Evidence map›Paper›PMID 40751820›Full record

ArticleJournal of medical systems2025

Understanding Clinician Perceptions of GenAI: A Mixed Methods Analysis of Clinical Documentation Tasks.

David Fraile Navarro, A Baki Kocaballi, Shlomo Berkovsky

Abstract read
In one paragraph

Article in Journal of medical systems, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Atencion primaria · 2026
    Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
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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

3 authors.

David Fraile NavarroCentre for Health Informatics, Australian Institute of Health Innovation, Macquarie University, 75 Talavera Road, Sydney, 2113, NSW, Australia. david.frailenavarro@mq.edu.au.
A Baki KocaballiFaculty of Engineering and Information Technology, University of Technology Sydney, Sydney, Australia.
Shlomo BerkovskyCentre for Health Informatics, Australian Institute of Health Innovation, Macquarie University, 75 Talavera Road, Sydney, 2113, NSW, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This mixed-methods study evaluated clinicians' user experience (UX) with Generative AI (GenAI) in Electronic Health Record (EHR) systems across three clinical documentation tasks (Information Extraction, Summarization, and Speech-to-Text) at varying levels of user supervision (low, medium, high), focusing on workflow improvements, safety, and acceptable automation levels. Using conceptual prototyping in a usability study framework, we evaluated how incorporating GenAI into EHR could support the three documentation tasks at varying automation levels. A total of 38 clinicians interacted with the prototype and completed a questionnaire on task relevance, perceived importance, desired automation level, and EHR satisfaction. Both quantitative (descriptive statistics, Kruskal-Wallis tests, Spearman correlations) and qualitative (thematic) analyses were conducted with equal priority to explore preferences, perceived safety, and practical requirements. Clinicians showed positive reception to GenAI integration, particularly for streamlining documentation. While task relevance and importance were strongly correlated, EHR satisfaction did not significantly predict automation acceptance. Medium automation emerged as the preferred level, considered "safe with caution". Five key themes emerged from qualitative analysis: efficiency and quality benefits; system reliability concerns; safety and medico-legal considerations; automation bias and loss of nuance; and deployment requirements including adjustable settings and oversight. While clinicians welcome GenAI-driven documentation, they prefer moderate automation to balance efficiency with clinical control. Successful integration requires addressing safety concerns, conducting real-world trials, and mitigating potential biases and medico-legal challenges. These findings suggest a cautious but optimistic path forward for AI integration in EHR systems, emphasizing the importance of maintaining clinician oversight while leveraging automation benefits.

Indexed as

Artificial IntelligenceAttitude of Health PersonnelDocumentationElectronic Health RecordsAdultAutomationFemaleHumansMaleSurveys and QuestionnairesWorkflowElectronic health recordsGenerative artificial intelligenceHuman computer interactionPrimary care

Identifiers

PMID40751820
PMCPMC12317912

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.