Related Experiment Videos
Evaluation of an AI Medical Scribe After 236,153 Notes Generated Across Care Levels in a European Health System:
Enni Sanmark1, Ville Vartiainen1, Johan Sanmark2
1Heart and Lung Center, Helsinki University Hospital, Stenbäckinkatu 8, Helsinki, Uusimaa, 00250, Finland, 358 408446940.
JMIR Medical Informatics
|July 10, 2026
Summary
Artificial intelligence (AI) medical scribes reduced clinician documentation time by 29% and administrative stress, while increasing patient presence. These findings in a European health system align with US-based studies, though generalizability requires further research.
Area of Science:
- Health Informatics
- Clinical Workflow Optimization
- Artificial Intelligence in Healthcare
Background:
- Clinician documentation is time-consuming, leading to workflow inefficiencies, reduced patient interaction, and burnout.
- AI medical scribes offer a potential solution, but real-world European data are scarce.
- This study evaluates AI scribe impact using objective editing metadata and clinician surveys.
Purpose of the Study:
- To assess the association between AI medical scribe use and changes in clinician documentation time.
- To evaluate the impact of AI medical scribes on clinician experience, including administrative stress and patient presence.
Main Methods:
- Observational, real-world evaluation in a Swedish healthcare provider (Capio Ramsay Santé) from April 2024 to October 2025.
- Utilized objective editing metadata from 236,153 notes by 1295 clinicians.
- Included paired survey responses from 177 fully onboarded clinicians (used scribe >3 months, >100 notes).
Main Results:
- AI scribe use decreased estimated documentation time per note by 29% (4.72 vs 6.69 minutes, P<.001).
- Clinicians reported significantly higher ability to work without administrative stress (3.14 vs 2.41, P<.001).
- Perceived presence with patients increased significantly (4.33 vs 3.73, P<.001); median editing time was 93 seconds.
Conclusions:
- Sustained AI medical scribe adoption in a European setting correlates with reduced documentation time, administrative stress, and increased patient presence.
- Findings are consistent with prior US studies but may not generalize to non-adopters or all specialties.
- Limitations include single-arm design, reliance on self-report, and exclusion of zero-edit time notes.
Related Concept Videos
01:11Purpose of Health Records I
The vital purpose of health records is to provide a complete and accurate account of a patient's medical history, including communication, diagnostic and therapeutic orders, care planning, research, and quality review.
Here's a breakdown of how health records serve these purposes:
Here's a breakdown of how health records serve these purposes:
01:21Methods of Documentation III: PIE
Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
01:23Methods of Documentation V: CBE
Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
01:30Methods of Documentation VII: EMR
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare settings,...
01:15Methods of Documentation VI: Case Management Model
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
For example, a patient with a chronic illness...
01:29Documentation in Long-Term and Home Healthcare Setting
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities