospital Patient Flow: A Scoping Review.
      aug:
        au:
          Thomas, Abigail C.R.
          Giroux, Emily E.
          Soril, Lesley J.J.
          Sauro, Khara M.
        affil: University of Calgary, Calgary, AB
      sug:
        subj:
          Digital Health
          Artificial Intelligence
          Workflow
          Hospital Programs
          Health Facility Administration
          Program Implementation
          Program Evaluation
          Human
          Scoping Review
          Health Care Delivery
          Quality Improvement
          Inpatients
          Natural Language Processing
          United States
          Health Facility Environment
          Machine Learning
          Bed Occupancy
          Organizational Efficiency
          Implementation Science
          Medline
          Embase
          CINAHL Database
          Descriptive Statistics
          Brazil
          Canada
          Outcomes (Health Care)
          Funding Source
      ab: Objectives: Congested hospitals are increasingly common. Electronic health (eHealth) and artificial intelligence (AI)-based tools may improve in-hospital patient flow, however their implementation into practice varies. This study aims to identify and synthesize evidence on implementing eHealth and AI-based tools to manage in-hospital patient flow. Methods: Structured language and keywords related to patient flow and eHealth or AI-based tools were searched in five databases. Studies were eligible if they reported barriers or facilitators (determinants) to implementing eHealth and/or AI-based tools, and/or key metrics for patient flow. Study characteristics, tool characteristics, study population, setting, and outcome measures were abstracted. Information related to determinants of implementation were categorized using the Theoretical Domains Framework and interventions were mapped to the Expert Recommendations for Implementing Change Taxonomy. Results: Twenty-five studies were included; 40% were quasiexperimental studies and most (n=19) were conducted in the United States. Four categories of tools were identified with imbedding eHealth or AI-based tools into an existing electronic medical or health record being the most common. Barriers to tool implementation were commonly linked to the environmental context and resources (n=5), while facilitators were linked to social influence (n=4). Conclusions: This scoping review classified the reported barriers and facilitators to implementing eHealth and AI-based tools to improve in-hospital patient flow. Future research on in-hospital patient flow should adopt the identified measures when reporting tool effectiveness. To improve implementation efforts, more consistent reporting of determinants of tool implementation is needed.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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