Evidence map›Paper›PMID 33772070›Full record

ArticleNPJ digital medicine2021

The digital scribe in clinical practice: a scoping review and research agenda.

Marieke M van Buchem, Hileen Boosman, Martijn P Bauer, Ilse M J Kant, Simone A Cammel, Ewout W Steyerberg

Abstract readScoping Review
In one paragraph

Article in NPJ digital medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 82 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
82citing papers in PubMed, 4 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

82 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  7. Prompt-directed ambient artificial intelligence for automated multidisciplinary tumor board documentation.Annals of oncology : official journal of the European Society for Medical Oncology · 2026
    Article
  8. The Use of Ambient Dictation Artificial Intelligence in Clinical Spaces in Surgery: A Scoping Review.World journal of otorhinolaryngology - head and neck surgery · 2026
    Review
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22 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.

Marieke M van BuchemDepartment of Information Technology & Digital Innovation, Leiden University Medical Center (LUMC), Leiden, The Netherlands. m.m.van_buchem@lumc.nl.ORCID http://orcid.org/0000-0002-2917-0842
Hileen BoosmanCAIRELab, Leiden University Medical Center (LUMC), Leiden, The Netherlands.
Martijn P BauerCAIRELab, Leiden University Medical Center (LUMC), Leiden, The Netherlands.
Ilse M J KantDepartment of Information Technology & Digital Innovation, Leiden University Medical Center (LUMC), Leiden, The Netherlands.
Simone A CammelDepartment of Information Technology & Digital Innovation, Leiden University Medical Center (LUMC), Leiden, The Netherlands.
Ewout W SteyerbergCAIRELab, Leiden University Medical Center (LUMC), Leiden, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The number of clinician burnouts is increasing and has been linked to a high administrative burden. Automatic speech recognition (ASR) and natural language processing (NLP) techniques may address this issue by creating the possibility of automating clinical documentation with a "digital scribe". We reviewed the current status of the digital scribe in development towards clinical practice and present a scope for future research. We performed a literature search of four scientific databases (Medline, Web of Science, ACL, and Arxiv) and requested several companies that offer digital scribes to provide performance data. We included articles that described the use of models on clinical conversational data, either automatically or manually transcribed, to automate clinical documentation. Of 20 included articles, three described ASR models for clinical conversations. The other 17 articles presented models for entity extraction, classification, or summarization of clinical conversations. Two studies examined the system's clinical validity and usability, while the other 18 studies only assessed their model's technical validity on the specific NLP task. One company provided performance data. The most promising models use context-sensitive word embeddings in combination with attention-based neural networks. However, the studies on digital scribes only focus on technical validity, while companies offering digital scribes do not publish information on any of the research phases. Future research should focus on more extensive reporting, iteratively studying technical validity and clinical validity and usability, and investigating the clinical utility of digital scribes.

Identifiers

PMID33772070
PMCPMC7997964

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.