Evidence map›Paper›PMID 34377960›Full record

ArticleJAMIA open2021

A patient-centered digital scribe for automatic medical documentation.

Jesse Wang, Marc Lavender, Ehsan Hoque, Patrick Brophy, Henry Kautz

Abstract read
In one paragraph

Article in JAMIA open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–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

21 citing papers in PubMed.

  1. Article
  2. 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
  3. Review
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. [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
  14. Article
  15. Article
  16. Article
  17. Current and Potential Applications of Ambient Artificial Intelligence.Mayo Clinic proceedings. Digital health · 2023
    Review
  18. Review
  19. Article
  20. Natural Language Processing: from Bedside to Everywhere.Yearbook of medical informatics · 2022
    Article
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

5 authors.

Jesse WangDepartment of Translational Biomedical Science, University of Rochester Medical Center, Rochester, New York, USA.ORCID 0000-0001-8269-1930
Marc LavenderDepartment of Medicine and Pediatrics, University of Rochester Medical Center, Rochester, New York, USA.
Ehsan HoqueDepartment of Computer Science, University of Rochester, Rochester, New York, USA.
Patrick BrophyDepartment of Pediatrics, University of Rochester Medical Center, Rochester, New York, USA.
Henry KautzDepartment of Computer Science, University of Rochester, Rochester, New York, USA.

Funding

NRSA Training CoreTL1TR002000 · NCATS · UNIVERSITY OF ROCHESTER · PI THAKAR, JUILEE, VAN WIJNGAARDEN, EDWIN · 2016 to 2024
$4.1M
NCATS NIH HHS TL1 TR002000
6 · The paper itself

Abstract

objectiveWe developed a digital scribe for automatic medical documentation by utilizing elements of patient-centered communication. Excessive time spent on medical documentation may contribute to physician burnout. Patient-centered communication may improve patient satisfaction, reduce malpractice rates, and decrease diagnostic testing expenses. We demonstrate that patient-centered communication may allow providers to simultaneously talk to patients and efficiently document relevant information. MATERIALS AND

methodsWe utilized two elements of patient-centered communication to document patient history. One element was summarizing, which involved providers recapping information to confirm an accurate understanding of the patient. Another element was signposting, which involved providers using transition questions and statements to guide the conversation. We also utilized text classification to allow providers to simultaneously perform and document the physical exam. We conducted a proof-of-concept study by simulating patient encounters with two medical students.

resultsFor history sections, the digital scribe was about 2.7 times faster than both typing and dictation. For physical exam sections, the digital scribe was about 2.17 times faster than typing and about 3.12 times faster than dictation. Results also suggested that providers required minimal training to use the digital scribe, and that they improved at using the system to document history sections.

conclusionCompared to typing and dictation, a patient-centered digital scribe may facilitate effective patient communication. It may also be more reliable compared to previous approaches that solely use machine learning. We conclude that a patient-centered digital scribe may be an effective tool for automatic medical documentation.

Indexed as

digital scribemedical documentationpatient-centered communicationphysician burnout

Identifiers

PMID34377960
PMCPMC8349503

What OpenQuestion holds

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LicenceCC BY-NC
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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.