Falls Risk
Conditions
Keywords
Artificial Intelligence trust, Artificial Intelligence acceptance, Artificial Intelligence
Brief summary
An exploratory mixed-method study will be conducted to test acceptance and trust of an AI-powered falls risk predictor system by inpatient hospital nurses
Detailed description
This protocol covers the trial component of a 4-year PhD research study covering focus group discussions with nurses on AI risk systems, workshops to gather feedback on the AI system and feasibility testing in a simulated environment and clinical environment
Interventions
FAIR is an alert system built into the hospital's electronic medical record system. It is an adaptation of a machine learning model for fall risk calculation built in another hospital in Singapore. FAIR combines multiple patient-specific variables to identify if a patient is at increased risk of falling during their inpatient stay, marking them as a 'falls risk'. Based on the 'flag' raised, the nurse will be instructed to prioritise her falls risk assessment of the patient (If deemed 'high risk') or to do so subsequently as a lower priority once other pressing patient care issues are resolved (if deemed 'low risk'). That way, it ensures the requirements of each patient receiving a falls risk assessment as scored through mWHeFRA are still met, with FAIR allowing nurses to better prioritise their focus and attention on the patient that most needs the assessment at point of admission,
The mWHeFRA is the hospital's standard falls risk assessment tool. All nurses are expected to be proficient in its use to guide their risk assessment of patients
Sponsors
Study design
Intervention model description
Two phases of interventional study. First is a parallel arm study comparing nurse acceptance and trust in intervention vs control arm in simulation lab setting.
Eligibility
Inclusion criteria
* Practicing nurse involved in falls risk assessments of patients
Exclusion criteria
\-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of FAIR's flag acceptance | 1 Day of Study | Examination of how often the flags raised by FAIR are accepted by nurses, and whether they are accepted or ignored correctly. |
| Time taken to do falls risk assessment | 1 Day of Study | The time taken by the nurses to perform their falls risk assessment will be recorded |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Time spent looking at FAIR | 1 Day of Study | The time each nurses takes looking at the FAIR falls risk assessment will be assessed |
| Baseline and Post-Simulation Nurse trust and acceptance of FAIR | Baseline | Measured by the adapted Unified Theory of Acceptance and Use of Technologies and System Usability Survey, adjusted to better capture the key predictors of nurse acceptance |