A Novel Playbook for Pragmatic Trial Operations to Monitor and Evaluate Ambient Artificial Intelligence in Clinical Practice.

Majid Afshar^1,2,3,4, Felice Resnik¹, Mary Ryan Baumann^1,3,5, Josie Hintzke¹, Kayla Lemmon¹, Anne Gravel Sullivan¹, Tina Shah⁶, Anthony Stordalen⁷, Michael Oberst⁷, Jason Dambach^2,8, Leigh Ann Mrotek¹, Mariah Quinn², Kirsten Abramson², Peter Kleinschmidt², Tom Brazelton⁹, Heidi Twedt^2,8, David Kunstman^4,8, Graham Wills^4,10, John Long⁸, Brian W Patterson^3,4,10, Frank J Liao^4,10, Stacy Rasmussen⁴, Elizabeth Burnside¹, Cherodeep Goswami⁴, Joel E Gordon^4,8

¹Institute for Clinical and Translational Research, School of Medicine and Public Health, University of Wisconsin, Madison.

²Department of Medicine, School of Medicine and Public Health, University of Wisconsin, Madison.

³Department of Population Health Sciences, School of Medicine and Public Health, University of Wisconsin, Madison.

⁴University of Wisconsin Hospitals and Clinics, Madison.

⁵Department of Biostatistics and Medical Informatics, School of Medicine and Public Health, University of Wisconsin, Madison.

⁶Division of Pulmonary and Critical Care, Robert Wood Johnson / Barnabas Health System, Rutgers New Jersey Medical School, Newark, NJ.

⁷Abridge AI, Inc., Philadelphia.

⁸Department of Family and Community Health, School of Medicine and Public Health, University of Wisconsin, Madison.

⁹Department of Pediatrics, School of Medicine and Public Health, University of Wisconsin, Madison.

¹⁰BerbeeWalsh Department of Emergency Medicine, School of Medicine and Public Health, University of Wisconsin, Madison.

PubMed PMC DOI PDF

Abstract

BACKGROUND: Ambient artificial intelligence (AI) offers the potential to reduce documentation burden and improve efficiency through clinical note generation. Widespread adoption, however, remains limited due to challenges in electronic health record (EHR) integration, coding compliance, and real-world evaluation. This study introduces a framework and protocols to design, monitor, and deploy ambien…

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