{"id":"https://openalex.org/W7225087945","doi":"https://doi.org/10.3389/fmed.2026.1980325","title":"Beyond accuracy and time saved: implementation outcomes for generative AI in hospital administrative and clinical-administrative workflows\u2014a mini review","display_name":"Beyond accuracy and time saved: implementation outcomes for generative AI in hospital administrative and clinical-administrative workflows\u2014a mini review","publication_year":2026,"publication_date":"2026-11-02","ids":{"openalex":"https://openalex.org/W7225087945","doi":"https://doi.org/10.3389/fmed.2026.1980325"},"language":"en","primary_location":{"id":"doi:10.3389/fmed.2026.1980325","doi":"https://doi.org/10.3389/fmed.2026.1980325","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fmed.2026.1980325","pdf_url":"https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2026.1980325/pdf","source":{"id":"https://openalex.org/S2597052008","display_name":"Frontiers in Medicine","issn_l":"2296-858X","issn":["2296-858X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Medicine","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2026.1980325/pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5042838102","display_name":"Wang Xieyi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210164142","display_name":"Ningbo No.6 Hospital","ror":"https://ror.org/054qnke07","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210164142"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Xieyi Wang","raw_affiliation_strings":["Ningbo No. 6 Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ningbo No. 6 Hospital","institution_ids":["https://openalex.org/I4210164142"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5085929988","display_name":"Hezhuo Wang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210153915","display_name":"Ningbo University Affiliated Hospital","ror":"https://ror.org/045rymn14","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210153915"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Hezhuo Wang","raw_affiliation_strings":["The Affiliated People\u2019s Hospital of Ningbo University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Affiliated People\u2019s Hospital of Ningbo University","institution_ids":["https://openalex.org/I4210153915"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5085929988"],"corresponding_institution_ids":["https://openalex.org/I4210153915"],"apc_list":{"value":3150,"currency":"CHF","value_usd":3801},"apc_paid":{"value":3150,"currency":"CHF","value_usd":3801},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.768168,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"13","issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11636","display_name":"Artificial Intelligence in Healthcare and Education","score":0.989300012588501,"subfield":{"id":"https://openalex.org/subfields/2718","display_name":"Health Informatics"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11636","display_name":"Artificial Intelligence in Healthcare and Education","score":0.989300012588501,"subfield":{"id":"https://openalex.org/subfields/2718","display_name":"Health Informatics"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.008899999782443047,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10629","display_name":"Health Policy Implementation Science","score":0.0003000000142492354,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/generative-ai","display_name":"generative AI","score":0.968999981880188},{"id":"https://openalex.org/keywords/implementation-outcomes","display_name":"implementation outcomes","score":0.8339999914169312},{"id":"https://openalex.org/keywords/clinical-documentation","display_name":"clinical documentation","score":0.6060000061988831},{"id":"https://openalex.org/keywords/artificial-intelligence-adoption","display_name":"artificial intelligence adoption","score":0.30399999022483826},{"id":"https://openalex.org/keywords/patient-safety","display_name":"patient safety","score":0.625},{"id":"https://openalex.org/keywords/workload","display_name":"workload","score":0.4959999918937683},{"id":"https://openalex.org/keywords/equity-assessment","display_name":"equity assessment","score":0.5640000104904175}],"concepts":[{"id":"https://openalex.org/C177212765","wikidata":"https://www.wikidata.org/wiki/Q627335","display_name":"Workflow","level":2,"score":0.5637000203132629},{"id":"https://openalex.org/C199728807","wikidata":"https://www.wikidata.org/wiki/Q2578557","display_name":"Equity (law)","level":2,"score":0.5220999717712402},{"id":"https://openalex.org/C121193887","wikidata":"https://www.wikidata.org/wiki/Q7431117","display_name":"Schema crosswalk","level":3,"score":0.43059998750686646},{"id":"https://openalex.org/C2779530757","wikidata":"https://www.wikidata.org/wiki/Q1207505","display_name":"Quality (philosophy)","level":2,"score":0.42100000381469727},{"id":"https://openalex.org/C66204764","wikidata":"https://www.wikidata.org/wiki/Q219416","display_name":"Sustainability","level":2,"score":0.41769999265670776},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.4000999927520752},{"id":"https://openalex.org/C120936955","wikidata":"https://www.wikidata.org/wiki/Q2155640","display_name":"Empirical research","level":2,"score":0.3686999976634979},{"id":"https://openalex.org/C44725695","wikidata":"https://www.wikidata.org/wiki/Q288156","display_name":"Normative","level":2,"score":0.36660000681877136},{"id":"https://openalex.org/C2778139618","wikidata":"https://www.wikidata.org/wiki/Q13440398","display_name":"Workforce","level":2,"score":0.33079999685287476},{"id":"https://openalex.org/C111226992","wikidata":"https://www.wikidata.org/wiki/Q626225","display_name":"Teamwork","level":2,"score":0.32690000534057617},{"id":"https://openalex.org/C2778755073","wikidata":"https://www.wikidata.org/wiki/Q10858537","display_name":"Scale (ratio)","level":2,"score":0.3255000114440918},{"id":"https://openalex.org/C2776291640","wikidata":"https://www.wikidata.org/wiki/Q2912517","display_name":"Value (mathematics)","level":2,"score":0.3240000009536743},{"id":"https://openalex.org/C195094911","wikidata":"https://www.wikidata.org/wiki/Q14167904","display_name":"Process management","level":1,"score":0.31189998984336853},{"id":"https://openalex.org/C162118730","wikidata":"https://www.wikidata.org/wiki/Q1128453","display_name":"Actuarial science","level":1,"score":0.30820000171661377},{"id":"https://openalex.org/C42475967","wikidata":"https://www.wikidata.org/wiki/Q194292","display_name":"Operations research","level":1,"score":0.3077000081539154},{"id":"https://openalex.org/C2776007630","wikidata":"https://www.wikidata.org/wiki/Q2798912","display_name":"Accountability","level":2,"score":0.301800012588501},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.2896000146865845},{"id":"https://openalex.org/C21547014","wikidata":"https://www.wikidata.org/wiki/Q1423657","display_name":"Operations management","level":1,"score":0.2890999913215637},{"id":"https://openalex.org/C167966045","wikidata":"https://www.wikidata.org/wiki/Q5532625","display_name":"Generative model","level":3,"score":0.2824999988079071},{"id":"https://openalex.org/C2779328685","wikidata":"https://www.wikidata.org/wiki/Q1475557","display_name":"Patient safety","level":3,"score":0.2808000147342682},{"id":"https://openalex.org/C39890363","wikidata":"https://www.wikidata.org/wiki/Q36108","display_name":"Generative grammar","level":2,"score":0.28060001134872437},{"id":"https://openalex.org/C78244369","wikidata":"https://www.wikidata.org/wiki/Q104840706","display_name":"Added value","level":2,"score":0.2761000096797943},{"id":"https://openalex.org/C2780378061","wikidata":"https://www.wikidata.org/wiki/Q25351891","display_name":"Service (business)","level":2,"score":0.27559998631477356},{"id":"https://openalex.org/C2775924081","wikidata":"https://www.wikidata.org/wiki/Q55608371","display_name":"Control (management)","level":2,"score":0.27489998936653137},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.27000001072883606},{"id":"https://openalex.org/C2777512617","wikidata":"https://www.wikidata.org/wiki/Q1783605","display_name":"Staffing","level":2,"score":0.2669999897480011},{"id":"https://openalex.org/C24756922","wikidata":"https://www.wikidata.org/wiki/Q1757694","display_name":"Data quality","level":3,"score":0.26429998874664307},{"id":"https://openalex.org/C539667460","wikidata":"https://www.wikidata.org/wiki/Q2414942","display_name":"Management science","level":1,"score":0.25940001010894775},{"id":"https://openalex.org/C56739046","wikidata":"https://www.wikidata.org/wiki/Q192060","display_name":"Knowledge management","level":1,"score":0.25279998779296875}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.3389/fmed.2026.1980325","doi":"https://doi.org/10.3389/fmed.2026.1980325","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fmed.2026.1980325","pdf_url":"https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2026.1980325/pdf","source":{"id":"https://openalex.org/S2597052008","display_name":"Frontiers in Medicine","issn_l":"2296-858X","issn":["2296-858X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Medicine","raw_type":"journal-article"},{"id":"pmh:oai:doaj.org/article:5c1c76a97af64287a6bb329d81cbff38","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/5c1c76a97af64287a6bb329d81cbff38","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Frontiers in Medicine, Vol 13 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.3389/fmed.2026.1980325","doi":"https://doi.org/10.3389/fmed.2026.1980325","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fmed.2026.1980325","pdf_url":"https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2026.1980325/pdf","source":{"id":"https://openalex.org/S2597052008","display_name":"Frontiers in