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Evaluating ambient artificial intelligence documentation: effects on work efficiency, documentation burden, and

Yawen Guo1, Jiayuan Wang1, Di Hu1

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Summary
This summary is machine-generated.

Generative artificial intelligence (GenAI) ambient listening tools significantly reduce physician documentation time and cognitive workload. These tools enhance clinical efficiency and perceived care quality, offering a solution to documentation burdens.

Keywords:
ambient listeningartificial intelligencedocumentationefficiencyelectronic health records [E05.318.308.940.968.625.500]survey

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Area of Science:

  • Medical Informatics
  • Artificial Intelligence in Healthcare
  • Clinical Documentation Improvement

Background:

  • Ambient listening tools powered by generative artificial intelligence (GenAI) offer real-time, scribe-like support to reduce physician documentation burden and burnout.
  • This study evaluates the benefits and challenges of implementing ambient AI in clinical workflows.

Purpose of the Study:

  • To assess physician-perceived benefits and challenges of ambient AI implementation.
  • To evaluate the effectiveness of ambient AI in clinical workflows using electronic health record (EHR) time-efficiency metrics.

Main Methods:

  • A quality improvement pilot study at UCI Health analyzed Epic EHR Signal metrics (note length, documentation time, same-day closure rates).
  • Matched pre- and post-implementation surveys assessed physician perceptions of documentation burden, efficiency, and care quality.
  • Thematic analysis of open-ended survey responses supplemented quantitative findings.

Main Results:

  • EHR data from 167 physicians showed significant reductions in note-writing time, with increased note length.
  • Survey responses (n=65) indicated statistically significant improvements in cognitive demand (P=.031) and documentation effort (P=.014).
  • Physicians reported enhanced clinical efficiency, patient-centered care, and EHR usability; thematic analysis identified needs for customization and expanded AI functionality.

Conclusions:

  • Ambient AI tools improve documentation efficiency, perceived care quality, and reduce cognitive workload, potentially alleviating clinical documentation burdens.
  • Future development should focus on customization, reliability, accuracy, and ethical/legal integration for scalable, patient-centered implementation.