An EHR-embedded Pragmatic Stepped-wedge Individual Randomized Clinical Trial of Ambient Artificial Intelligence to Improve Provider Well-Being
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 66
- Locations
- 2
- Primary Endpoint
- Change in provider fulfillment index
Study Overview
Brief Summary
The goal of this clinical trial is to learn whether using Ambient Artificial Intelligence for provider documentation will enhance provider well-being and improve documentation quality.
Participants will complete their documentation using the Ambient AI software.
Detailed Description
Provider documentation of patient visits is a time-consuming activity that extends throughout the workday and often continues outside office hours. This ongoing clerical burden negatively impacts provider well-being, contributing to burnout and job dissatisfaction.
To address these challenges, the researchers propose to test the effectiveness of the Ambient AI tool in improving provider fulfillment and note documentation efficiency. The overarching goal is to leverage AI technology to enhance provider well-being and documentation quality.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Health Services Research
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Healthcare Provider in the UW Health Outpatient Clinic Setting
- •Willingness to engage and use ambient technology
- •Owns an Apple mobile device, as the software is accessible only on this platform
- •Adult (greater than 18 years)
- •English or Spanish speaking
- •Completed the training and in-servicing required to use the tool
- •Providing outpatient care to no less than 20 encounters on a weekly average
Exclusion Criteria
- •Planned leave in 6 weeks following randomization
- •Not registered onto Epic's mobile Haiku system for access
- •Enrolled in a virtual scribe program and not willing to leave the program
Outcomes
Primary Outcomes
Change in provider fulfillment index
Time Frame: Baseline to weeks 6, 12, 18, and 24
Using the Professional Well-Being Academic Consortium Survey Measures, the fulfillment index is a 6-item questionnaire. Each question is scored on a 0-4 Likert scale, with total possible scores of 0-24. Higher scores indicate greater fulfillment
Change in provider burnout
Time Frame: Baseline to weeks 6, 12, 18, and 24
Using the Professional Well-Being Academic Consortium Survey Measures, the burnout index includes two subcomponents of work exhaustion and interpersonal disengagement. It is a 10-item questionnaire, scored together as a composite. Each question is scored on a 0-4 Likert scale, with a total possible range of 0-40. Higher scores indicate greater burnout, indicating lower well-being
Secondary Outcomes
- Change in meaningfulness of work(Baseline to 24 weeks)
- Change in time spent on documentation outside work hours(Baseline to 24 weeks)
- Change in meaningful relationships(Baseline to 24 weeks)
- Change in task load(Baseline to 24 weeks)