Emergency Medicine Practitioners Overall Well-being Enhancement With Ambient AI Scribes
试验速览
- 阶段
- 不适用
- 状态
- 进行中(未招募)
- 入组人数
- 55
- 试验地点
- 1
- 主要终点
- Impact of an ambient AI scribe on clinician well-being and professional fulfillment
研究概览
简要总结
The primary objective of the study is to investigate the impact of an ambient AI scribe on clinicians' wellness and well-being outcomes; additionally, the investigators will also explore how the use of the ambient AI scribe will lead to changes in documentation burden, clinical note characteristics and financial productivity.
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
- Single (Care Provider)
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Must be a Clinician (attendings and advanced practice practitioners) who is part of the Emergency Medicine Department
- •Must be willing to use Ambient AI as apart of their clinical practice work
排除标准
- •Residents who are apart of the Emergency Medicine Department
研究组 & 干预措施
Ambient AI Scribe Intervention, Wave 1 (Step-wedge design)
Clinicians use an ambient AI scribe during patient encounters to assist with clinical documentation. Wave 1 participants receive the intervention for 18 weeks. Outcomes are compared before and after implementation.
干预措施: Ambient AI Scribe (Other)
Ambient AI Scribe Intervention, Wave 2 (Step-wedge design)
Clinicians use an ambient AI scribe during patient encounters to assist with clinical documentation. Wave 2 participants receive the intervention for 12 weeks. Outcomes are compared before and after implementation.
干预措施: Ambient AI Scribe (Other)
Ambient AI Scribe Intervention Wave 3 (Step-wedge design)
Clinicians use an ambient AI scribe during patient encounters to assist with clinical documentation. Wave 1 participants receive the intervention for 6 weeks. Outcomes are compared before and after implementation.
干预措施: Ambient AI Scribe (Other)
结局指标
主要结局
Impact of an ambient AI scribe on clinician well-being and professional fulfillment
时间窗: From enrollment to the end of maintenance phase at 24 weeks
A linear model will be used to describe the effect of Ambient tool introduction on our co-primary outcomes under the intention-to-treat framework with a random effects structure to describe within provider variability. While high or complete survey completion rates is expected, in the event that not all surveys are completed and returned, a primary analysis on completed surveys only will be performed, and perform sensitivity analyses accounting for potentially systematic survey non-response bias using a response weighting strategy, using provider, scheduling, and patient encounter characteristics to create survey response weights (within each survey time period), then reweighting observations to account for non-response patterns. In analyses for both co-primary outcomes, Wald type hypothesis tests for inferences on the overall Ambient treatment effect and compare p-values to 0.05 / 2 to conservatively account for multiple comparisons using Bonferroni's method will be performed.
次要结局
- Assessment of the longitudinal changes in documentation burden(From enrollment to the end of maintenance phase at 42 weeks)
研究者
Philip R.O. Payne
Professor and Director, Institute for Informatics, Data Science, and Biostatistics (I2DB), WashU Medicine Vice Chancellor for Biomedical Informatics and Data Science, WashU Medicine Chief Health AI Officer, BJC Health and WashU Medicine
Washington University School of Medicine
