Evidence map›Paper›PMID 40514413›Full record

ArticleNPJ digital medicine2025

An evaluation framework for ambient digital scribing tools in clinical applications.

Haoyuan Wang, Rui Yang, Mahmoud Alwakeel, Ankit Kayastha, Anand Chowdhury, Joshua M Biro, Anthony D Sorrentino, Jessica L Handley, Sarah Hantzmon, Sophia Bessias and 8 more

Abstract read
In one paragraph

Article in NPJ digital medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

19 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. The Ethics of AI Scribes as Epistemic Agents.JMIR medical informatics · 2026
    Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. 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

18 authors.

Haoyuan WangDepartment of Biostatistics and Bioinformatics, Duke University School of Medicine, Durham, NC, USA.
Rui YangCentre for Quantitative Medicine, Duke-NUS Medical School, Singapore, Singapore.
Mahmoud AlwakeelDepartment of Medicine, Duke University School of Medicine, Durham, NC, USA.
Ankit KayasthaDepartment of Medicine, Duke University School of Medicine, Durham, NC, USA.
Anand ChowdhuryDepartment of Medicine, Duke University School of Medicine, Durham, NC, USA.
Joshua M BiroMedstar Health National Center for Human Factors in Healthcare, Washington, DC, USA.
Anthony D SorrentinoDepartment of Medicine, Duke University School of Medicine, Durham, NC, USA.
Jessica L HandleyMedstar Health National Center for Human Factors in Healthcare, Washington, DC, USA.
Sarah HantzmonCancer Prevention and Control Research Program, Duke Cancer Institute, Durham, NC, USA.
Sophia BessiasDuke Clinical and Translational Science Institute, Duke University School of Medicine, Durham, NC, USA.
Nicoleta J Economou-ZavlanosDepartment of Biostatistics and Bioinformatics, Duke University School of Medicine, Durham, NC, USA.
Armando BedoyaDepartment of Biostatistics and Bioinformatics, Duke University School of Medicine, Durham, NC, USA.
Monica AgrawalDepartment of Biostatistics and Bioinformatics, Duke University School of Medicine, Durham, NC, USA.
Raj M RatwaniMedstar Health National Center for Human Factors in Healthcare, Washington, DC, USA.
Eric G PoonDepartment of Biostatistics and Bioinformatics, Duke University School of Medicine, Durham, NC, USA.
Michael J PencinaDepartment of Biostatistics and Bioinformatics, Duke University School of Medicine, Durham, NC, USA.
Kathryn I PollakCancer Prevention and Control Research Program, Duke Cancer Institute, Durham, NC, USA.
Chuan HongDepartment of Biostatistics and Bioinformatics, Duke University School of Medicine, Durham, NC, USA. chuan.hong@duke.edu.

Funding

AHRQ HHS R03 HS030307
6 · The paper itself

Abstract

Ambient digital scribing (ADS) tools alleviate clinician documentation burden, reducing burnout and enhancing efficiency. As AI-driven ADS tools integrate into clinical workflows, robust governance is essential for ethical and secure deployment. This study proposes a comprehensive ADS evaluation framework incorporating human evaluation, automated metrics, simulation testing, and large language models (LLMs) as evaluators. Our framework assesses transcription, diarization, and medical note generation across criteria such as fluency, completeness, and factuality. To demonstrate its effectiveness, we developed an ADS tool and applied our framework to evaluate the tool's performance on 40 real clinical visit recordings. Our evaluation revealed strengths, such as fluency and clarity, but also highlighted weaknesses in factual accuracy and the ability to capture new medications. These findings underscore the value of structured ADS evaluation in improving healthcare delivery while emphasizing the need for strong governance to ensure safe, ethical integration.

Identifiers

PMID40514413
PMCPMC12166074

What OpenQuestion holds

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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.