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Evaluating Patient and Professional Satisfaction and Documentation Time Reduction Through AI-Driven Automatic
Aïna Fuster-Casanovas1,2, Josep Vidal-Alaball3,4,5, Carlos Alonso6
1Innovation Unit, Quality, Processes and Innovation Directorate, Vall d'Hebron University Hospital, Institut Català de la Salut, Barcelona, Spain.
Artificial intelligence (AI) transcription tools are feasible for primary care, showing high-quality initial notes and good clinician acceptance. While not directly measuring time savings, the AI assistant reduced transcription review burden without impacting patient satisfaction.
Area of Science:
- Health Informatics
- Artificial Intelligence in Medicine
- Primary Care Technology
Background:
- Clinical documentation significantly contributes to primary care professional workload and stress.
- Artificial intelligence (AI) offers potential solutions to reduce documentation time without compromising care quality.
Purpose of the Study:
- To evaluate the impact of an AI solution for automatic consultation transcription in primary care settings.
- To assess the feasibility, quality, and user satisfaction of AI-assisted clinical note generation.
Main Methods:
- A multicenter proof-of-concept study with alternating assignment to AI intervention or usual care.
- Evaluation metrics included documentation time, transcription quality (Levenshtein distance), clinician-reported errors, and patient/professional satisfaction surveys.
- Qualitative analysis of errors and Likert scale assessments for satisfaction were employed.
Main Results:
- AI transcription drafts required minimal review (average <24 words/minute), with 26% needing no edits.
- Context/meaning errors were most common; AI hallucinations were infrequent.
- Patient satisfaction remained high and comparable between groups; professionals reported high audio and transcription quality.
Conclusions:
- AI tools are feasible and well-accepted in primary care, with a low transcription review burden.
- The AI solution did not negatively impact patient satisfaction.
- Further randomized studies are needed to confirm comparative time savings and benefits for care quality and efficiency.
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