RecruitingACTRN12625000432415

AI scribe for clinical documentation

Improving Clinical Efficiency using AI scribe for Documentation (ICE-AID study): A retrospective-prospective cohort study.


Sponsor

Queensland Children's Hospital

Enrollment

150 participants

Start Date

Feb 18, 2025

Study Type

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

Sex: Both males and females

Plain Language Summary

Simplified for easier understanding

Documenting clinical notes is one of the most time-consuming parts of a healthcare professional's day. Artificial intelligence (AI) scribe tools can listen to a clinical conversation and automatically generate documentation, potentially freeing up clinicians to spend more time with patients. However, the evidence on whether these tools actually improve efficiency, documentation quality, and patient experience is still limited — particularly in paediatric hospital settings. This study is evaluating an AI scribe tool that has been rolled out across Queensland Children's Hospital, used by doctors, nurses, and allied health professionals. It will look at outcomes such as documentation quality, time spent on notes, clinician satisfaction, and how patients and families feel about the tool being used during their consultations. This study is open to health professionals at the hospital who participated in the AI scribe quality improvement project. For patients and families (carers), participation involves completing a survey after a clinical encounter where the AI scribe was used — only if they consent to the tool being used in the first place. There are no formal exclusion criteria for clinicians.

This is a simplified summary. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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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 qua

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.


Locations(1)

Queensland Children's Hospital - South Brisbane

QLD, Australia

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ACTRN12625000432415