Evidence map›Paper›PMID 42628943›Full record

Observational studyApplied clinical informatics2026

The Effect of Ambient Artificial Intelligence Documentation on Clinician Workload, Efficiency, and Patient Experience in a Multisite Emergency Department Network.

Markos G Kashiouris, Andrew Miner, Sameh Saleh, Matthrew Scripps, Lindsey Stanton, Golda Samuel, Brent Dibble

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Applied clinical informatics, 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

7 authors.

Markos G KashiourisINOVA Health System, Virginia, United States, Falls Church.ORCID 0000-0001-5184-3030
Andrew MinerINOVA Health System, Virginia, United States, Falls Church.
Sameh SalehINOVA Health System, Virginia, United States, Falls Church.
Matthrew ScrippsINOVA Health System, Virginia, United States, Falls Church.
Lindsey StantonINOVA Health System, Virginia, United States, Falls Church.
Golda SamuelINOVA Health System, Virginia, United States, Falls Church.
Brent DibbleINOVA Health System, Virginia, United States, Falls Church.ORCID 0009-0001-1048-1720

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Abstract:

backgroundAmbient artificial intelligence (AI) documentation systems have emerged as a potential solution to clerical burden in medicine, yet evidence in emergency settings remains limited. Abstract:

objectivesThe objective of this study is to evaluate the ambient AI on patient experience, documentation efficiency, clinician workload, and clinical throughput across a large emergency department (ED) network. Abstract:

methodsThis is a retrospective, observational cohort study of ambient AI rollout across 14 EDs (May 2024-June 2025). Clinicians applied the tool on a voluntary basis and contributed both AI-assisted and conventional notes. Outcomes included patient-reported experience, active editing time, disposition-to-completion time, copied-forward content, and on-time note completion. Clinician workload was assessed with pre- and postimplementation surveys including the NASA Task Load Index (TLX). Abstract:

resultsAmbient AI was used in 8.6% of 315,242 ED clinical notes. AI use was associated with higher top-box ratings for clinician listening (82.0 vs. 76.6%; odds ratio [OR]: 1.39; Abstract:

conclusionAmbient AI documentation was associated with improved patient-reported listening, earlier note completion, reduced copied-forward content, and lower clinician-perceived cognitive burden, without altering active editing time per note. These findings suggest a scalable tool for reducing clerical burden in high-throughput emergency care, while introducing new responsibilities for clinicians to review, edit, and sign machine-generated notes.

Indexed as

Artificial IntelligenceDocumentationEmergency Service, HospitalWorkloadHumansRetrospective Studies

Identifiers

PMID42628943
PMCPMC13574497

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.