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临床试验/NCT06618092
NCT06618092已完成不适用

Relisten: Improvement in Perceived Quality of Care and Time Savings in Writing Tasks Through the Automatic Generation of Clinical Notes in Primary Care: a Proof of Concept.

Fundacio d'Investigacio en Atencio Primaria Jordi Gol i Gurina6 个研究点 分布在 1 个国家目标入组 500 人开始时间: 2024年7月1日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
发起方
入组人数
500
试验地点
6
主要终点
Time saved

研究概览

简要总结

Background:

Relisten is an artificial intelligence-based software developed by Recog Analytics that improves patient care by facilitating more natural interactions between healthcare professionals and patients. Relisten extracts relevant information from recorded conversations, structuring it in the medical record and sending it to the Health Information System after the professional's approval. This approach allows professionals to focus on the patient without the need to perform clinical documentation tasks.

Method:

This Proof of Concept (PoC) study is conducted as a multi-centre trial with the participation of several health professionals in Primary Care Centres (CAPs) of Amposta, Centelles, Artés, Sallent, Súria and the Consorci d'Atenció Primària de Salut Barcelona Esquerra (CAPSBE). During the study, Relisten will be used in consultations under informed consent, followed by patient and professional surveys. Statistical analyses will be performed for each objective, using independent sample comparison tests according to normality evaluated with the Kolmogorov-Smirnov test and Lilliefors correction. The sample has been determined a priori to optimise the achievement of satisfactory results. Stratified statistical tests will also be performed to consider the variance between professionals.

Discussion:

The investigators expect an improvement in the quality of care perceived by patients and a significant reduction in the time spent taking clinical notes, with a saving of at least 30 seconds per visit. Although a high quality of the notes generated is expected, it is uncertain whether a significant improvement over the control group, which is already expected to have high quality notes, will be demonstrated.

详细描述

In the medical field, medical record writing is an essential task that requires time and accuracy on the part of healthcare professionals. The medical record, which includes the patient's medical history, any symptoms they have had, treatments performed, and other relevant details, is a critical component in making appropriate medical decisions and ongoing patient follow-up.

In the modern healthcare context, there has been a transition to the digitization of these records, giving rise to the concept of the Electronic Medical Record (EMR). An EMR is the electronic representation of a patient's medical record, created and maintained by healthcare professionals. This digital approach has not only revolutionised the way medical information is stored and accessed but has also improved the efficiency of medical care by facilitating the retrieval of relevant data at the point of care. EMRs provide a centralised platform for medical information management, allowing for more accurate tracking and more coordinated care.

Traditionally, healthcare professionals have spent a significant amount of time writing medical records, which can affect the efficiency and quality of care they provide. This manual task is not only time-consuming, but can also lead to documentation errors, omissions or inconsistencies in the information recorded.

In recent years, the field of Artificial Intelligence (AI) has experienced significant advances in natural language processing and speech recognition. These advances have enabled the creation of automated tools and systems that can accurately and efficiently transform speech into text. In the healthcare setting, this technology has the potential to streamline and improve the writing of medical records, freeing up time for professionals to focus on direct patient care. However, this technology was necessary but not sufficient, and it was not until the advent of generative AI that a key part of the process could be completed to obtain sufficient quality for practical use.

In this context, the Spanish company Recog Analytics has developed Relisten, an automated clinical note writing system that stands out for its specialisation in 1) Face-to-face consultations. 2) Non-guided consultations, in colloquial language to maintain a close relationship with the patient. 3) Multi-language queries (currently supports Castilian Spanish, Catalan, English, Portuguese and others). 4) Easy integration with the electronic medical record and simple use for healthcare professionals. 5) Maximum quality and structuring of the information extracted.

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
Single (Participant)

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • To have signed the informed consent form.
  • To carry out face-to-face medical and nursing consultations in Catalan and/or Castilian Spanish.
  • To be over 18 years old.

排除标准

  • Inability to understand the nature of the study.
  • Not fluent in Catalan or Castilian Spanish.
  • Not giving consent to be recorded.
  • Existence of any technical failure in the recording (e.g., internet service downtime).

结局指标

主要结局

Time saved

时间窗: Day 1

Time saved in consultation in minutes

Relisten used

时间窗: Day 1

Whether Relisten has been used in the consultation (YES/NOT)

次要结局

  • Satisfaction surveys(Day 1)

研究者

发起方
Fundacio d'Investigacio en Atencio Primaria Jordi Gol i Gurina
申办方类型
Other
责任方
Sponsor

研究点 (6)

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