Background:
Digital transformation in healthcare, particularly Artificial Intelligence (AI), has created significant opportunities to enhance emergency medical services. However, the clinical effectiveness and public health impact of AI in emergency contexts require comprehensive evidence synthesis.
Methods: This systematic review was conducted following PRISMA 2020 guidelines. Literature searches were performed across six databases (PubMed, Scopus, Web of Science, IEEE Xplore, CINAHL, Google Scholar) for publications from 2015 to 2025. Nine empirical studies met the inclusion criteria after rigorous selection.
Results: AI demonstrated high diagnostic accuracy (85–96%) for acute conditions such as intracranial hemorrhage and sepsis. AI implementation reduced sepsis mortality by 17% in facilities with high digital maturity. However, medical chatbots showed low accuracy (58%) and potential for harmful recommendations. Ethical issues, algorithmic bias, and infrastructure readiness emerged as major challenges.
Conclusion: AI has the potential to improve the accuracy and efficiency of emergency services, but its success depends on infrastructure readiness, ethical governance, and targeted implementation strategies.
- 1. Silcox C, Zimlichman E, Huber K, Rowen N, Saunders R, McClellan M, et al. The potential for artificial intelligence to transform healthcare: perspectives from international health leaders. NPJ Digit Med. 2024;7. Available from: https://doi.org/10.1038/s41746-024-01097-6.
- 2. Kachman M, Brennan I, Oskvarek J, Waseem T, Pines JM. How artificial intelligence could transform emergency care. Am J Emerg Med. 2024;72:1-8. Available from: https://doi.org/10.1016/j.ajem.2024.04.001.
- 3. Yun TJ. Deep learning based automatic detection algorithm for acute intracranial haemorrhage: a pivotal randomized clinical trial. NPJ Digit Med. 2023;1–10. Available from: https://doi.org/10.1038/s41746-023-00798-8.
- 4. Kwong J, Nickel G, Wang SCY, Kvedar J. Integrating artificial intelligence into healthcare systems: more than just the algorithm. NPJ Digit Med. 2024;7:45. Available from: https://doi.org/10.1038/s41746-024-00987-1.
- 5. Syrowatka A, Kuznetsova M, Alsubai A, Beckman AL, Bain P, Craig K, et al. Leveraging artificial intelligence for pandemic preparedness and response: a scoping review to identify key use cases. NPJ Digit Med. 2021;4:96. Available from: https://doi.org/10.1038/s41746-021-00427-2.
- 6. El Arab RA, Al Moosa OA. The role of AI in emergency department triage: An integrative systematic review. Intensive Crit Care Nurs. 2025;79:103567. Available from: https://doi.org/10.1016/j.iccn.2025.103567.
- 7. Yau JY, Saadat S, Hsu E, Suk-ling L, Roh JS, Suchard J, et al. Accuracy of Prospective Assessments of 4 Large Language Model Chatbot Responses to Patient Questions About Emergency Care: Experimental Comparative Study. JMIR. 2024;26:1–15. Available from: https://doi.org/10.2196/60291.
- 8. Tang KJW, Ang CKE, Constantinides T, Rajinikanth V, Acharya UR, Cheong KH. Artificial Intelligence and Machine Learning in Emergency Medicine. Biocybern Biomed Eng. 2021;41(1):1-15. Available from: https://doi.org/10.1016/j.bbe.2020.12.001.
- 9. Adam H, Balagopalan A, Ghassemi M, Alsentzer E, Christia F. intelligence in emergency decision-making. Nat Commun. 2022. Available from: https://doi.org/10.1038/s43856-022-00214-4.
- 10. Morgenstern JD, Rosella LC, Daley MJ, Goel V, Schünemann HJ, Piggott T. "AI's gonna have an impact on everything in society, so it has to have an impact on public health": a fundamental qualitative descriptive study of the implications of artificial intelligence for public health. BMC Public Health. 2021;1–14.
- 11. Ouanes K, Farhah N. Effectiveness of Artificial Intelligence (AI) in Clinical Decision Support Systems and Care Delivery. J Med Syst. 2024;48(1):74. Available from: https://doi.org/10.1007/s10916-024-02098-4.
