AIMC Topic: Documentation
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Health Care Professionals' Experiences and Opinions About Generative AI and Ambient Scribes in Clinical Documentation: Protocol for a Scoping Review.
JMIR research protocols
Aug 8, 2025
BACKGROUND: Generative artificial intelligence (GenAI) leverages large language models (LLMs) that are transforming health care. Specialized ambient GenAI tools, like Nuance Dax, Speke, and Tandem Health, "listen" to consultations and generate clinic...
Understanding Clinician Perceptions of GenAI: A Mixed Methods Analysis of Clinical Documentation Tasks.
Journal of medical systems
Aug 2, 2025
This mixed-methods study evaluated clinicians' user experience (UX) with Generative AI (GenAI) in Electronic Health Record (EHR) systems across three clinical documentation tasks (Information Extraction, Summarization, and Speech-to-Text) at varying ...
Evaluating the Usability, Technical Performance, and Accuracy of Artificial Intelligence Scribes for Primary Care: Competitive Analysis.
JMIR human factors
Jul 23, 2025
BACKGROUND: Primary care providers (PCPs) face significant burnout due to increasing administrative and documentation demands, contributing to job dissatisfaction and impacting care quality. Artificial intelligence (AI) scribes have emerged as potent...
Efficiency and Quality of Generative AI-Assisted Radiograph Reporting.
JAMA network open
Jun 2, 2025
IMPORTANCE: Diagnostic imaging interpretation involves distilling multimodal clinical information into text form, a task well-suited to augmentation by generative artificial intelligence (AI). However, to our knowledge, impacts of AI-based draft radi...
Exploring Suitability of Low-Severity Rating Hospital Incident Reports for Machine Learning.
Computers, informatics, nursing : CIN
May 1, 2025
Electronic incident reporting is a key quality and a safety process for healthcare organizations that assists in evaluating performance and informing quality improvement initiatives. Although it is mandatory for high-severity incident reports to be i...
Documentation, Coding, and Billing for Neurologic Services and Procedures.
Seminars in neurology
Apr 28, 2025
Documentation, coding, and billing (claims submission) are foundational to neurologic practice in the United States, enabling accurate reimbursement, effective communication, and data-driven advancements in patient care, research, and education. Neur...
Artificial intelligence based assessment of clinical reasoning documentation: an observational study of the impact of the clinical learning environment on resident documentation quality.
BMC medical education
Apr 22, 2025
BACKGROUND: Objective measures and large datasets are needed to determine aspects of the Clinical Learning Environment (CLE) impacting the essential skill of clinical reasoning documentation. Artificial Intelligence (AI) offers a solution. Here, the ...
Impact of using an AI scribe on clinical documentation and clinician-patient interactions in allied health private practice: perspectives of clinicians and patients.
Musculoskeletal science & practice
Apr 19, 2025
BACKGROUND: The burden associated with clinical documentation can negatively impact patient care and job satisfaction amongst allied health professionals (AHPs). Digital scribes based on artificial intelligence (AI) may address these issues, but this...
Controlled Pilot Intervention Study on the Effects of an AI-Based Application to Support Incontinence-Associated Dermatitis and Pressure Injury Assessment, Nursing Care and Documentation: Study Protocol.
Research in nursing & health
Apr 16, 2025
Artificial Intelligence (AI)-based applications have significant potential to differentiate between pressure injuries (PI) and incontinence-associated dermatitis (IAD), common challenges in nursing practice. Within the KIADEKU overall project, we are...
Enhancing Accuracy of Operative Reports with Automated Artificial Intelligence Analysis of Surgical Video.
Journal of the American College of Surgeons
Apr 16, 2025
BACKGROUND: The creation of operative reports is a tedious documentation task that increases administrative burden, which is a potential driver of burnout. Additionally, operative reports are inherently subjective and may contain inaccuracies and inc...
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