Evidence map›Paper›PMID 42527488›Full record

Articlenpj health systems2026

Uses of generative AI by non-clinician staff at an academic medical center.

Kameron C Black, William J Haberkorn, Stephen P Ma, Hanna Kiani, Aditya Bhasin, Jonathan H Chen, Nigam H Shah, Keith Morse

Abstract read
In one paragraph

Article in npj health systems, 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

8 authors.

Kameron C BlackDepartment of Medicine, Stanford University School of Medicine, Stanford, CA, USA. kb633@stanford.edu.
William J HaberkornDepartment of Anesthesiology, Perioperative, and Pain Medicine, Stanford School of Medicine, Stanford, CA, USA.
Stephen P MaDivision of Hospital Medicine, Stanford University School of Medicine, Stanford, CA, USA.
Hanna KianiDepartment of Medicine, Stanford University School of Medicine, Stanford, CA, USA.
Aditya BhasinDepartment of Medicine, Stanford University School of Medicine, Stanford, CA, USA.
Jonathan H ChenDivision of Hospital Medicine, Stanford University School of Medicine, Stanford, CA, USA.
Nigam H ShahDepartment of Medicine, Stanford University School of Medicine, Stanford, CA, USA.
Keith MorseDepartment of Pediatrics, Stanford University School of Medicine, Stanford, CA, USA.

Funding

Stanford Center for Clinical and Translational Research and EducationUM1TR004921 · NCATS · STANFORD UNIVERSITY · PI MANISHA DESAI, DEAN W FELSHER · 2024 to 2026
$30.1M
Center for Undiagnosed Diseases at StanfordU01NS134358 · NINDS · STANFORD UNIVERSITY · PI Jonathan Adam Bernstein, HOLLY K TABOR · 2023 to 2026
$3.1M
NCATS NIH HHS UM1 TR004921NINDS NIH HHS U01 NS134358
6 · The paper itself

Abstract

Large language model (LLM) chat tools have the potential to transform healthcare workflows by improving efficiency and reducing administrative burdens. While prior research has predominantly focused on clinicians, non-clinician healthcare staff constitute the majority of the workforce, and their real-world chat tool use remains uncharacterized. This retrospective, cross-sectional study analyzed de-identified chat logs from a secure, HIPAA-compliant LLM chat tool deployed at an academic medical center over an 11-month period. Among 30,503 chat threads analyzed, 98% originated from non-clinician users across 239 roles. Usage was dominated by administrative tasks including email and document writing (53.9%), text manipulation (9.1%), and brainstorming (6.7%). A notable proportion of interactions included off-label queries unrelated to work or organizational goals, including 5.9% involving clinical decision-making. These findings highlight the need for targeted training, tailored governance policies, and refined evaluation frameworks to optimize appropriate LLM use while mitigating risks in healthcare settings.

Identifiers

PMID42527488
PMCPMC13354237

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.