- 12. Jiang F, Jiang Y, Zhi H, Dong Y, Li H, Ma S, et al. Artificial intelligence in healthcare: past, present and future. Stroke Vasc Neurol. 2017;2(4):230-243.
- 13. Paslı S, Sahin AS, Beser MF, Topçuoğlu H, Yadigaroğlu M, Imamoğlu M. Assessing the precision of artificial intelligence in emergency department triage decisions: Insights from a study with ChatGPT. Am J Emerg Med. 2024;72:9-15. Available from: https://doi.org/10.1016/j.ajem.2024.01.001.
- 14. Garrido NJ, González-Martínez F, Torres AM, Blasco-Segura P, Losada S, Plaza A, et al. Role of Artificial Intelligence in Identifying Vital Biomarkers with Greater Precision in Emergency Departments During Emerging Pandemics. Int J Mol Sci. 2025;26(1):123. Available from: https://doi.org/10.3390/ijms26010123.
- 15. Lovejoy C, Buch V, Maruthappu M. Artificial intelligence in the intensive care unit. Crit Care. 2019;23:7. Available from: https://doi.org/10.1186/s13054-019-2337-9.
- 16. De Simone B, Deeken G, Catena F. Balancing Ethics and Innovation: Can Artificial Intelligence Safely Transform Emergency Surgery? A Narrative Perspective. J Clin Med. 2025;14(5):1234. Available from: https://doi.org/10.3390/jcm14051234.
- 17. Ali S, Akhlaq F, Imran A, Kastrati Z, Daudpota SM, Moosa M. The enlightening role of explainable artificial intelligence in medical & healthcare domains: A systematic literature review. Comput Biol Med. 2023;164:107486. Available from: https://doi.org/10.1016/j.compbiomed.2023.107486.
- 18. Shaikh A, Saunders J, Khalifa K. Use of Artificial Intelligence in Predicting Outcomes of Emergency Surgical Procedures. Br J Surg. 2025;112(1):1-8. Available from: https://doi.org/10.1093/bjs/znad123.
- 19. van de Sande D, van Genderen MV, Huiskens J, Gommers D, van Bommel J. Moving from bytes to bedside: a systematic review on the use of artificial intelligence in the intensive care unit. Intensive Care Med. 2021;47:750-760. Available from: https://doi.org/10.1007/s00134-021-06450-2.
Copyright (c) 2026 INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD)

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Copyright Rights & Permissions Guide
Reproducing Published Material from other Publishers
It is absolutely essential that authors obtain permission to reproduce any published material (figures, schemes, tables or any extract of a text) which does not fall into the public domain, or for which they do not hold the copyright. Permission should be requested by the authors from the copyright holder (usually the Publisher, please refer to the imprint of the individual publications to identify the copyright holder).
Permission is required for:
- Your own works published by other Publishers and for which you did not retain copyright.
- Substantial extracts from anyones’ works or a series of works.
- Use of Tables, Graphs, Charts, Schemes and Artworks if they are unaltered or slightly modified.
- Photographs for which you do not hold copyright.
Permission is not required for:
- Reconstruction of your own table with data already published elsewhere. Please notice that in this case you must cite the source of the data in the form of either “Data from…” or “Adapted from…”.
- Reasonably short quotes are considered fair use and therefore do not require permission.
- Graphs, Charts, Schemes and Artworks that are completely redrawn by the authors and significantly changed beyond recognition do not require permission.
Obtaining Permission
In order to avoid unnecessary delays in the publication process, you should start obtaining permissions as early as possible. If in any doubt about the copyright, apply for permission. JNH cannot publish material from other publications without permission.
The copyright holder may give you instructions on the form of acknowledgement to be followed; otherwise follow the style: “Reproduced with permission from [author], [book/journal title]; published by [publisher], [year].’ at the end of the caption of the Table, Figure or Scheme.
