使用人工智能写字器和电子健康记录提高效率
Kevin Pearlman1, Wen Wan1, Sachin Shah1
1Department of Medicine, University of Chicago, Chicago, Illinois.
JAMA network open
|October 10, 2025
概括
人工智能 (AI) 显著减少了临床医生在电子健康记录 (EHR) 和文档上花费的时间. 这种人工智能工具有望提高EHR的效率并减少医生倦怠.
科学领域:
- 医疗信息学 医疗信息学
- 临床效率 临床效率
- 医疗保健中的人工智能
背景情况:
- 临床医生的倦怠与与电子健康记录 (EHR) 交互所花费的时间密切相关.
- 人工智能 (AI) 书记提供了一种潜在的解决方案,以减轻与EHR相关的倦怠.
- 之前关于人工智能写字器有效性的研究受到潜在选择偏差的限制.
研究的目的:
- 为了评估人工智能写字员使用和EHR效率之间的关联.
- 为了比较AI写字用户和非用户的共变量平衡对照组之间的EHR效率.
- 分析人工智能编写用户的干预前后数据.
主要方法:
- 在为期3个月的试点期内,包括门诊临床医生在内的回顾性队列研究.
- 进行了两项分析:个人内部前后比较和使用倾向性得分重叠权重的群体间比较.
- 主要结果包括每次预约的电子病历时间,笔记时间和下班后的记录时间.
主要成果:
- 人工智能写字器用户在每次预约的EHR中位时间 (-2.0分钟) 和每次预约的笔记时间 (-0.5分钟) 中显著减少.
- 人工智能写字用户观察到,近距离接触的时间显著减少 (-7.1小时).
- 权重回归分析表明,人工智能写作者的使用与较低的平均EHR时间 (-2.4分钟) 和笔记时间 (-1.8分钟) 有关.
结论:
- 使用人工智能书记的临床医生在电子健康记录和笔记文档中花费的时间显著减少.
- 人工智能写字员似乎提高了文档的效率.
- 研究结果表明,人工智能书记可能会减少临床医生的工作量并提高EHR的效率.
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