AI scribe for clinical documentation
Improving Clinical Efficiency using AI scribe for Documentation (ICE-AID study): A retrospective-prospective cohort study.
Queensland Children's Hospital
150 participants
Feb 18, 2025
Interventional
Conditions
Summary
Study aims to evaluate the use of an Artificial Intelligence (AI) Scribe at the Queensland Children’s Hospital (QCH) and Childrens Health Queensland (CHQ) across medical, allied health and nursing professions in a cohort of users who were part of a quality improvement project with AI scribe. The study design is retrospective-prospective cohort design. The retrospective component of the study aims to analyse the data and the outcomes from the CHQ Digital AI Scribe (Quality Improvement) Proof of Concept Project in the clinicians onboarded for the Queensland Children's Hospital AI scribe quality improvement initiative (data upto first 2 months after onboarding as part of the quality improvement project). The prospective component of the study aims to evaluate the ouctomes for the same cohort of health professionals following completion of the Quality Improvement phase of the project beyond 2 months of onboarding (onboarding month is defined as the first month of AI scribe use when the user is learning to use the AI scribe)
Eligibility
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Interventions
The intervention is use of Artificial Intelligence (AI )scribe (Heidi Health AI scribe) by the clinicians, The study evaluates the impact of the AI scribe tool for medical documentaiton on various quantitave and qualitative outcomes related to improved clinical efficiency and quality of medical documentation. Description of tool/ intervention: AI scribe tool works as a standalone tool in the browser. The AI tool uses microphone of the computer the doctor is working on. AI tool uses instantaneous cloud based transcribing technology from the audio input of the computer via the microphone in the room and does not record any encounter. The transription is then processed by the AI tool to produce the documentation of the clinical encounter and produce letters and correspondance so that the clinicians do not have to type these documents. Type of documents will include the clinic notes in the outpatient and inpatient settings, letters for the general practitioners, letters to other health professionals, advocacy letters to NDIS, , letters to the school, letters explaining the condition of the child to the parents in simplified language that the consumers can understand. Tool is online and the documents produced will be copied and pasted into the hospital electronic records. The tool will stay online only and not downloaded to the devices or the hospital computers. Training: will be provided to the health professionals using the tool by the AI scribe project team and the vendor. Each health professional will have atleast one face to face session with the vendor or the AI scribe project team who are proficient in the use of the AI scribe tool. The face to face sessions will be usually for an hour though multiple sessions may be required for some health professionals to set up their specific letter templates. The training is delivered over the first month (onboarding month) with ongoing assistance and support by the project team and the vendor as required. Intervention administration: General Paediatricians, paediatric subspecialists (all paediatric subspecialities including paediatric respiratory,paediatric neurology, cardiology, nephrology, immunology, rheumatology, palliative care), nurse practitioners and allied health professionals including speech pathologist, occupational physiotherapists, genetic counsellors. Monitoring adherence: Adherence will be monitored uisng the AI scribe tool analytics provided by the vendor. Post implementation preiod will start after the onboarding month. The data will be matched for each user in the pre and post implementation phase.
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ACTRN12625000432415