Secondly, clinical documentation doesn't start after the conversation it is often done while talking to the patient. Decreasing the time spent on clinical documentation would allow physicians to spend more time on their patients or treat more patients. Physicians spend an average of 40% of their time on administrative tasks, of which clinical documentation is the most time-intensive task. First of all, it could decrease the administrative burden that is currently weighing down on physicians. How could a digital scribe improve clinical practice? There are several ways in which automating clinical documentation could have a positive impact on healthcare. Figure 1: Components of a digital scribe. The combination of these components is called a digital scribe (see Figure 1). Summarization can be done using a model that extracts sentences from the text ( extractive summarization) or generates new sentences ( abstractive summarization). Classification models can classify parts of the transcript as relevant or not or assign them to a specific part of the clinical note, such as the social history. For a clinical conversation, you could train this model to find symptoms, conditions, and medications. In entity extraction, a model is trained to find specific entities in a text, such as names or dates. This last step uses natural language processing (NLP), with techniques such as entity extraction, classification, or summarization. Then, the digital scribe extracts relevant information from the transcript and forms this into a summary. The digital scribe records the conversation using a microphone and automatically transcribes it using automatic speech recognition (ASR). Our recently published scoping review sheds light on this question 4.įirst things first: what is a digital scribe? A digital scribe is a system that supports physicians by automating a part of the clinical documentation task following a clinical conversation. This last perspective was published in 2019, so you might be wondering what has happened in the meantime and if we've come any closer to an actual digital scribe. The second one explained the challenges still facing the development and implementation of such a digital scribe 3. The first one described how clinical documentation would transfer from a human task to a computerized task in the form of a digital scribe 2. This commentary was followed by two perspectives published in npj Digital Medicine. This commentary, written by three physicians, asked technicians, data scientists, and physicians to join forces and 'unshackle' physicians from the electronic health record (EHR) using artificial intelligence (AI). Sources: Press materials received from the company and additional information gleaned from the company’s website.In April 2018, a commentary called ' Reimagining Clinical Documentation Using Artificial Intelligence ' was published in Mayo Clinic Proceedings 1. It is priced at $129.95 (MSRP) and comes with IOGEAR’s limited one-year warranty. The Mobile Digital Scribe is compatible with 12 languages and Microsoft Windows operating systems Microsoft Vista and Office 2000 and above. The Mobile Digital Scribe has additional functionality when connected to the computer and can serve as a mouse or writing device and The product’s pen, which is a regular size and weight, works on any paper and uses standard ink refills.īy connecting the receiver to a PC with the included USB cable, the handwriting recognition software translates notes into text and saves sketches as JPEGs for consumers to conveniently save, edit, and organize documents. Using the new Mobile Digital Scribe from IOGEAR (Irvine, CA), avid note takers can now leave their laptops at home and store handwritten notes and drawings to later upload onto a PC in digital text.Īn ultrasonic transmitter and infrared sensor capture hand movements while a receiver attached to a notepad stores up to 50 pages of memos and images.
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