Friday, August 22, 2025

AI + Front-Line Teams: Co-Designing the Future of Care

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In the past week, I had the privilege of working with ChatGPT-5 to co-create a browser-based Emergency Department Triage AI prototype.

👉 This tool doesn’t replace clinicians—it partners with them.
It:
Captures vitals, red flags, and resource predictions
Suggests an ESI-like triage level with transparent reasoning
Always requires clinician judgment and allows overrides
Exports structured triage notes and JSON records
Runs entirely in the browser (no PHI leaves the page)
But here’s the real breakthrough: ChatGPT can rapidly adapt these tools to hospital-specific policies and co-design them with front-line nurses, physicians, and techs.

💡 The result? Safer care, faster throughput, stronger trust, and measurable improvements in patient experience.

This is just the beginning. Hospitals that empower their staff to co-design AI will lead the way in emergency care, surgical readiness, outpatient efficiency, and even homecare monitoring.

I’m excited to recommend that hospitals bring their front-line teams into direct partnership with AI tools like this. The gains will be real, measurable, and lifesaving.

Here is ChatGPT5's guide for effective Co-Design of web based clinical decision-support tools:

Co-Design Playbook for Hospital AI Tools
(Triage, Assessment, Placement, Treatment, and Homecare)
Guiding Principles

Front-line first: Nurses, physicians, and techs lead the design process

Transparency & explainability: Every suggestion shows its “why,” with clear clinician override

Safety over speed: Pilot, validate, and measure before scaling
Customization, not off-the-shelf: AI adapts to your workflows, thresholds, and policies

Stages of Co-Design
Discovery & Mapping – Document workflows, capture pain points, identify quick wins

Prototype & Simulation – Build browser-based tools, simulate with staff, gather feedback

Shadow Pilots – Run in parallel with current workflows, compare, and refine

Validation & Governance – Formal review, audit trails, FDA guidance alignment

Scale & Sustain – Roll out in phases, train staff, monitor outcomes
Roles & Responsibilities

Clinicians: Define needs, test prototypes, flag risks

Consultants: Bridge tech and clinical domains, ensure safety

IT & Data Teams: Manage integrations and security

Leadership: Set policy, allocate resources, champion co-design

AI Partner (ChatGPT): Build, adapt, explain, iterate under clinical direction
Quick Wins

ED: Triage support, handoff notes, resource prediction
Surgical: Pre-op risk stratification, post-op monitoring prompts
Outpatient: Referral optimization, escalation alerts
Homecare: Daily logs, anomaly detection, caregiver notes

Call to Action
Hospitals that empower front-line teams to co-design with AI partners will achieve:
✅ Faster throughput with fewer errors
✅ Stronger clinician trust and adoption
✅ Measurable gains in patient safety and experience

#Hospitals #EmergencyServices #EmergencyProvider #NursingLeader #EmergencyNursing

Build your own Triage AI!

 

In less than five minutes ChatGPT 5 built a web-based HIPPA compliant ED AI Triage that takes some basic information and yields probable treatments required and an ESI level. This is a great tool in the hands of a veteran triage RN, NP and Physician. And probably more valuable to a non-ER clinician trying to determine what the appropriate next step for their patient is. This includes a note with details that can be communicated from ambulance or clinic to the ER, and inpatient bed management.


5 minutes. It created the code and built the online model.

5 MINUTES.


Think what can be done by the Emergency team and their hospital's PI specialist using chatGPT5 to build their own online web-based HIPPA compliant tools!


FIVE MINUTES!!


Next steps would be bench-testing with real patient information against several patient's actual ER / Inpatient pathway and outcomes. And then iterative refinements, teaching Chat exactly what you need, adding functions and refinements, and working together to get the inputs, decision-rules, reports and recommendations output just right.


No excuses, no fancy consultants needed. No code programming needed at all.


Come on Hospital Team, let's do this! Don't be afraid of the future! Master it!


#PerformanceImprovement

#HospitalLeader #HospitalExecutive #EmergencyLeader #EmergencyPhysician #NursingLeader #NursingExecutive #EmergencyNursing