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AI-Powered Voice Documentation: A Nurse-Led Pilot Program
Ryan Trias1, Bernice Coleman, Cynthia Bowers
1Ryan Trias is a nurse professional development practitioner, surgical nursing, at Cedars-Sinai Medical Center in Los Angeles, CA, where Bernice Coleman is director of nursing research and quality and an associate professor of biomedical sciences; Scott Mondejar is an assistant nurse manager, surgical nursing; Golda Morales is an associate director, surgical nursing; and Peachy Hain is the executive director of surgical nursing. Cynthia Bowers is an associate professor at the University of Indianapolis School of Nursing, Indianapolis, IN. Contact author: Ryan Trias, ryan.trias@cshs.org. The authors have disclosed no potential conflicts of interest, financial or otherwise.
Nurse-led implementation of AI voice documentation improved charting efficiency and patient experience. This innovation reduced overtime and increased staff satisfaction by streamlining clinical documentation.
Area of Science:
- Nursing Informatics
- Health Information Technology
- Artificial Intelligence in Healthcare
Background:
- Nursing documentation consumes significant time, averaging 31% of a 12-hour shift.
- This burden highlights the need for nurse-driven solutions to improve charting efficiency.
- Reclaiming bedside time is crucial for enhanced patient care.
Purpose of the Study:
- To evaluate a nurse-led pilot program implementing an AI-powered voice documentation mobile application.
- To assess the impact on documentation timeliness, application usage, patient experience, and staff satisfaction.
- To measure changes in incidental overtime hours.
Main Methods:
- A six-month pilot study on a 48-bed adult medical-surgical unit.
- Involved 90 Registered Nurses (RNs) and 33 Certified Nursing Assistants (CNAs).
- Utilized an AI mobile app for direct electronic health record documentation via voice commands, guided by Kotter's change model.
Main Results:
- Documentation timeliness improved across all measured tasks.
- Patient experience scores increased significantly across all Press Ganey domains (7-41 percentile points).
- Usage increased from 14,231 to over 35,000 entries; incidental overtime decreased by 50% (97 to 48.5 hours/month).
Conclusions:
- Nurse-led AI voice documentation enhances charting efficiency and patient experience.
- Successful technology implementation requires active nurse involvement in design and rollout.
- This approach improves staff satisfaction and operational efficiency.
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