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Acupoint Catgut Embedding Therapy in Traditional Chinese Medicine for Managing Allergic Rhinitis

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Ambient AI Scribes in Clinical Practice: A Randomized Trial.

Paul J Lukac^1,2, William Turner³, Sitaram Vangala³

¹Department of Pediatrics, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, USA.

|January 7, 2026

Summary

This summary is machine-generated.

Ambient AI scribes show promise in reducing physician documentation time and burnout. One AI scribe, Nabla, significantly decreased time-in-note, while both AI scribes potentially improved physician burnout and task load.

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Published on: August 1, 2019

Area of Science:

Medical Informatics
Artificial Intelligence in Healthcare
Clinical Documentation

Background:

Ambient artificial intelligence (AI) scribes offer a potential solution to the significant documentation burden and physician burnout.
Despite their promise, the real-world impact of AI scribes has not been rigorously evaluated in randomized clinical trials.

Purpose of the Study:

To evaluate the impact of two ambient AI scribe applications, Microsoft Dragon Ambient eXperience (DAX) Copilot and Nabla, on physician documentation time and burnout.
To compare the effectiveness of DAX Copilot and Nabla against a usual-care control group in a pragmatic randomized clinical trial.

Main Methods:

A parallel three-group pragmatic randomized clinical trial involving 238 physicians across 14 specialties.
Physicians were randomized 1:1:1 to either DAX Copilot, Nabla, or a usual-care control group.
Primary outcome was change in log writing time-in-note; secondary outcomes included physician task load and burnout scores.

Main Results:

Nabla use was associated with a statistically significant 9.5% decrease in time-in-note compared to the control group (P=0.02).
DAX Copilot did not show a significant change in time-in-note compared to the control group (P=0.66).
Both DAX Copilot and Nabla users reported potential improvements in physician task load, burnout, and work exhaustion scores, though findings require further validation.

Conclusions:

Nabla demonstrated a significant reduction in physician time-in-note, suggesting its effectiveness in streamlining documentation.
Both AI scribes showed potential benefits for physician well-being, but further multicenter trials are needed to confirm these secondary outcomes.
Clinicians perceived similar performance between the two AI scribe platforms, highlighting the need for ongoing vigilance regarding occasional inaccuracies.