Evidence map›Paper›PMID 31799422›Full record

ReviewNPJ digital medicine2019

Challenges of developing a digital scribe to reduce clinical documentation burden.

Juan C Quiroz, Liliana Laranjo, Ahmet Baki Kocaballi, Shlomo Berkovsky, Dana Rezazadegan, Enrico Coiera

Registry-linked trialAbstract readReview
In one paragraph

Review in NPJ digital medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07302906 (The SOAR Trial), which is not on this map. Cited by 67 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07302906 narecruitingnot on this mapstarted 2025, after this paper: background citation

The SOAR Trial (Scribe Optimization for Ambulatory Records): Ambient Artificial Intelligence Scribe With Voa Health for Generating Medical Documentation From Outpatient Visit Audio - A Randomized Controlled Trial

TypeinterventionalSponsorPedro Angelo Basei de PaulaRan2025 to 2026Enrolled300ConditionsBurnout, Professionals, Medical Records Systems, Computerized, Physician-Patient Relations, Ambulatory CareArmsAmbient AI scribe for clinical documentation (Voa Health), Usual documentation without AI scribe (standard care)
3 · Its place in the literature

Who cites it

67 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  20. [Research progress in application of intelligent remote follow-up mode in hip and knee arthroplasty].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025
    Review

7 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Juan C QuirozAustralian Institute of Health Innovation, Macquarie University, Sydney, Australia.ORCID 0000-0003-0241-5376
Liliana LaranjoAustralian Institute of Health Innovation, Macquarie University, Sydney, Australia.
Ahmet Baki KocaballiAustralian Institute of Health Innovation, Macquarie University, Sydney, Australia.ORCID 0000-0002-8328-5317
Shlomo BerkovskyAustralian Institute of Health Innovation, Macquarie University, Sydney, Australia.
Dana RezazadeganAustralian Institute of Health Innovation, Macquarie University, Sydney, Australia.
Enrico CoieraAustralian Institute of Health Innovation, Macquarie University, Sydney, Australia.ORCID 0000-0002-6444-6584

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clinicians spend a large amount of time on clinical documentation of patient encounters, often impacting quality of care and clinician satisfaction, and causing physician burnout. Advances in artificial intelligence (AI) and machine learning (ML) open the possibility of automating clinical documentation with digital scribes, using speech recognition to eliminate manual documentation by clinicians or medical scribes. However, developing a digital scribe is fraught with problems due to the complex nature of clinical environments and clinical conversations. This paper identifies and discusses major challenges associated with developing automated speech-based documentation in clinical settings: recording high-quality audio, converting audio to transcripts using speech recognition, inducing topic structure from conversation data, extracting medical concepts, generating clinically meaningful summaries of conversations, and obtaining clinical data for AI and ML algorithms.

Indexed as

Computational scienceHealth servicesInformation technologySoftware

Identifiers

PMID31799422
PMCPMC6874666

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.