Dragon Ambient eXperience (DAX) Express Pilot Evaluation
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 238
- 试验地点
- 10
- 主要终点
- Work outside of work
研究概览
简要总结
AI solutions like, Dragon Ambient eXperience (DAX) Copilot (Nuance/Microsoft), hold the potential to significantly enhance provider and patient interactions and alleviate pain points that contribute to burn out. Atrium Health was the first healthcare system in the world to pilot Nuance's DAX Copilot intelligence (AI) enabled scribe software, which synthesizes a draft clinic note by "listening" to the conversation between a provider and patient. After 180 days of use by primary care clinicians and advanced practice providers (APPs), along with a control group, the investigators assess provider satisfaction, patient experience, and provider efficiency through qualitative and quantitative methods.
详细描述
In this non-randomized stepped-wedge trial, clinicians (including physicians and advanced practice providers [APP]) specializing in family medicine, internal medicine, and general pediatrics were recruited from outpatient clinics located in North Carolina and Georgia. The intervention group was divided into 5 waves between June and August 2023 based on clinic locations. Prior to the activation of accounts, clinicians underwent a one-hour training session on DAX Copilot. Meanwhile, a comparison group comprising clinicians not utilizing DAX was recruited in five waves from locations and specialties similar to those of the intervention group. Two types of primary outcomes, electronic health record (EHR) metrics and financial metrics, were assessed after 180 days of intervention. EHR metrics include time in EHR (EHR8), work time outside of work (WOW8), time in documentation (Note8), completed appointment rate, same day closure rate, and note length. Financial metrics include gross revenue per visit and work relative value units (wRVU) per visit. Secondary outcome include provider satisfaction survey, provider interview, and patient satisfaction survey.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •clinicians specializing in family medicine, internal medicine, and general pediatrics (including physicians and advanced practice providers [APPs])
- •(intervention group) showed interests in participating in Dragon Ambient eXperience (DAX) Copilot
- •(control group) clinicians who opted out from Dragon Ambient eXperience (DAX) Copilot in vendor's baseline survey
- •(control group) clinicians who worked in the same clinic/region as the intervention group
排除标准
- •preceptors
- •inactive DAX participants (i.e., had DAX license but never activate it)
- •have the same first use and last use DAX date
- •missing demographics
结局指标
主要结局
Work outside of work
时间窗: Month 10
Time on EHR outside of scheduled patient hours per 8 hour of patient scheduled time.
Total EHR time
时间窗: Month 10
Total time on EHR (during and outside of clinic sessions) per 8 hour of patient scheduled time.
Time on encounter note documentation
时间窗: Month 10
Hours on documentation (note writing) per 8 hour of scheduled patient time
Same day closure rate
时间窗: Month 10
Number of visits closed on the same day over total scheduled visits
Note length
时间窗: Month 10
Length of note in EPIC for each visit
Completed appointment rate
时间窗: Month 10
Total completed visits over scheduled visits
Gross revenue per visit
时间窗: Month 10
Total charged amount in each day over total completed visits on the same day
wRVU per visit
时间窗: Month 10
Total work relative value units (wRVU) in each day over total completed visits on the same day
次要结局
- Provider interview(Month 1)
- Patient satisfaction(Month 6)
- Provider satisfaction(Month 4)