Emergency Medicine Practitioners Overall Well-being Enhancement With Ambient AI Scribes

NCT07742761 | Active Not Recruiting

• 1 other identifier: 202602161
• Study Type: interventional
• Target: 55
• Locations: 1 country
• Sites: 1

Brief Summary

The primary objective of the study is to investigate the impact of an ambient AI scribe on clinicians' wellness and well-being outcomes; additionally, we also investigate how the use of the ambient AI scribe will lead to changes in documentation burden, clinical note characteristics and financial productivity.

Conditions

Well-being at Work; Burnout

Keywords

Ambient AI Scribes; Wellness, well-being outcomes; Burnout

Outcome Measures

Primary Outcomes (1)

• Impact of an ambient AI scribe on clinician well-being and professional fulfillment

  We will fit a linear model to describe the effect of Ambient tool introduction on our co-primary outcomes under the intention-to-treat (ITT) framework with a random effects structure to describe within provider variability. While we anticipate high or complete survey completion rates, in the event that not all surveys are completed and returned, we will perform a primary analysis on completed surveys only, and perform sensitivity analyses accounting for potentially systematic survey non-response bias using a response weighting strategy, using provider, scheduling, and patient encounter characteristics to create survey response weights (within each survey time period), then reweighting observations to account for non-response patterns. In analyses for both co-primary outcomes, we will perform Wald type hypothesis tests for inferences on the overall Ambient treatment effect and compare p-values to 0.05 / 2 to conservatively account for multiple comparisons using Bonferroni's method.

  From enrollment to the end of maintenance phase at 24 weeks

Secondary Outcomes (1)

• Assessment of the longitudinal changes in documentation burden

  From enrollment to the end of maintenance phase at 42 weeks

Study Arms (3)

Ambient AI Scribe Intervention, Wave 1 (Step-wedge design)

EXPERIMENTAL

Clinicians use an ambient AI scribe during patient encounters to assist with clinical documentation. Wave 1 participants receive the intervention for 18 weeks. Outcomes are compared before and after implementation.

Other: Ambient AI Scribe

Ambient AI Scribe Intervention, Wave 2 (Step-wedge design)

EXPERIMENTAL

Clinicians use an ambient AI scribe during patient encounters to assist with clinical documentation. Wave 2 participants receive the intervention for 12 weeks. Outcomes are compared before and after implementation.

Other: Ambient AI Scribe

Ambient AI Scribe Intervention Wave 3 (Step-wedge design)

EXPERIMENTAL

Clinicians use an ambient AI scribe during patient encounters to assist with clinical documentation. Wave 1 participants receive the intervention for 6 weeks. Outcomes are compared before and after implementation.

Other: Ambient AI Scribe

Interventions

Ambient AI Scribe OTHER

Clinicians will use an ambient AI scribe as part of routine clinical care. The AI scribe captures the patient-clinician conversation, generates a draft clinical note, and supports documentation in the electronic health record. Clinicians receive training before beginning use of the AI scribe. The intervention is introduced in three sequential waves using a stepped-wedge design, with all participants eventually receiving the intervention.

Ambient AI Scribe Intervention Wave 3 (Step-wedge design); Ambient AI Scribe Intervention, Wave 1 (Step-wedge design); Ambient AI Scribe Intervention, Wave 2 (Step-wedge design)

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Must be a Clinician (attendings and advanced practice practitioners) who is part of the Emergency Medicine Department
• Must be willing to use Ambient AI as apart of their clinical practice work

You may not qualify if:

• Residents who are apart of the Emergency Medicine Department

Sponsors & Collaborators

• Washington University School of Medicine: lead

Study Sites (1)

Washington University School of Medicine

St Louis, Missouri, 63110, United States

Location

Related Publications (30)

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MeSH Terms

Conditions

Burnout, Psychological

Condition Hierarchy (Ancestors)

Stress, Psychological; Behavioral Symptoms; Behavior

Study Officials

• Thomas Kannampallil, PhD

  Washington University in Saint Louis

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: CARE PROVIDER
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor and Director, Institute for Informatics, Data Science, and Biostatistics (I2DB), WashU Medicine Vice Chancellor for Biomedical Informatics and Data Science, WashU Medicine Chief Health AI Officer, BJC Health and WashU Medicine

Study Record Dates

• First Submitted: July 21, 2026
• First Posted: August 3, 2026
• Study Start: April 29, 2026
• Primary Completion (Estimated): December 1, 2026
• Study Completion (Estimated): July 1, 2027
• Last Updated: August 3, 2026

Record last verified: 2026-07

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)