应用环境临床智能改善医疗护理：一篇评估Nuance DAX对文档负担和职业倦怠影响的研究文章。
Deploying ambient clinical intelligence to improve care: A research article assessing the impact of nuance DAX on documentation burden and burnout.
作者信息
Wendt Staci J, Dinh Catherine T, Sutcliffe Michael, Jones Kyle, Scanlan James M, Smitherman J Scott
机构信息
Health Research Accelerator, Providence Research Network, Portland OR, USA.
Center for Outcomes, Research, and Education, Providence Portland Medical Center, Portland OR, USA.
出版信息
Future Healthc J. 2025 Jul 17;12(3):100450. doi: 10.1016/j.fhj.2025.100450. eCollection 2025 Sep.
INTRODUCTION
Occupational burnout among clinical care providers, due in part to documentation burden, has reached crisis level. This study measured the effect of using new clinical documentation software, an 'ambient clinical intelligence' (ACI) program, to reduce the documentation workload and improve provider wellbeing.
METHODS
This was a randomised, control study with a step-wedge design. Providers were randomly assigned to use ACI early or late in the study. Medical records metadata captured time spent on documentation. Measures of burden and burnout were collected monthly.
RESULTS
ACI significantly reduced documentation burden, provider frustration and burnout. Providers spent less documentation time each day, and 2.5 h less per week of off-hours documentation.
DISCUSSION
This study demonstrates that the use of ACI does indeed relieve the documentation burden and had both subjective and objective benefits. The widespread use of ACI has the potential to alleviate the crisis of physician burnout.
引言
临床护理人员的职业倦怠，部分原因是文档记录负担，已达到危机水平。本研究评估了使用新的临床文档软件——一种“环境临床智能”（ACI）程序，以减轻文档记录工作量并改善医护人员健康状况的效果。
方法
这是一项采用阶梯楔形设计的随机对照研究。医护人员被随机分配在研究早期或晚期使用ACI。医疗记录元数据记录了文档记录所花费的时间。每月收集负担和倦怠的测量数据。
结果
ACI显著减轻了文档记录负担、医护人员的挫败感和倦怠感。医护人员每天花费在文档记录上的时间减少，每周非工作时间的文档记录时间减少2.5小时。
讨论
本研究表明，使用ACI确实减轻了文档记录负担，并带来了主观和客观的益处。ACI的广泛使用有可能缓解医生职业倦怠的危机。
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