An EHR-Embedded Pragmatic Stepped-Wedge Clinical Trial of Ambient Artificial Intelligence to Reduce Nursing Staff Documentation Time
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 250
- 试验地点
- 1
- 主要终点
- Change in Active Time Spent in Flowsheets per shift hour
研究概览
简要总结
The goal of this clinical trial is to learn whether using Ambient Artificial Intelligence for nursing staff documentation in an inpatient setting will reduce the time spent in flowsheet documentation and enhance nurse staffing wellbeing.
Participants will use Ambient Listening AI software to draft documentation in discrete fields.
详细描述
This pragmatic trial is being conducted to test the effectiveness of Artificial Intelligence Driven Ambient Listening software on reducing time in flowsheet documentation among Registered Nurses (RNs) and nursing assistants (NAs) in an inpatient setting. The Ambient AI software uses Automated Speech Recognition technology with Large Language Models to automatically generate discrete flowsheet values from nurse-patient conversations in real-time. The clinical trial is an examination of the impact and usability of this implementation on the workload and well-being of nurses involved in the rollout of the software pragmatic Electronic Health Record embedded design integrated into clinical workflows and the health system IT infrastructure.
研究设计
- 研究类型
- Interventional
- 分配方式
- 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
- 是
入选标准
- •Willingness to engage and use ambient technology
- •English speaking
- •All Registered Nurses and Nursing Assistants with the study inpatient units
- •Attest to completing all required training
排除标准
- •Planned leave more than 6 weeks during study timeframe
研究组 & 干预措施
Ambient Listening Group 1
The hospital unit will be randomized and all nursing staff within the unit will have access to start using Ambient AI at week 8.
干预措施: Artificial Intelligence (Other)
Ambient Listening Group 2
The hospital unit will be randomized and all nursing staff within the unit will have access to start using Ambient AI at week 11.
干预措施: Artificial Intelligence (Other)
Ambient Listening Group 3
The hospital unit will be randomized and all nursing staff within the unit will have access to start using Ambient AI at week 14.
干预措施: Artificial Intelligence (Other)
结局指标
主要结局
Change in Active Time Spent in Flowsheets per shift hour
时间窗: Baseline to 27 weeks
To assess a change in nursing staff documentation time, the change active time spent in flowsheets per shift hour with the use of the Ambient Listening tool versus usual documentation will be reported.
次要结局
- Change in Active Time Spent in Flowsheets per patient per shift(Baseline to 27 weeks)
- Change in the number of clicks or taps in Flowsheets(Baseline to 27 weeks)
- Change in Amount of Overtime Charting(Baseline to 27 weeks)
- Change in Clinician Worklife Survey (Mini-Z) Score(Baseline to 27 weeks)
- Change in Mini-Z Subscale Scores: Supportive Work Environment(Baseline to 27 weeks)
- Change in Mini-Z Subscale Scores: EHR Stress(Baseline to 27 weeks)
- Change System Usability Scale (SUS)(11 weeks to 27 weeks)