TY - JOUR T1 - Artificial Intelligence in Smart Hospital Management: A Systematic Review of Command Centers, Real-Time Workflow Monitoring, Operational Dashboards, and Automated Decision Support Systems AU - Chinedu Okafor AU - Amina Bello JF - Journal of Health Informatics and Digital Systems JO - J. Health Inform. Digit. Syst. SN - 3149-8973 Y1 - 2024 VL - 4 IS - 1 DO - 10.68159/w028037728 SP - 91 N2 - Smart hospitals increasingly combine artificial intelligence, real-time data streams, operational dashboards, and automated decision support to coordinate care delivery. These systems aim to improve hospital throughput, staff efficiency, resource use, and patient safety. This systematic review synthesised evidence on AI technologies used in smart hospital management from 2017 to 2023. The review focused on command centers, real-time workflow monitoring, operational dashboards, and automated decision support systems. A PRISMA 2020-compliant review process was used, including structured database searching, dual screening, and narrative synthesis. Extracted data covered study characteristics, AI methods, deployment maturity, data sources, integration patterns, and reported operational impact. The evidence base was concentrated on hospital command centers, predictive dashboards, and patient-flow analytics. Real-time workflow monitoring and automated decision support were less mature, and prospective evaluations of operational or clinical impact were uncommon. AI-enabled smart hospital management is technologically promising but remains unevenly implemented and weakly evaluated. Current evidence supports cautious adoption, local validation, and stronger evaluation designs before claims of sustained operational transformation are accepted. UR - https://cirpublications.com/w028037728 ER -