Ambient artificial intelligence scribes: physician burnout and perspectives on usability and documentation burden.

IF 4.7 2区医学 Q1 COMPUTER SCIENCE, INFORMATION SYSTEMS Journal of the American Medical Informatics Association Pub Date : 2024-12-05 DOI:10.1093/jamia/ocae295

Shreya J Shah, Anna Devon-Sand, Stephen P Ma, Yejin Jeong, Trevor Crowell, Margaret Smith, April S Liang, Clarissa Delahaie, Caroline Hsia, Tait Shanafelt, Michael A Pfeffer, Christopher Sharp, Steven Lin, Patricia Garcia

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Abstract

Objective: This study evaluates the pilot implementation of ambient AI scribe technology to assess physician perspectives on usability and the impact on physician burden and burnout.

Materials and methods: This prospective quality improvement study was conducted at Stanford Health Care with 48 physicians over a 3-month period. Outcome measures included burden, burnout, usability, and perceived time savings.

Results: Paired survey analysis (n = 38) revealed large statistically significant reductions in task load (-24.42, p <.001) and burnout (-1.94, p <.001), and moderate statistically significant improvements in usability scores (+10.9, p <.001). Post-survey responses (n = 46) indicated favorable utility with improved perceptions of efficiency, documentation quality, and ease of use.

Discussion: In one of the first pilot implementations of ambient AI scribe technology, improvements in physician task load, burnout, and usability were demonstrated.

Conclusion: Ambient AI scribes like DAX Copilot may enhance clinical workflows. Further research is needed to optimize widespread implementation and evaluate long-term impacts.

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环境人工智能抄写员：医生的职业倦怠以及对可用性和文档负担的看法。

目的：本研究评估了环境人工智能抄写员技术的试点实施情况：本研究评估了环境人工智能抄写员技术的试点实施情况，以评估医生对可用性的看法以及对医生负担和职业倦怠的影响：这项前瞻性质量改进研究在斯坦福医疗保健中心进行，共有 48 名医生参与，为期 3 个月。结果测量包括负担、职业倦怠、可用性和感知到的时间节省：配对调查分析（n = 38）显示，任务负荷在统计学上有显著降低（-24.42，p 讨论）：在首批试点实施的环境人工智能抄写员技术中，医生的任务负担、职业倦怠和可用性都得到了改善：结论：像 DAX Copilot 这样的环境人工智能抄写员可以改善临床工作流程。需要进一步开展研究，以优化广泛实施并评估长期影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of the American Medical Informatics Association 医学-计算机：跨学科应用

CiteScore

14.50

自引率

7.80%

发文量

230

审稿时长

3-8 weeks

期刊介绍： JAMIA is AMIA''s premier peer-reviewed journal for biomedical and health informatics. Covering the full spectrum of activities in the field, JAMIA includes informatics articles in the areas of clinical care, clinical research, translational science, implementation science, imaging, education, consumer health, public health, and policy. JAMIA''s articles describe innovative informatics research and systems that help to advance biomedical science and to promote health. Case reports, perspectives and reviews also help readers stay connected with the most important informatics developments in implementation, policy and education.