AI可显著降低农村用药错误,提升医疗安全。
Improving Rural Medication Safety with AI: A Scoping Review
- 利用机器学习等AI技术监控用药全流程
- 可减少34%至80%的开药与转录错误
- 适合资源有限的农村医疗场景
药物错误对全球医疗系统构成重大威胁,导致患者伤害。在农村医疗中引入人工智能(AI)可提升患者安全。本研究通过系统文献检索(2012–2025年)分析了来自九个国家的12项主要研究,探讨AI在农村医疗中预防药物错误的应用与效果。结果显示,AI已应用于从处方、配药到给药及后续监测的各个环节。四类关键发现包括:(1)使用的AI类型(如临床决策支持系统、机器学习、自然语言处理、智能输注泵);(2)受影响的用药阶段;(3)减少错误并提升流程安全的效果;(4)农村特有挑战,如基础设施不足、人员培训缺乏、系统整合困难和警报疲劳。多项研究证实,基于机器学习的监控可显著提升事件检测率,使开药与转录错误降低34%至80%。但治理框架缺失、经费不足和医务人员抵触仍是主要障碍。结论指出,AI在农村医疗中具有巨大潜力,可实现数据驱动的监测、流程自动化与临床决策辅助。
原文摘要 · Abstract (English)
Introduction: Medication errors (MEs) represent a significant threat to global healthcare systems, contributing to patient harm. Introducing artificial intelligence (AI) in rural healthcare enhances patient safety. The aim is to explore the applications and effectiveness of AI technologies in enhancing patient safety and reducing medication errors in rural health settings. Methods: A scoping review was conducted through a systematic literature search spanning 2012 to 2025 across multiple databases, including EBSCohost, Emcare (Ovid), MEDLINE, and the ProQuest Consumer Health Database. Twelve primary studies from nine different nations were examined. Data were analysed thematically to obtain insights on AI interventions across the medication process. Results: AI technologies have been integrated into every stage of medication management, right from prescribing and dispensing to administration and post-administration monitoring. Four key themes came to light: (1) the various types of AI being utilised (like Clinical Decision Support Systems, Machine Learning, Natural Language Processing, and smart pumps); (2) the phases of the medication process that are affected; (3) how effective these technologies are in minimising errors and boosting workflow safety; and (4) rural-specific challenges including infrastructure, staff training, system integration, and alert fatigue. Several studies have demonstrated that machine learning-based surveillance improves incident detection and reduces prescribing and transcription errors by an impressive 34% to 80%. Barriers included lack of governance frameworks, financial limitations, and clinician resistance, which still present major obstacles. Conclusion: In rural healthcare, AI technologies hold great potential for enhancing pharmaceutical safety. They can allow data-driven monitoring, automate processes, and offer clinical decision assistance.
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