Patient and Consumer Safety Risks When Using Conversational Assistants for Medical Information: An Observational Study of Siri, Alexa, and Google Assistant.
Patient and Consumer Safety Risks When Using Conversational Assistants for Medical Information: An Observational Study of Siri, Alexa, and Google Assistant.
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DOI：
10.2196/11510
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发表时间：
2018-09-04
影响因子：
7.4
通讯作者：
Cruz R
中科院分区：
文献类型：
--
作者：
Bickmore TW;Trinh H;Olafsson S;O'Leary TK;Asadi R;Rickles NM;Cruz R
Siri、Alexa 和 Google Assistant 等会话助理无处不在，并开始被用作医疗服务的门户。然而，患者和消费者使用对话助手获取医疗信息的潜在安全问题尚不明确。确定患者或消费者使用对话助理获取医疗信息可能造成的伤害的普遍性和性质。参与者需要向 Siri、Alexa 或 Google Assistant 提出医疗问题，并要求根据系统信息确定要采取的行动。任务和系统的分配在参与者之间是随机的，参与者用自己的话询问对话助理，根据需要进行多次尝试，直到他们报告要采取的行动或放弃。使用医疗保健研究和质量伤害量表对参与者报告的每项医疗任务的行为进行了对患者伤害的评估。 54 名受试者完成了研究，平均年龄为 42 岁 (SD 18)。 29 名 (54%) 为女性，31 名 (57%) 为白人，26 名 (50%) 受过大学教育。只有 8 人 (15%) 表示经常使用对话助理，而 22 人 (41%) 从未使用过对话助理，24 人 (44%) 曾“尝试过几次”。四十四 (82%) 经常使用计算机。受试者仅能完成 394 项任务中的 168 项（43%）。其中，49 例 (29%) 报告称其行为可能导致某种程度的患者伤害，其中 27 例 (16%) 可能导致死亡。依赖对话助理获取可操作的医疗信息对患者和消费者来说存在安全风险。应警告患者，在未经医疗保健提供者进一步咨询的情况下，不要使用这些技术来回答他们打算采取行动的医疗问题。
Conversational assistants, such as Siri, Alexa, and Google Assistant, are ubiquitous and are beginning to be used as portals for medical services. However, the potential safety issues of using conversational assistants for medical information by patients and consumers are not understood. To determine the prevalence and nature of the harm that could result from patients or consumers using conversational assistants for medical information. Participants were given medical problems to pose to Siri, Alexa, or Google Assistant, and asked to determine an action to take based on information from the system. Assignment of tasks and systems were randomized across participants, and participants queried the conversational assistants in their own words, making as many attempts as needed until they either reported an action to take or gave up. Participant-reported actions for each medical task were rated for patient harm using an Agency for Healthcare Research and Quality harm scale. Fifty-four subjects completed the study with a mean age of 42 years (SD 18). Twenty-nine (54%) were female, 31 (57%) Caucasian, and 26 (50%) were college educated. Only 8 (15%) reported using a conversational assistant regularly, while 22 (41%) had never used one, and 24 (44%) had tried one “a few times.“ Forty-four (82%) used computers regularly. Subjects were only able to complete 168 (43%) of their 394 tasks. Of these, 49 (29%) reported actions that could have resulted in some degree of patient harm, including 27 (16%) that could have resulted in death. Reliance on conversational assistants for actionable medical information represents a safety risk for patients and consumers. Patients should be cautioned to not use these technologies for answers to medical questions they intend to act on without further consultation from a health care provider.
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影响因子：
2.6
作者：
Chang, A;Schyve, PM;Loeb, JM
通讯作者：
Loeb, JM
影响因子：
7.4
作者：
Sillice MA;Morokoff PJ;Ferszt G;Bickmore T;Bock BC;Lantini R;Velicer WF
通讯作者：
Velicer WF
影响因子：
7.4
作者：
Morris RR;Kouddous K;Kshirsagar R;Schueller SM
通讯作者：
Schueller SM
影响因子：
7.4
作者：
Levin E;Levin A
通讯作者：
Levin A
影响因子：
--
作者：
Magnani JW;Schlusser CL;Kimani E;Rollman BL;Paasche-Orlow MK;Bickmore TW
通讯作者：
Bickmore TW