PMID- 36454624 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20221219 IS - 1929-0748 (Print) IS - 1929-0748 (Electronic) IS - 1929-0748 (Linking) VI - 11 IP - 12 DP - 2022 Dec 1 TI - Integration of Artificial Intelligence Into Sociotechnical Work Systems-Effects of Artificial Intelligence Solutions in Medical Imaging on Clinical Efficiency: Protocol for a Systematic Literature Review. PG - e40485 LID - 10.2196/40485 [doi] LID - e40485 AB - BACKGROUND: When introducing artificial intelligence (AI) into clinical care, one of the main objectives is to improve workflow efficiency because AI-based solutions are expected to take over or support routine tasks. OBJECTIVE: This study sought to synthesize the current knowledge base on how the use of AI technologies for medical imaging affects efficiency and what facilitators or barriers moderating the impact of AI implementation have been reported. METHODS: In this systematic literature review, comprehensive literature searches will be performed in relevant electronic databases, including PubMed/MEDLINE, Embase, PsycINFO, Web of Science, IEEE Xplore, and CENTRAL. Studies in English and German published from 2000 onwards will be included. The following inclusion criteria will be applied: empirical studies targeting the workflow integration or adoption of AI-based software in medical imaging used for diagnostic purposes in a health care setting. The efficiency outcomes of interest include workflow adaptation, time to complete tasks, and workload. Two reviewers will independently screen all retrieved records, full-text articles, and extract data. The study's methodological quality will be appraised using suitable tools. The findings will be described qualitatively, and a meta-analysis will be performed, if possible. Furthermore, a narrative synthesis approach that focuses on work system factors affecting the integration of AI technologies reported in eligible studies will be adopted. RESULTS: This review is anticipated to begin in September 2022 and will be completed in April 2023. CONCLUSIONS: This systematic review and synthesis aims to summarize the existing knowledge on efficiency improvements in medical imaging through the integration of AI into clinical workflows. Moreover, it will extract the facilitators and barriers of the AI implementation process in clinical care settings. Therefore, our findings have implications for future clinical implementation processes of AI-based solutions, with a particular focus on diagnostic procedures. This review is additionally expected to identify research gaps regarding the focus on seamless workflow integration of novel technologies in clinical settings. TRIAL REGISTRATION: PROSPERO CRD42022303439; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=303439. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/40485. CI - (c)Katharina Wenderott, Nikoloz Gambashidze, Matthias Weigl. Originally published in JMIR Research Protocols (https://www.researchprotocols.org), 01.12.2022. FAU - Wenderott, Katharina AU - Wenderott K AUID- ORCID: 0000-0002-6335-4231 AD - Institute for Patient Safety, University Hospital Bonn, Bonn, Germany. FAU - Gambashidze, Nikoloz AU - Gambashidze N AUID- ORCID: 0000-0001-8113-0963 AD - Institute for Patient Safety, University Hospital Bonn, Bonn, Germany. FAU - Weigl, Matthias AU - Weigl M AUID- ORCID: 0000-0003-2408-1725 AD - Institute for Patient Safety, University Hospital Bonn, Bonn, Germany. LA - eng PT - Journal Article DEP - 20221201 PL - Canada TA - JMIR Res Protoc JT - JMIR research protocols JID - 101599504 PMC - PMC9756121 OTO - NOTNLM OT - adoption OT - artificial intelligence OT - barrier OT - clinical care OT - clinical efficiency OT - diagnoses OT - diagnosis OT - diagnostic OT - digital health OT - facilitator OT - implementation OT - library science OT - literature review OT - literature search OT - medical librarian OT - narrative review OT - narrative synthesis OT - review methodology OT - search strategy OT - sociotechnical OT - sociotechnical work system OT - systematic review COIS- Conflicts of Interest: None declared. EDAT- 2022/12/02 06:00 MHDA- 2022/12/02 06:01 PMCR- 2022/12/01 CRDT- 2022/12/01 11:53 PHST- 2022/06/23 00:00 [received] PHST- 2022/10/20 00:00 [accepted] PHST- 2022/09/16 00:00 [revised] PHST- 2022/12/01 11:53 [entrez] PHST- 2022/12/02 06:00 [pubmed] PHST- 2022/12/02 06:01 [medline] PHST- 2022/12/01 00:00 [pmc-release] AID - v11i12e40485 [pii] AID - 10.2196/40485 [doi] PST - epublish SO - JMIR Res Protoc. 2022 Dec 1;11(12):e40485. doi: 10.2196/40485.