Effectiveness of AI-Assisted Clinical Documentation: Evidence From a Staggered Rollout at the Western Uusimaa Wellbeing Services County
| Registry | NCT07742618 |
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| Status | Not yet recruiting |
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| Phase | Not applicable |
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| Study type | Interventional; randomized, sequential, masking: none, health services research |
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| Enrollment | 400 (Estimated) |
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| Sponsor | University of Turku (Other); collaborators: University of Helsinki, Helsinki University Hospital, Finland |
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| Conditions | Effectiveness of AI-assisted Clinical Documentation Tool, Healthy |
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| Interventions | AI clinical documentation tool (Device) |
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| Dates | start 2026-09-01 (estimated), primary completion 2027-03-31 (estimated), completion 2027-12-31 (estimated), first posted 2026-08-03, last updated 2026-08-03 |
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| Locations | 1 site in Finland |
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Related Papers Related Patents Related Grants Related Experts
All trials for Effectiveness of AI-assisted Clinical Documentation Tool All trials for Healthy All trials of AI clinical documentation tool
-Summary
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.
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+Arms and interventions
| Arm | Type | Interventions | Description |
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| Early-Treated | Experimental | Device: AI clinical documentation tool | Nurses adopting AI clinical documentation tool (treatment) |
| Later-Treated | Experimental | Device: AI clinical documentation tool | Nurses that have not yet adopted AI clinical documentation tool (control) |
- AI clinical documentation tool (Device): 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 (Device): 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.
+Outcome measures
Primary outcomes
- Ratio of completed statutory health check-ups [7 months.]
- Number of completed statutory health check-ups [7 months.]
- Working Hours [7 months.]: Number of working hours (average and dynamic measures)
Secondary outcomes
- Time use [7 months.]: 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)"
- Job Satisfaction [7 months.]: 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
+Eligibility
Sex: All, ages: 18 Years to any, accepts healthy volunteers
Inclusion Criteria:
* Member of study population: nurses working at wellchild or student health care services of Western-Uusimaa Wellbeing Services County.
Exclusion Criteria:
* Nurse works in several teams.
* Under 18 years.
+Locations (1)
| Facility | City | Country | Status |
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| University of Turku | Turku | Finland | |