Use of an ambient artificial intelligence tool to improve quality of clinical documentation

Background: Electronic health records (EHRs) have contributed to increased workloads for clinicians. Ambient artificial intelligence (AI) tools offer potential solutions, aiming to streamline clinical documentation and alleviate cognitive strain on healthcare providers. Objective: To assess the clin...

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Published in:Future Healthcare Journal
Main Authors: Jasmine Balloch, Shankar Sridharan, Geralyn Oldham, Jo Wray, Paul Gough, Robert Robinson, Neil J. Sebire, Saleh Khalil, Elham Asgari, Christopher Tan, Andrew Taylor, Dominic Pimenta
Format: Article
Language:English
Published: Elsevier 2024-09-01
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2514664524015479
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author Jasmine Balloch
Shankar Sridharan
Geralyn Oldham
Jo Wray
Paul Gough
Robert Robinson
Neil J. Sebire
Saleh Khalil
Elham Asgari
Christopher Tan
Andrew Taylor
Dominic Pimenta
author_facet Jasmine Balloch
Shankar Sridharan
Geralyn Oldham
Jo Wray
Paul Gough
Robert Robinson
Neil J. Sebire
Saleh Khalil
Elham Asgari
Christopher Tan
Andrew Taylor
Dominic Pimenta
author_sort Jasmine Balloch
collection DOAJ
container_title Future Healthcare Journal
description Background: Electronic health records (EHRs) have contributed to increased workloads for clinicians. Ambient artificial intelligence (AI) tools offer potential solutions, aiming to streamline clinical documentation and alleviate cognitive strain on healthcare providers. Objective: To assess the clinical utility of an ambient AI tool in enhancing consultation experience and the completion of clinical documentation. Methods: Outpatient consultations were simulated with actors and clinicians, comparing the AI tool against standard EHR practices. Documentation was assessed by the Sheffield Assessment Instrument for Letters (SAIL). Clinician experience was measured through questionnaires and the NASA Task Load Index. Results: AI-produced documentation achieved higher SAIL scores, with consultations 26.3% shorter on average, without impacting patient interaction time. Clinicians reported an enhanced experience and reduced task load. Conclusions: The AI tool significantly improved documentation quality and operational efficiency in simulated consultations. Clinicians recognised its potential to improve note-taking processes, indicating promise for integration into healthcare practices.
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spelling doaj-art-9a7efb15e4e5465caa8600a1382cc7b22025-08-20T01:44:49ZengElsevierFuture Healthcare Journal2514-66452024-09-0111310015710.1016/j.fhj.2024.100157Use of an ambient artificial intelligence tool to improve quality of clinical documentationJasmine Balloch0Shankar Sridharan1Geralyn Oldham2Jo Wray3Paul Gough4Robert Robinson5Neil J. Sebire6Saleh Khalil7Elham Asgari8Christopher Tan9Andrew Taylor10Dominic Pimenta11TORTUS AI, Holborn Town Hall, London, UKGreat Ormond Street Hospital for Children NHS Foundation Trust, London, UK; Corresponding author.Data Research, Innovation and Virtual Environments (DRIVE) Unit, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UKCentre for Outcomes and Experience Research in Children's Health, Illness and Disability (ORCHID), Great Ormond Street Hospital for Children NHS Foundation Trust, London, UKData Research, Innovation and Virtual Environments (DRIVE) Unit, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UKGreat Ormond Street Hospital for Children NHS Foundation Trust, London, UKNIHR Great Ormond Street Hospital BRC, London, UKTORTUS AI, Holborn Town Hall, London, UKTORTUS AI, Holborn Town Hall, London, UKTORTUS AI, Holborn Town Hall, London, UKData Research, Innovation and Virtual Environments (DRIVE) Unit, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UKTORTUS AI, Holborn Town Hall, London, UKBackground: Electronic health records (EHRs) have contributed to increased workloads for clinicians. Ambient artificial intelligence (AI) tools offer potential solutions, aiming to streamline clinical documentation and alleviate cognitive strain on healthcare providers. Objective: To assess the clinical utility of an ambient AI tool in enhancing consultation experience and the completion of clinical documentation. Methods: Outpatient consultations were simulated with actors and clinicians, comparing the AI tool against standard EHR practices. Documentation was assessed by the Sheffield Assessment Instrument for Letters (SAIL). Clinician experience was measured through questionnaires and the NASA Task Load Index. Results: AI-produced documentation achieved higher SAIL scores, with consultations 26.3% shorter on average, without impacting patient interaction time. Clinicians reported an enhanced experience and reduced task load. Conclusions: The AI tool significantly improved documentation quality and operational efficiency in simulated consultations. Clinicians recognised its potential to improve note-taking processes, indicating promise for integration into healthcare practices.http://www.sciencedirect.com/science/article/pii/S2514664524015479Artificial intelligenceAmbientConsultationClinical documentationElectronic health records
spellingShingle Jasmine Balloch
Shankar Sridharan
Geralyn Oldham
Jo Wray
Paul Gough
Robert Robinson
Neil J. Sebire
Saleh Khalil
Elham Asgari
Christopher Tan
Andrew Taylor
Dominic Pimenta
Use of an ambient artificial intelligence tool to improve quality of clinical documentation
Artificial intelligence
Ambient
Consultation
Clinical documentation
Electronic health records
title Use of an ambient artificial intelligence tool to improve quality of clinical documentation
title_full Use of an ambient artificial intelligence tool to improve quality of clinical documentation
title_fullStr Use of an ambient artificial intelligence tool to improve quality of clinical documentation
title_full_unstemmed Use of an ambient artificial intelligence tool to improve quality of clinical documentation
title_short Use of an ambient artificial intelligence tool to improve quality of clinical documentation
title_sort use of an ambient artificial intelligence tool to improve quality of clinical documentation
topic Artificial intelligence
Ambient
Consultation
Clinical documentation
Electronic health records
url http://www.sciencedirect.com/science/article/pii/S2514664524015479
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