None
Conditions
Interventions
A(Intervention-control sequence):Phase I: Agent-assisted medical record documentation. Phase II: Conventional medical record documentation without agent assistance.
B(Comparison-Intervention Sequence):Phase I: Conventional medical record documentation without agent assistance.Phase II:Agent-assisted medical record documentation.
Sponsors
Xiamen Cardiovascular Hospital Xiamen University
Eligibility
Sex/Gender
All
Age
18 Years to 100 Years
Inclusion criteria
Inclusion criteria: 1. Licensed practicing physician, with a professional title of attending physician or above; 2.Responsible for at least two half-day outpatient clinics per week; 3. Familiar with the hospital’s electronic medical record system and capable of independently completing medical record documentation; 4. Able to use the AI assistant; 5.Willing to participate voluntarily.
Exclusion criteria
Exclusion criteria: 1. Interns, resident physicians in training, or physicians without a fixed outpatient schedule; 2.Those who have not participated in outpatient medical record documentation in the past three months; 3. Members of the medical record quality evaluation expert committee; 4.Physicians paired with specialist nurses.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Medical record quality score;Total medical record generation time;Duration of manual character input;Physician satisfaction;Number of manually entered characters;Net Promoter Score (NPS);Physician feedback; | — |
Secondary
| Measure | Time frame |
|---|---|
| Physician-patient direct interaction time;User behavior analysis (including the number of times physicians accessed the AI assistant, citation rate, and copy rate).; | — |
Countries
China
Contacts
Public ContactChen Yuan
Xiamen Cardiovascular Hospital Xiamen University
Outcome results
None listed