Effectiveness of AI-assisted clinical documentation tool (AI scribes) in healthcare services using staggered difference-in-differences and multiple sources of data including registers, questionnaires and interviews. Primary outcomes include completion of statutory health check-ups, working hours, time use of nurses, secondary outcomes include subjective nurse job satisfaction, job burden and perceived quality of work and time use.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
400
AI clinical documentation tool is adopted starting at different assigned time points by eight subgroups. Early vs later adopters are compared using staggered difference-in-differences design. The order of subgroups is randomized for 7/8 subgroups.
AI clinical documentation tool is adopted starting at different assigned time points by eight subgroups. Early vs later adopters are compared using staggered difference-in-differences design. The order of subgroups is randomized for 7/8 subgroups.
University of Turku
Turku, Finland
Ratio of completed statutory health check-ups
Time frame: 7 months.
Number of completed statutory health check-ups
Time frame: 7 months.
Working Hours
Number of working hours (average and dynamic measures)
Time frame: 7 months.
Time use
Questionnaire. Time used in documentation and other tasks (self-assessed). "How much time did you spend on each activity during the preceding workday (on average per client)? 1. Documentation (record-keeping / charting) 2. Client contact (direct client encounters / face-to-face client interaction) 3. Other (e.g. special responsibilities, prescriptions)"
Time frame: 7 months.
Job Satisfaction
Questionnaire: 1. How satisfied have you been with your work during the preceding workday? Very dissatisfied Somewhat dissatisfied Neither dissatisfied nor satisfied Somewhat satisfied Very satisfied 2. How often has each of the following clearly disturbed, worried, or burdened you at work during the preceding workday? 1. Constant time pressure and the burden of unfinished tasks Very rarely or never Fairly rarely Occasionally Fairly often Very often or constantly 2. Too little time to do the work properly Very rarely or never Fairly rarely Occasionally Fairly often Very often or constantly 3. How well do you feel you performed your work tasks (from the patient's perspective) during the preceding workday? Very dissatisfied Fairly dissatisfied Neither dissatisfied nor satisfied Fairly satisfied Very satisfied
Time frame: 7 months.
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