Digital scribes and AI – how it impacts on primary care consultations

Can co-designing artificial intelligence tools with general practitioners deliver better patient outcomes and what impact will it have on Doctors? And what about the healthcare system? We took it to the test in a study with general practitioners simulating an AI documentation assistant for use in patient consultations. While artificial intelligence is advancing rapidly across

Quiroz JC, Laranjo L, Kocaballi AB, Briatore A, Berkovsky S, Rezazadegan D, Coiera E. Identifying relevant information in medical conversations to summarize a clinician-patient encounter. Health Informatics Journal. 0(0):1460458220951719.

To inform the development of automated summarization of clinical conversations, this study sought to estimate the proportion of doctor-patient communication in general practice (GP) consultations used for generating a consultation summary. Two researchers with a medical degree read the transcripts of 44 GP consultations and highlighted the phrases to be used for generating a summary

Kocaballi AB, Coiera E, Tong HL, White S, Quiroz JC, Rezazadegan F, Willcock S, Laranjo L. A network model of activities in primary care consultations. Journal of the American Medical Informatics Association. 2019; 26(10):1074-82.

Objective The objective of this study is to characterize the dynamic structure of primary care consultations by identifying typical activities and their inter-relationships to inform the design of automated approaches to clinical documentation using natural language processing and summarization methods. Materials and Methods This is an observational study in Australian general practice involving 31 consultations

Quiroz, J.C., Laranjo, L., Kocaballi, A.B. et al. Challenges of developing a digital scribe to reduce clinical documentation burden. npj Digit. Med. 2, 114 (2019)

Clinicians spend a large amount of time on clinical documentation of patient encounters, often impacting quality of care and clinician satisfaction, and causing physician burnout. Advances in artificial intelligence (AI) and machine learning (ML) open the possibility of automating clinical documentation with digital scribes, using speech recognition to eliminate manual documentation by clinicians or medical