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外科人工智能书记者的主观和客观影响
Julia Adler-Milstein1, Orianna DeMasi2, Hossein Soleimani2
1Division of Clinical Informatics and Digital Transformation, Department of Medicine, University of California, San Francisco, 10 Koret Way, San Francisco, CA 94143.
The American journal of managed care
|January 27, 2026
概括
人工智能 (AI) 书记减少了医生记录时间 (DocTime),特别是对于那些具有更高基线DocTime的医生. 感知到的时间节约并不总是与实际减少的DocTime.
科学领域:
- 医疗信息学 医疗信息学
- 临床工作流程优化 临床工作流程优化
- 人工智能在医学中的应用
背景情况:
- 医生记录时间 (DocTime) 是一个很大的负担.
- 人工智能 (AI) 书记是缓解这一负担的新兴工具.
- 了解人工智能书记对医生工作流程的现实影响至关重要.
研究的目的:
- 评估AI scribe实施后医生文档时间 (DocTime) 感知和实际变化之间的关联.
- 为了确定具有更高基线DocTime的医生是否更受益于人工智能写字器的使用.
主要方法:
- 对310名使用商业人工智能写字器的门诊医生进行了回顾性分析.
- 从用户反调查和电子健康记录审计日志中收集的数据.
- 统计模型 (有序logit,多变量回归) 用于分析感知与实际的DocTime变化以及基线DocTime的影响.
主要成果:
- 86.5%的医生认为DocTime减少了,但这种看法与实际的时间节省没有相关性.
- 更高的人工智能脚本使用率与DocTime的减少相关 (约. 30秒节省每一个计划的小时,每增加10%的人工智能写字使用).
- 具有较高基线DocTime的医生经历了最显著的实际时间节省.
结论:
- 虽然大多数医生认为人工智能书记减少了文档的时间,但实际的时间节省在那些初始文档负担较高的人群中最为明显.
- 人工智能写字器的实施显示了工作流效率的潜力,特别是对于时间效率较低的医生来说.
- 进一步的研究可能会探索影响感知和实际节省时间之间的差异的因素.
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