Evaluating the Impact of Ambient AI on Documentation Efficiency and Clinician Burnout in Primary Care Settings

NCT06605976 | Completed

• 1 other identifier: IRB23-072
• Study Type: interventional
• Target: 45
• Locations: 1 country
• Sites: 1

Brief Summary

This clinical trial aims to evaluate the effectiveness of an ambient listening AI product, DAX CoPilot, in improving clinical documentation efficiency and reducing clinician burnout in primary care settings. Researchers will compare results from a group who was given a license to use DAX CoPilot to a group who was not given a license. Participants in the DAX group will use DAX CoPilot system for EHR documentation and participants in the control group will use use standard EHR documentation methods. Participants will also be asked to complete surveys and assessments related to their views on technology and experiences of burnout.

Conditions

Burnout; Clinical Documentation Efficiency

Keywords

clinical documentation; burnout; scribe; ambient AI; DAX CoPilot; randomized control trial; electronic health record; acceptance and use of technology; patient satisfaction

Outcome Measures

Primary Outcomes (1)

• Documentation efficiency

  Compare average documentation, workload, and InBasket metrics (tracked by Epic Signal and through a custom data pull for SHS) before and after the implementation of ambient AI among the intervention and control groups; time in notes per appointment, time in notes per scheduled day, progress note length, note composition, time outside scheduled hours, time outside of 7 AM to 7 PM, pajama time, visits closed same day, time in InBasket per appointment, InBasket message turnaround time

  From baseline to the end of the 3 month experimental period

Secondary Outcomes (1)

• Burnout

  From baseline to the end of the 3 month experimental period

Other Outcomes (1)

• Patient satisfaction

  3 months experimental period

Study Arms (2)

DAX CoPilot Group

EXPERIMENTAL

Participants in this arm were given a DAX CoPilot license and asked to use it for clinical documentation in the EHR.

Behavioral: DAX CoPilot Group

Control group

NO INTERVENTION

Participants in this arm were not given a DAX CoPilot license and were asked to use standard methods for clinical documentation in the EHR.

Interventions

DAX CoPilot Group BEHAVIORAL

Participants in this group were given a license for DAX CoPilot and asked to use it for clinical documentation.

DAX CoPilot Group

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Licensed Clinicians: Independently licensed clinicians (MDs, DOs, NPs, PAs) who have been actively practicing at Samaritan Health Services for at least 6 months.
• Primary Care Only: Providers must have a listed specialty of family medicine, internal medicine, or pediatrics, and currently practice primarily in a primary or urgent care clinic.
• Provider has an Apple iPhone and is willing to install Epic Haiku.

You may not qualify if:

• Inpatient-Only Clinicians: Exclude clinicians who only, or primarily, work in inpatient settings, as documentation needs and challenges may differ significantly from those in outpatient settings.
• Trainees: Exclude medical students and residents due to their varying levels of experience and dependence on supervisory oversight.
• Minimum Outpatient Encounters: Exclude clinicians with fewer than 100 outpatient encounters per month to focus on those with a significant workload in outpatient settings.
• Android Smartphones Users: Clinicians may not use Android, or generally any non-Apple or non-iOS smartphones, given the software limitations of the selected intervention technology.
• Corrective Action: Exclude clinicians facing dismissal, corrective, or disciplinary action.
• Scheduled leave longer than 3 weeks during the study period

Sponsors & Collaborators

• Samaritan Health Services: lead

Study Sites (1)

Samaritan Health Services

Corvallis, Oregon, 97330, United States

Location

MeSH Terms

Conditions

Burnout, Psychological; Patient Satisfaction

Condition Hierarchy (Ancestors)

Stress, Psychological; Behavioral Symptoms; Behavior; Treatment Adherence and Compliance; Health Behavior

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Randomized control trial

Study Record Dates

• First Submitted: September 18, 2024
• First Posted: September 20, 2024
• Study Start: May 1, 2024
• Primary Completion: September 13, 2024
• Study Completion: September 13, 2024
• Last Updated: September 20, 2024

Record last verified: 2024-09

Locations

US (1)