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Ambient artificial intelligence (AI) scribe technology showed varied effects on pediatric clinicians, improving self-perceived work experience but not electronic health record (EHR) efficiency. Patient experience remained unchanged, highlighting the need for AI scribe enhancements in pediatric primary care.

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Area of Science:

  • Medical Informatics
  • Health Services Research
  • Human-Computer Interaction

Background:

  • Ambient artificial intelligence (AI) scribe technology is increasingly adopted in healthcare.
  • Its impact on pediatric primary care settings, encompassing clinician work experience, operational efficiency, and patient satisfaction, requires thorough investigation.

Purpose of the Study:

  • To quantify the effects of ambient AI scribe technology on clinician work experience, clinical operations, and patient experience within a pediatric primary care network.
  • To identify facilitators and barriers to optimal AI scribe utilization in this setting.

Main Methods:

  • A 12-week study involving 39 clinicians in a pediatric primary care network.
  • Clinician experience assessed via custom surveys (discrete and free-text responses) and electronic health record (EHR) efficiency measures.
  • Patient experience evaluated using a vendor-supplied survey instrument.

Main Results:

  • AI scribe technology was utilized in 32% of eligible encounters.
  • Clinicians reported benefits like reduced cognitive burden and improved work enjoyment, but EHR efficiency measures (documentation time, after-hours work) showed no significant change.
  • AI scribes were most effective for urgent care and summarizing present illness, with noted limitations in summarizing preventive and behavioral health visits.
  • Patient Net Promoter Score and experience metrics did not differ between AI scribe-assisted and non-assisted encounters.

Conclusions:

  • Ambient AI scribe technology can lead to self-perceived improvements in clinician work experience, independent of EHR efficiency gains.
  • Significant heterogeneity in clinician experience suggests benefits are influenced by personal and contextual factors.
  • Enhancements in note organization and pediatric-specific content summarization (preventive, behavioral health) are needed to improve AI scribe utility in pediatric primary care.