Improving Documentation Quality and Patient Interaction with AI: A Tool for Transforming Medical Records — An Experience Report

Qeios Pub Date : 2024-05-21 DOI:10.32388/ffzge5
Pedro Basei, Matheus Nespolo Berger, João Victor Bruneti Severino, Karen Dyminski Parente Ribeiro, Fillipe Silveira Loures, Solano Amadori Todeschini, Eduardo Augusto Roeder, Gustavo Lenci Marques
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Abstract

The quality of medical records is paramount for effective patient care, yet it is often compromised by the need for doctors to type information during consultations. This practice not only consumes valuable time that could be better spent on patient interaction but also increases the risk of medical errors due to repetitive copy-pasting. This paper examines the implementation and impact of Voa, an AI-driven tool designed to transform audio from medical consultations into optimized clinical documents. Utilizing automatic transcription technologies like Whisper and generative artificial intelligence, Voa generates accurate and comprehensive medical records from consultation audio. The study, conducted from February to May 2024, assessed Voa's effectiveness through metrics such as the number of anamneses generated, user adoption rates, and activation rates. Results indicate a significant increase in both document generation and user adoption, reflecting growing acceptance and confidence in the platform. The findings highlight Voa's potential to improve documentation quality, reduce medical errors, and enhance doctor-patient interactions, ultimately promoting more human-centered healthcare practices. This experience report underscores the transformative impact of Voa in medical documentation, advocating for broader adoption of such technologies in clinical settings.
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利用人工智能提高文档质量和患者互动:改造医疗记录的工具--经验报告
医疗记录的质量对有效的病人护理至关重要,但医生在会诊时需要输入信息,这往往会影响医疗记录的质量。这种做法不仅耗费了宝贵的时间,而这些时间本可以更好地用于与患者互动,而且由于重复复制粘贴,还增加了医疗错误的风险。Voa 是一款人工智能驱动的工具,旨在将医疗咨询中的音频转化为优化的临床文档。Voa 利用 Whisper 等自动转录技术和人工智能生成技术,从问诊音频中生成准确、全面的医疗记录。这项研究于 2024 年 2 月至 5 月进行,通过生成的病历数量、用户采用率和激活率等指标评估了 Voa 的有效性。结果表明,文件生成量和用户采用率均有大幅提高,这反映出人们对该平台的接受度和信心不断增强。研究结果凸显了 Voa 在提高文档质量、减少医疗差错和加强医患互动方面的潜力,最终促进以人为本的医疗实践。这份经验报告强调了 Voa 在医疗文档方面的变革性影响,倡导在临床环境中更广泛地采用此类技术。
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