Moryousef Joseph, Nadesan Praveen, Uy Michael, Matti Danny, Guo Yanbo
Department of Surgery, Division of Urology, McMaster University, Hamilton, Ontario, Canada.
Michael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada.
Urology. 2025 Feb;196:12-17. doi: 10.1016/j.urology.2024.11.061. Epub 2024 Nov 30.
OBJECTIVE: To assess the quality of artificial intelligence (AI) scribes and to evaluate their impact on urologic practice. METHODS: Standardized reference consultation notes were created for common urologic referrals (urolithiasis, benign prostate hyperplasia, and prostate-specific antigen screening) were created. Audio recordings of these simulated patient encounters were played for five freely accessible AI scribes. The outputs generated by these scribes were evaluated using a standardized survey completed by Canadian urology faculty and trainees across two academic sites. RESULTS: Twenty urologists responded, of which 75% reported clinical documentation as a significant source of burnout. 90% expressed openness to using AI scribes to facilitate documentation. Among the AI tools assessed, Nabla was ranked the most effective, with a favorable composite score of 68% and lowest critical error composite score (28%). Three-quarters of respondents indicated a willingness to implement AI scribes in their current form, and 89% believed AI scribes would significantly alter their practice in the future. CONCLUSION: AI scribes have the potential to substantially alleviate the administrative burden associated with clinical documentation, thereby reducing burnout. However, challenges remain, particularly in ensuring accuracy, and addressing medicolegal and privacy concerns. AI scribes represent a valuable tool for reducing the documentation burden and improving patient-clinician interactions. However, they should complement, rather than replace, clinician-led documentation to maintain the quality and safety of patient care.
目的:评估人工智能(AI)书记员的质量,并评估其对泌尿外科实践的影响。 方法:针对常见的泌尿外科转诊(尿路结石、良性前列腺增生和前列腺特异性抗原筛查)创建了标准化的参考咨询记录。为五个可免费使用的AI书记员播放了这些模拟患者会诊的音频记录。这些书记员生成的输出由加拿大两个学术机构的泌尿外科教员和学员通过标准化调查进行评估。 结果:20位泌尿科医生做出了回应,其中75%报告称临床文档是职业倦怠的重要来源。90%的人表示愿意使用AI书记员来方便文档记录。在评估的AI工具中,Nabla被评为最有效的工具,综合评分良好,为68%,关键错误综合评分最低(28%)。四分之三的受访者表示愿意以当前形式实施AI书记员,89%的人认为AI书记员将在未来显著改变他们的实践。 结论:AI书记员有潜力大幅减轻与临床文档相关的行政负担,从而减少职业倦怠。然而,挑战依然存在,尤其是在确保准确性以及解决法医学和隐私问题方面。AI书记员是减轻文档负担和改善患者与临床医生互动的宝贵工具。然而,它们应补充而非取代临床医生主导的文档记录,以维持患者护理的质量和安全性。
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