Evidence map›Paper›PMID 42225877›Full record

ArticleJournal of general internal medicine2026

Implementing Artificial Intelligence-Enabled Ambient Documentation Technology for Ambulatory Clinicians: An Innovation Evaluation.

Katharine Lawrence, Conner Polet, Kiran Malhotra, Vasudev Kuram, Sarah Sharif

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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.

Katharine LawrenceDepartment of Population Health, New York University Grossman School of Medicine, New York, NY, USA. katharine.lawrence@nyulangone.org.ORCID 0000-0001-5640-2138
Conner PoletNYU Langone Health, Medical Center Information Technology (MCIT), New York, NY, USA.
Kiran MalhotraNYU Langone Health, Medical Center Information Technology (MCIT), New York, NY, USA.
Vasudev KuramNYU Langone Health, Medical Center Information Technology (MCIT), New York, NY, USA.
Sarah SharifNYU Langone Health, Medical Center Information Technology (MCIT), New York, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundArtificial intelligence (AI)-enabled "ambient" documentation may reduce clinician administrative burdens and improve care delivery, but implementation in clinical practice is complex.

aimTo evaluate the implementation of commercially available ambient documentation tools in multi-specialty ambulatory clinical workflows at an academic medical center.

settingA large urban academic health system in New York City.

participantsNinety-seven ambulatory clinicians across specialties. PROGRAM DESCRIPTION: A multidisciplinary team conducted a 6-month proof-of-concept structured evaluation of two commercially available ambient documentation tools through initial vendor evaluations, technical review and integration with the electronic health record (EHR), clinician training and onboarding, implementation and technical support, and structured evaluation based on objective and key results (OKR) metrics. A single-group, pre-post evaluation of the impact of the tools on clinician EHR-based efficiency was conducted on a subset of participating clinicians. PROGRAM EVALUATION: Compared to the 3-month period immediately prior to initiating the ambient trial, clinicians experienced a 0.35-min-per-note and a 2.07-min-per-day reduction in documentation time. "Vendor B" showed higher utilization rates and superior user experience compared to "Vendor A." Implementation challenges included workflow integration, training resource requirements, data interoperability and analytics, and ongoing technical support needs. DISCUSSION: Ambient documentation shows promise in reducing documentation burden, but its success depends on technical stability and integration, product fit and support for clinicians, and adequate implementation resourcing. A multidisciplinary approach with clear metrics, strong vendor partnership and executive sponsorship, and ongoing technical support enables scalability.

Indexed as

Ambulatory CareArtificial IntelligenceDocumentationElectronic Health RecordsAcademic Medical CentersHumansNew York CityProgram EvaluationAI scribesambient documentationambient intelligenceartificial intelligencehealth ITimplementation sciencequality improvement

Identifiers

PMID42225877
PMCPMC13569722

What OpenQuestion holds

Textmetadata
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.