AUTHOR=Kumar Rakesh , Singh Ajay , Ahmed Kassar Ahmed Subahi , Humaida Mohammed Ismail , Joshi Sudhanshu , Sharma Manu TITLE=Impact of an artificial intelligence-driven operational management system on operational efficiency in health care organization in Saudi Arabia: a mediating role of staff attitude JOURNAL=Frontiers in Public Health VOLUME=Volume 13 - 2025 YEAR=2025 URL=https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2025.1558644 DOI=10.3389/fpubh.2025.1558644 ISSN=2296-2565 ABSTRACT=IntroductionIn recent years, Artificial Intelligence (AI) is transforming healthcare systems globally and improved the operational efficiency in healthcare organizations. The authors examined how an artificial intelligence (AI)–driven operational management system (OMS) affected operational efficiency in health care units in the Kingdom of Saudi Arabia (KSA). They also investigated the mediating role of staff attitudes in the relationship between OMSs and operational efficiency. This research contributes to the field by applying the theory of planned behavior to examine health care professionals’ perceptions of AI-based OMSs and their impact on operational efficiency.MethodsTo achieve study objectives, a quantitative research design, with cross-sectional survey methodology, was used to gather data from 287 health care professionals across various hospitals in the KSA. The authors used a partial least squares structural equation modeling (PLS-SEM) approach to hypothesis testing.ResultsThe findings indicated that an AI-based OMS significantly improved operational efficiency and positively affected staff attitudes. Furthermore, staff attitudes mediated the relationship between an AI-based OMS and operational efficiency.DiscussionThe study finding highlights the dual benefits of AI-based OMSs in enhancing both operational performance and employee satisfaction. The results suggest that health care organizations in the KSA should invest in AI technologies to optimize operational efficiency and improve staff attitudes. The findings also emphasize the need to address employee perceptions to fully capitalize on the benefits of AI implementations. They also introduce staff attitudes as a mediating factor, offering new insights into the interaction between technology and employee engagement.