Evidence map›Paper›PMID 42087797›Full record

Observational studyEmergency medicine Australasia : EMA2026

Evaluation of an AI Scribe Tool in the Emergency Department: A Single-Arm Observational Study.

Hamed Akhlaghi, Sam Freeman, Kevin Sun, Neo Nie, John Ding, Leo Chen, Eden Pham, Brendan Morrissey, Jonathan Karro

Abstract readObservational Study
In one paragraph

Observational study in Emergency medicine Australasia : EMA, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Hamed AkhlaghiEmergency Department, St Vincent's Hospital, Melbourne, Victoria, Australia.ORCID 0000-0002-3929-7265
Sam FreemanEmergency Department, St Vincent's Hospital, Melbourne, Victoria, Australia.ORCID 0000-0002-8193-6454
Kevin SunNexusMD.Ai, Richmond, Victoria, Australia.
Neo NieNexusMD.Ai, Richmond, Victoria, Australia.
John DingNexusMD.Ai, Richmond, Victoria, Australia.
Leo ChenDepartment of Psychiatry, The University of Melbourne, Melbourne, Victoria, Australia.ORCID 0000-0002-2371-8707
Eden PhamEmergency Department, St Vincent's Hospital, Melbourne, Victoria, Australia.
Brendan MorrisseyEmergency Department, St Vincent's Hospital, Melbourne, Victoria, Australia.
Jonathan KarroEmergency Department, St Vincent's Hospital, Melbourne, Victoria, Australia.ORCID 0009-0002-9998-8081

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGenerative artificial intelligence (AI) is reshaping the way clinicians record their clinical notes. AI-scribe systems leverage generative AI capabilities to transcribe clinical encounters into draft clinical notes. In this study, we assessed clinician uptake and estimated modelled documentation time savings for an AI-scribe system in an emergency department (ED).

methodED physicians and trainees were provided access to an AI-scribe for 5 weeks. Data from the first week were excluded. The transcript of each presentation, the initial AI-generated clinical note and the final EMR clinical notes were used to calculate time to finalise AI-assisted notes.

resultsForty ED consultants and 23 trainees accessed the AI-scribe. Over the study period, nine consultants (22.5%) and 11 registrars (48%) used the system. The AI-scribe was used for 248 ED presentations, including 185 (74.6%) by trainees and 63 (25.4%) by consultants. The system generated 44,489 words. Following clinician review, 18,140 words were added and 2274 were deleted prior to submitting the final clinical notes. For a clinician with an average typing speed, use of the AI-scribe resulted in a time saving of 7.1 h of documentation. This was reduced to 4.9 h for rapid typer clinicians. Overall, the initial AI-generated notes were modified on 1143 occasions. The most frequently revised section was the history of presenting illness (23.3%) followed by the management plan (22.9%).

conclusionUptake of AI-scribe was higher among trainees than consultants, and the platform achieved substantial time savings. Future studies are required to quantify real-time productivity gains over longer periods.

Indexed as

DocumentationEmergency Service, HospitalGenerative Artificial IntelligenceElectronic Health RecordsHumans

Identifiers

PMID42087797
PMCPMC13147221

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.