AI-Augmented Co-Design in Healthcare: Log-Based Markers of Teamwork Behaviors and Collective Intelligence Outcomes

Co-design in healthcare settings requires teams to utilize each other's knowledge effectively, but practical guidance and simple methods for observing collaboration are often lacking. We tested whether a lightweight AI assistant that guides the process-and automatically logs who speaks, when, and how work progresses-can make teamwork easier to manage and easier to track. Six four-person teams completed the same five-phase session. The assistant nudged timing, turn-taking, and artifact hand-offs; all interactions were recorded in a shared workspace. We assessed usability and acceptance, expert-rated product quality (technical performance), perceived team performance, and self-rated technical contribution, and we summarized basic log signals of participation and pacing (e.g., turn-taking balance, average turn duration). Analyses were descriptive. All teams finished the protocol with complete logs. Outcomes were favorable (expert ratings averaged 4.18/5; perceived performance 6.14/7; self-rated contribution 4.08/5). Teams with more balanced participation and clearer pacing tended to report better performance, whereas simply having more turns did not. A process-guiding AI assistant can quantify teamwork behaviors as markers of collective intelligence and support reflection in everyday clinical co-design; future work will examine the generalizability of these findings across different sites.