Every mansucript should be accompanied by "Copyright Transfer Agreement" prior to the article publication
Similar Articles
- Nurdin Nurdin, Islaeli Islaeli, Ari Nofitasari, Wa Ode Rahmadania, The Relationship Of Family Support and Maternal Anxiety With Basic Immunization Compliance During The COVID-19 Pandemic: Basic Immunization Compliance , INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD): Vol. 5 No. 2 (2023): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
- Farhana Mahomed, The Adversities Faced By Female Adolescents On Antiretroviral Therapy In The Ethekwini District, South Africa: Antiretroviral Therapy , INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD): Vol. 5 No. 2 (2023): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
- Alister Garcia Himawan, Yoanita Widjaja dr., M.Pd.Ked., SELF-REGULATED LEARNING AND ACADEMIC STRESS IN MEDICAL SCHOOL: ARE THEY RELATED? SELF-REGULATED LEARNING AND ACADEMIC STRESS , INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD): Vol. 5 No. 2 (2023): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
- Dian Wulandari, Sunarsih Sunarsih, Akbar Torontju, THE RELATIONSHIP BETWEEN HUSBAND SUPPORT AND MIDWIFE ROLE WITH POST PARTUM CONTRACEPTION IN KONAWE KEPULAUAN DISTRICT: POST PARTUM CONTRACEPTION , INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD): Vol. 3 No. 1 (2021): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
- Fitri Ayu Santri, La Ode saafi, La Ode Kamalia, THE RELATIONSHIP BETWEEN THE COST LEADERSHIP STRATEGY AND THE QUALITY OF HEALTH SERVICES IN KENDARI CITY HOSPITAL: LEADERSHIP STRATEGY , INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD): Vol. 3 No. 2 (2021): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
- Septiadi Rasyid, La Ode Saafi, Erwin Azizi Jayadipraja, THE RELATIONSHIP OF KNOWLEDGE AND SUPPORT OF HEALTH WORKERS WITH THE ACHIEVEMENT OF LATRINE USING IN TIRAWUTA SUB-DISTRICT, EAST KOLAKA DISTRICT: ACHIEVEMENT OF LATRINE , INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD): Vol. 3 No. 2 (2021): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
- Laode Saltar, Adi Risaldi, Achmad Kadarman, Heltty, DETERMINANTS OF HEALTH SERVICE UTILIZATION IN LOW-INCOME FAMILIES IN THE COASTAL REGION OF MAGINTI ISLAND, WEST MUNA REGENCY: A CROSS-SECTIONAL STUDY: HEALTH SERVICE UTILIZATION IN LOW-INCOME FAMILIES , INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD): Vol. 7 No. 1 (2025): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
- Afiat Afiat, Timbul Supodo, Sunarsih Sunarsih, THE RELATIONSHIP BETWEEN POTENTIAL OF VACCINE AND IMMUNIZATION SERVICES WITH QUALITY OF MEASLES VACCINE IN KONAWE KEPULAUAN DISTRICT: Measles vaccine , INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD): Vol. 3 No. 1 (2021): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
- Hasniah Dina, Dedi Krismiadi, Apriyanti, The Factors of Failure to Exclusively Breastfeed In the BLUD UPTD Working Area of the Kandai Public Health Center of Kendari City: Exclusively Breastfeed , INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD): Vol. 6 No. 1 (2024): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
- Andika, Rupita, Marini, Abu Rizal Bakri, Triadi Ramada, Ibnu Sabil, Edi Kurniawan, Analysis of Social Factors on Immunization Refusal in Jungkat Village: Immunization Refusal , INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD): Vol. 6 No. 1 (2024): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
You may also start an advanced similarity search for this article.
Most read articles by the same author(s)
- Fauziah H Wada, Mara Imbang Satriawan Hasiolan, Amzal Mortin Andas, Indah Puspitasari, Ashar Prima, THE EFFECT OF LAVENDER AROMATHERAPY, BENSON RELAXATION THERAPY, AND A COMBINATION OF BOTH ON ANXIETY LEVELS, SLEEP QUALITY, AND BLOOD PRESSURE IN THE ELDERLY: LAVENDER AROMATHERAPY, BENSON RELAXATION THERAPY , INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD): Vol. 6 No. 2 (2024): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
- Amzal Mortin Andas, I Wayan Romantika, Shinta Silaswati, Ashar Prima, Anisa Purnamasari, Lisnawati Lisnawati, DETERMINANTS OF LONELINESS, RESILIENCE, AND MENTAL HEALTH IN ELDERLY PATIENTS AT LONG TERM CARE IN JAKARTA : LONELINESS, RESILIENCE, AND MENTAL HEALTH , INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD): Vol. 6 No. 2 (2024): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT





