Assessing the Efficacy and Impact of Ambient AI Scribes in Healthcare: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 64
- 主要终点
- Physician Workload as Measured Using the NASA Task Load Index
研究概览
简要总结
The goal of this clinical trial is to assess the impacts of ambient AI scribes on the workload and burnout in physicians who see patients in a clinic setting at least twice in a week, as well as the impacts on patient-physician interaction.
The main questions it aims to answer are:
- What is the impact of ambient AI scribe use on physician workload and burnout?
- What is the impact of ambient AI scribe use on quality of patient-physician interaction?
Researchers will compare the group of physicians using the ambient AI scribes to the group not using ambient AI scribes to see if there are any significant differences.
Participants randomly assigned to Group A will make use of the AI scribe and participants randomly assigned to Group B will not use any AI scribe for the 10 working day duration of the study. They will be asked to complete a survey assessing workload and burnout immediately prior to the commencement of the study and at the end of each week of the study or 5 full working days for part time physicians. They will also invite their patients to complete a survey assessing their experience after each clinical interaction.
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
盲法说明
Two blinded reviewers will independently review each clinical note and assign a PDQI-9 score according to the nine attributes that measure various aspects of documentation quality.
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Physicians from family medicine or any specialty
- •Physicians who regularly see patients in a clinic setting at least 2 days per week
排除标准
- •Physicians who are planning to leave their practice during the study period
结局指标
主要结局
Physician Workload as Measured Using the NASA Task Load Index
时间窗: From enrolment to the end of the study at 10 working days.
The NASA-TLX is separated into six 100-point scales with 5-point steps that assess mental demand, physical demand, temporal demand, performance, effort, and frustration. A higher score indicates that they feel a greater degree of each of the domains.
Physician Burnout as Measured Using the MBI - HSS (MP)
时间窗: From enrolment to the end of the study at 10 working days.
The MBI-HSS (MP) is created specifically for medical personnel and assesses emotional exhaustion (9 items), depersonalization (5 items), and personal accomplishment (8 items).
Quality of Patient-Physician Interaction As Measured Using the CARE Patient Feedback Measure Domain of "Really Listening"
时间窗: Throughout study completion at 10 working days.
The CARE measure consists of a series of 10 questions asked of patients with our focus on the domain of whether the physician was "really listening (paying close attention to what you were saying; not looking at the notes or computer as you were talking)" scored on a 5 point Likert scale.
次要结局
- Documentation Quality as Measured by the PDQI-9(From enrollment to the completion of the study at 10 working days.)
- Time Spent Within the EMR for Each Clinical Note(From enrollment to the completion of the study at 10 working days.)
- Time Spent in the EMR After Hours(From enrollment to the completion of the study at 10 working days.)
研究者
Scott Adams
Assistant Professor, Department of Medical Imaging, University of Saskatchewan
University of Saskatchewan