Evidence map›Paper›PMID 41323090›Full record

ArticleDigital health

Ambient listening implementation in primary care and changes in electronic health record documentation metrics: Pre-post study of an ambient listening tool.

Frederick North, Marc R Matthews, Asif Iqbal, Jason A Post, Jon O Ebbert

Abstract read
In one paragraph

Article in Digital health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
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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

5 authors.

Frederick NorthDivision of Community Internal Medicine, Geriatrics, and Palliative Care, Mayo Clinic, Rochester, MN, USA.ORCID https://orcid.org/0000-0002-3696-4595
Marc R MatthewsDepartment of Family Medicine, Mayo Clinic, Rochester, MN, USA.ORCID https://orcid.org/0000-0001-8885-3697
Asif IqbalClinical Innovation, Primary Care, Mayo Clinic, Rochester, MN, USA.ORCID https://orcid.org/0000-0001-6871-8279
Jason A PostDivision of Community Internal Medicine, Geriatrics, and Palliative Care, Mayo Clinic, Rochester, MN, USA.ORCID https://orcid.org/0000-0002-3503-9154
Jon O EbbertDivision of Community Internal Medicine, Geriatrics, and Palliative Care, Mayo Clinic, Rochester, MN, USA.ORCID https://orcid.org/0000-0002-7975-3704

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Ambient listening with subsequent artificial intelligence enabled medical record documentation is changing how physicians interact with the electronic health record (EHR). We studied primary care physician use, documentation time, and changes in note metrics associated with ambient listening technology. Methods: We calculated the percentage of physicians adopting the ambient listening tool, Abridge. Note input contributed by Abridge was determined by the percentage of total characters in generated notes. Using the Epic EHR Signal metrics, we analyzed the change in note documentation time and note length for Abridge users before and after they implemented Abridge in their note generation process. Results: The percentage of physicians using Abridge increased from 15% to 50% in 8 weeks. Adoption was also reflected in the percentage of the note attributable to the use of ambient listening technology. Note content generated by Abridge tripled, from 5% to 15% over the same 8 weeks. After Abridge adoption, 332 primary care physicians had a mean time of 4.16 minutes [confidence interval (CI) 95%; 3.86, 4.46] time in notes per note in a paired comparison to 5.11 minutes [CI 95%; 4.75, 5.47] per note prior to Abridge. Mean time saved per note after Abridge was 0.95 minutes [CI 95%; 0.48, 1.42, p < 0.0001], an 18.6% reduction in time. Mean note length for Abridge adopters increased by 238 characters [CI 95%; 89, 387, p < 0.0001] from a pre-implementation mean of 4404 characters per note (+5.4%). Conclusion: Ambient listening had rapid uptake and widespread use by physicians in primary care. It was also associated with a significant decrease in time in notes.

Indexed as

Ambient listeningartificial intelligencedigital healthdocumentation timeelectronic health recordhealth informaticsmedical documentationnatural language processingspeech recognition

Identifiers

PMID41323090
PMCPMC12657781

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.