Improving Clinical Documentation with Artificial Intelligence: A Systematic Review.

Q3 Medicine

Perspectives in health information management / AHIMA, American Health Information Management Association Pub Date : 2024-06-01

Scott W Perkins, Justin C Muste, Taseen A Alam, Rishi P Singh

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引用次数: 0

Abstract

Clinicians dedicate significant time to clinical documentation, incurring opportunity cost. Artificial Intelligence (AI) tools promise to improve documentation quality and efficiency. This systematic review overviews peer-reviewed AI tools to understand how AI may reduce opportunity cost. PubMed, Embase, Scopus, and Web of Science databases were queried for original, English language research studies published during or before July 2024 that report a new development, application, and validation of an AI tool for improving clinical documentation. 129 studies were extracted from 673 candidate studies. AI tools improve documentation by structuring data, annotating notes, evaluating quality, identifying trends, and detecting errors. Other AI-enabled tools assist clinicians in real-time during office visits, but moderate accuracy precludes broad implementation. While a highly accurate end-to-end AI documentation assistant is not currently reported in peer-reviewed literature, existing techniques such as structuring data offer targeted improvements to clinical documentation workflows.

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来源期刊

Perspectives in health information management / AHIMA, American Health Information Management Association Medicine-Medicine (all)

CiteScore

1.90

自引率

0.00%

发文量

期刊介绍： Perspectives in Health Information Management is a scholarly, peer-reviewed research journal whose mission is to advance health information management practice and to encourage interdisciplinary collaboration between HIM professionals and others in disciplines supporting the advancement of the management of health information. The primary focus is to promote the linkage of practice, education, and research and to provide contributions to the understanding or improvement of health information management processes and outcomes.