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| Name | Class |
|---|---|
| Jinan Central Hospital | OTHER |
| Qingdao Municipal Hospital | OTHER |
| Tianjin Medical University General Hospital | OTHER |
| The First Hospital of Hebei Medical University |
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This study will evaluate the accuracy and efficiency of large language model in emergency triage.
The study is to evaluate the value of large language model in emergency triage, their accuracy and efficiency were evaluated and compared with traditional triage. To explore whether the model can effectively reduce the workload of medical staff, while improving the speed and quality of triage. In addition, the ability of the model to predict serious medical events such as acute heart events and strokes was evaluated. It also included surveys of patients; acceptance and satisfaction with the use of the artificial intelligence-assisted triage system. Analyze the economic benefits of adopting this technology, including cost saving and optimal allocation of resources.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Large Language Model Diagnostic | Experimental | Patients interacted with the large-language model triage system MedGuide-V5 during the waiting period before or after routine triage in the emergency department. During this phase, MedGuide-V5 will automatically record data and metrics during communication with patients. |
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| Routine diagnostic and therapeutic procedure | Active Comparator | After the artificial intelligence system evaluation, the patients will receive the diagnosis and treatment according to the normal procedure. The overall time of artificial triage, the triage of patients, and other data will be recorded. Patient visits should not be delayed by the use of artificial intelligence systems for evaluation. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Application of large language model in emergency chest pain triage. | Diagnostic Test | The large language model MedGuide-V5 is able to quickly extract key information from a patients description, and by analyzing these descriptions, it provides physicians with a possible initial diagnosis to help them quickly prioritize the treatment of patients. |
| Measure | Description | Time Frame |
|---|---|---|
| The Diagnostic Accuracy Rate of MedGuide-V5 | To assess the consistency of the diagnosis of chest pain made by physicians with the assistance of large language models with the actual diagnosis made by patients after all examinations were completed. | through study completion, an average of 10 months |
| Measure | Description | Time Frame |
|---|---|---|
| The Satisfaction of Medical Personnel | To evaluate the satisfaction and acceptance of medical personnel with the use of large language models in assisting triage systems through methods such as questionnaire surveys. The name of this questionnaire is: Researcher Evaluation Form, with scores ranging from 1 to 10. The higher the score, the more helpful the large language model is to researchers. | during evaluation |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Xiangbin Meng | Contact | 17600220171 | puthxnk@126.com |
| Name | Affiliation | Role |
|---|---|---|
| Yi-Da Tang, MD, PhD | Peking University Third Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Peking University Third Hospital | Recruiting | Beijing | Beijing Municipality | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 42310091 | Derived | Wang X, Wang W, Li L, Wang J, Yan X, Li PP, Lv J, Yu C, Liu D, Shao C, Chen J, Zhang K, Xu H, Wang G, Zheng M, Miao M, Xin S, Wu C, Wu Y, Luo H, Meng X. Large language models for acute coronary syndrome triage at first medical contact in emergency departments. NPJ Digit Med. 2026 Jun 17. doi: 10.1038/s41746-026-02904-y. Online ahead of print. |
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| ID | Term |
|---|---|
| D002637 | Chest Pain |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| OTHER |
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| According to the normal procedures to receive medical treatment | Diagnostic Test | After the artificial intelligence system evaluation, the patients will receive the diagnosis and treatment according to the normal procedure. The overall time of artificial triage, the triage of patients, and other data will be recorded. Patient visits should not be delayed by the use of artificial intelligence systems for evaluation. |
|
| Medical Personnel Treatment Plan Adjustment Rate | The number of times medical personnel adjust treatment plans after receiving feedback from MedGuide V5's results and referring to the suggestions provided by the large language model. | during evaluation |
| Emergency Department Revisit Rate within 30 Days | Evaluate the occurrence of patients revisiting the emergency department or being readmitted within 30 days after large language model-assisted triage and traditional triage. | during evaluation |