Safety, quality & education

Artificial Intelligence-Guided Bronchoscopy is Superior to Human Expert Instruction for the Performance of Critical-Care Physicians: A Randomized Controlled Trial

Crit Care MedPublished Randomised controlled trial

Primary result · MITResult — go to the resultMedian difference −7.9 s

Authors' conclusion

Training using an AI system resulted in faster and more efficient bronchoscopy performance by critical-care physicians when compared to expert human tutor instruction.

Study context

Population
Critical-care physicians, simulated setting
Participants
40 physicians
Comparison
Artificial intelligence (AI)-guided bronchoscopy training vs expert tutor feedback
  • AIGn = 19
  • ETGn = 21reference
Primary endpoint
MIT, a measure of bronchoscopic performance efficiency
Methodological detailsnonblinded, parallel group, simulated setting, single academic university hospital
  • Nonblinded
  • Parallel group
  • Simulated setting
  • Single academic university hospital

Primary result

MIT

Median difference

−7.9 s

0.027

As reported in the abstract

Secondary outcomes

OutcomeEstimateP value
Procedure time (PT)Moderate effect size (0.36)median difference −77 s0.022
Segments revisited (SR)Moderate effect size (0.37)median difference −7 segments0.019

Diagnostic completeness (DC), structured progress (SP)

No significant difference between the groups for all other final test measures

Original publication

Artificial Intelligence-Guided Bronchoscopy is Superior to Human Expert Instruction for the Performance of Critical-Care Physicians: A Randomized Controlled Trial. Crit Care Med. Published 20 March 2025. doi:10.1097/ccm.0000000000006629

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