AI Medical Compendium Topic

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Documentation

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Is AI A-OK? Medicolegal considerations for general practitioners using AI scribes.

Australian journal of general practice
BACKGROUND: Good medical records are an essential part of healthcare. However, the burden of clinical documentation can reduce clinician productivity and add to stress and anxiety. Artificial intelligence (AI) scribes offer a solution by using large ...

Evaluation of an Ambient Artificial Intelligence Documentation Platform for Clinicians.

JAMA network open
IMPORTANCE: The increase of electronic health record (EHR) work negatively impacts clinician well-being. One potential solution is incorporating an ambient artificial intelligence (AI) documentation platform.

Improving Clinical Documentation with Artificial Intelligence: A Systematic Review.

Perspectives in health information management
Clinicians dedicate significant time to clinical documentation, incurring opportunity cost. Artificial Intelligence (AI) tools promise to improve documentation quality and efficiency. This systematic review overviews peer-reviewed AI tools to underst...

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
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 ...

Assessing Patient-Reported Satisfaction With Care and Documentation Time in Primary Care Through AI-Driven Automatic Clinical Note Generation: Protocol for a Proof-of-Concept Study.

JMIR research protocols
BACKGROUND: Relisten is an artificial intelligence (AI)-based software developed by Recog Analytics that improves patient care by facilitating more natural interactions between health care professionals and patients. This tool extracts relevant infor...

Identifying Patient-Reported Outcome Measure Documentation in Veterans Health Administration Chiropractic Clinic Notes: Natural Language Processing Analysis.

JMIR medical informatics
BACKGROUND: The use of patient-reported outcome measures (PROMs) is an expected component of high-quality, measurement-based chiropractic care. The largest health care system offering integrated chiropractic care is the Veterans Health Administration...

The value of simulation testing for the evaluation of ambient digital scribes: a case report.

Journal of the American Medical Informatics Association : JAMIA
OBJECTIVES: The objective of this work is to demonstrate the value of simulation testing for rapidly evaluating artificial intelligence (AI) products.

Heterogeneity of diagnosis and documentation of post-COVID conditions in primary care: A machine learning analysis.

PloS one
BACKGROUND: Post-COVID conditions (PCC) have proven difficult to diagnose. In this retrospective observational study, we aimed to characterize the level of variation in PCC diagnoses observed across clinicians from a number of methodological angles a...

Assessment and Integration of Large Language Models for Automated Electronic Health Record Documentation in Emergency Medical Services.

Journal of medical systems
Automating Electronic Health Records (EHR) documentation can significantly reduce the burden on care providers, particularly in emergency care settings where rapid and accurate record-keeping is crucial. A critical aspect of this automation involves ...

Lexical associations can characterize clinical documentation trends related to palliative care and metastatic cancer.

Scientific reports
Palliative care is known to improve quality of life in advanced cancer. Natural language processing offers insights to how documentation around palliative care in relation to metastatic cancer has changed. We analyzed inpatient clinical notes using u...