Medicine","issn_l":"2296-858X","issn":["2296-858X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9391000270843506,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225087945.pdf","grobid_xml":"https://content.openalex.org/works/W7225087945.grobid-xml"},"referenced_works_count":37,"referenced_works":["https://openalex.org/W2008928249","https://openalex.org/W2110034024","https://openalex.org/W2119679249","https://openalex.org/W2120079020","https://openalex.org/W2140092196","https://openalex.org/W2765304416","https://openalex.org/W2922577842","https://openalex.org/W4307846395","https://openalex.org/W4392986561","https://openalex.org/W4402909345","https://openalex.org/W4403603479","https://openalex.org/W4404485589","https://openalex.org/W4408301229","https://openalex.org/W4408718915","https://openalex.org/W4409251521","https://openalex.org/W4409983988","https://openalex.org/W4412003761","https://openalex.org/W4412491182","https://openalex.org/W4414661911","https://openalex.org/W4415260223","https://openalex.org/W4416715849","https://openalex.org/W7123937002","https://openalex.org/W7124675377","https://openalex.org/W7126180936","https://openalex.org/W7128814652","https://openalex.org/W7130517502","https://openalex.org/W7131629535","https://openalex.org/W7134139204","https://openalex.org/W7154287414","https://openalex.org/W7160495950","https://openalex.org/W7160699917","https://openalex.org/W7161135304","https://openalex.org/W7161805709","https://openalex.org/W7162453824","https://openalex.org/W7163806706","https://openalex.org/W7165906970","https://openalex.org/W7213552002"],"related_works":["https://openalex.org/W7223567092","https://openalex.org/W7216207586","https://openalex.org/W7202256140","https://openalex.org/W7211887305","https://openalex.org/W7214524164","https://openalex.org/W4410075943","https://openalex.org/W7117464245","https://openalex.org/W7214638307","https://openalex.org/W7160926451","https://openalex.org/W6947992429"],"abstract_inverted_index":{"Although":[0],"hospitals":[1],"are":[2],"introducing":[3],"generative":[4],"artificial":[5],"intelligence":[6],"(GenAI)":[7],"into":[8],"documentation,":[9],"messaging,":[10],"and":[11,16,32,75,81,97,113,123,133,168,176,188,214],"administrative":[12,73],"workflows,":[13],"model":[14],"accuracy":[15],"time":[17],"saved":[18],"do":[19],"not":[20,101,199],"establish":[21],"safe":[22],"or":[23,44],"sustainable":[24],"implementation.":[25],"This":[26,159],"Mini":[27],"Review":[28],"examines":[29],"which":[30],"implementation":[31,83],"downstream":[33,98],"outcomes":[34,99],"should":[35],"inform":[36],"decisions":[37],"to":[38,155],"pilot,":[39],"scale":[40],"up,":[41],"sustain,":[42],"modify,":[43],"discontinue":[45],"these":[46,153],"workflows.":[47],"A":[48],"PubMed-led":[49],"structured":[50],"narrative":[51],"search":[52],"through":[53],"25":[54],"August":[55],"2026,":[56],"with":[57,110,172],"an":[58,141,195],"update":[59],"on":[60],"27":[61],"August,":[62],"informed":[63,85],"a":[64,147,200],"purposive":[65],"core":[66],"of":[67,88],"17":[68],"empirical":[69],"studies:":[70],"seven":[71],"direct":[72],"studies":[74],"10":[76],"clinical-administrative":[77],"studies.":[78],"Supporting":[79],"reviews":[80],"established":[82],"frameworks":[84],"the":[86,89],"interpretation":[87],"findings.":[90],"Perceived":[91],"workload,":[92],"logged":[93],"efficiency,":[94],"adoption,":[95],"safety,":[96,211],"did":[100],"improve":[102],"consistently":[103],"together.":[104],"Favourable":[105],"average":[106],"quality":[107],"could":[108],"coexist":[109],"consequential":[111],"errors":[112],"substantial":[114],"verification":[115],"work.":[116],"Within":[117],"this":[118],"selected":[119],"core,":[120],"cost,":[121],"penetration,":[122],"sustainability":[124],"were":[125],"measured":[126],"less":[127],"often":[128],"than":[129],"early":[130],"fit,":[131],"use,":[132],"feasibility.":[134],"No":[135],"study":[136],"was":[137],"coded":[138],"as":[139],"providing":[140],"operationalised":[142],"equity":[143],"assessment.":[144],"We":[145],"present":[146],"literature-informed":[148],"outcome-to-decision":[149],"crosswalk":[150,193],"that":[151],"links":[152],"findings":[154],"clinical":[156],"workflow":[157],"governance.":[158],"distinguishes":[160],"non-compensable":[161],"stop":[162,179],"rules":[163,180],"from":[164],"minimum":[165],"progression":[166],"criteria":[167],"comparative":[169],"value":[170,205],"targets,":[171],"explicit":[173],"ownership,":[174],"denominators":[175],"reassessment.":[177],"Illustrative":[178],"address":[181],"serious":[182],"uncorrected":[183],"errors,":[184],"unauthorised":[185],"data":[186],"disclosure":[187],"bypassed":[189],"human":[190],"review.":[191],"The":[192],"is":[194],"unvalidated":[196],"normative":[197],"synthesis,":[198],"universal":[201],"stage":[202],"model.":[203],"Its":[204],"requires":[206],"prospective":[207],"testing":[208],"against":[209],"patient":[210],"workforce":[212],"burden":[213],"service":[215],"outcomes.":[216]},"counts_by_year":[],"updated_date":"2026-11-05T12:25:35.769452","created_date":"2026-11-03T00:00:00"}