None
Conditions
Interventions
Patients group (AI speechbased medical note generation modelassisted group):None
Sponsors
Ruijin Hospital, Shanghai Jiao Tong University School of Medicine
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: Patients 1. Outpatient or inpatient subjects at Ruijin Hospital; 2. Aged between 18 and 75 years old; 3. Clear consciousness with fluent verbal communication, or available family member to conduct verbal consultation on behalf of the subject; 4. Voluntary participation with written informed consent obtained. Clinicians 1. Practicing clinicians at Ruijin Hospital; 2. Working experience = 2 years; 3. Familiar with electronic medical-record documentation standards and proficient in operating computers and medical software; 4. Voluntary participation with written informed consent obtained.
Exclusion criteria
Exclusion criteria: Patients 1. Subjects with language disorder or impaired consciousness who cannot cooperate with audio recording; 2. Subjects with severe mental illness or terminal malignancy who are unable to complete study procedures. Clinicians 1. Novice clinicians without proficiency in electronic medical-record documentation; 2. Clinicians unable to cooperate with system testing and evaluation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Medical record completeness score;Medical record defect incidence rate;Total medical record documentation time; | — |
Secondary
| Measure | Time frame |
|---|---|
| System operational stability;Speech transcription accuracy;Clinician satisfaction score; | — |
Countries
China
Contacts
Public ContactFeiyue Huang
Ruijin Hospital, Shanghai Jiao Tong University School of Medicine
Outcome results
None listed