Ambient AI for Burnout

Age: Any Age

Sex: Any

Trial Phase: Academic

Sponsor: University of Colorado, Denver

Disqualifiers: Trainees, PT/OT, ED, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: 4

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to determine if a new technology called Abridge can reduce burnout by documenting clinician-patient visits using artificial intelligence. The goal is to assess whether this technology can save time and improve the work experience for healthcare providers by automatically updating electronic health records. Participants will be divided into two groups: one with access to Abridge and another without. This trial is open to UCHealth clinicians who see patients at least three half-days a week and own an iOS smartphone. As an unphased trial, this study offers clinicians the chance to contribute to innovative solutions that may enhance their work-life balance.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

What prior data suggests that this technology is safe for use in clinician-patient interactions?

Research has shown that using AI scribes like Abridge can lead to positive results in healthcare. Studies have found that these tools significantly reduce doctor burnout and improve focus during patient visits. For instance, one study found that AI scribes lowered the chances of doctor burnout by 74%.

Regarding safety, AI scribes like Abridge listen to and record conversations between doctors and patients. This process poses minimal risk because it involves software, not medicine or medical equipment. Additionally, studies have reported no negative effects from using this technology.

Overall, current research considers Abridge safe and well-tolerated. ^{1 2 3 4 5}

Why are researchers excited about this trial?

Researchers are excited about Ambient AI for Burnout because it offers a novel approach to tackling physician burnout by using an AI-driven tool, Abridge. Unlike traditional methods that focus on counseling or reducing workload, Abridge provides real-time transcription and contextualization of medical conversations, helping healthcare providers manage documentation more efficiently. This method aims to alleviate stress by cutting down the time spent on paperwork, allowing more focus on patient care and reducing burnout.

What evidence suggests that this technology is effective for reducing burnout?

Research has shown that Abridge, an AI tool studied in this trial, can help reduce stress and burnout among doctors. In one study, the number of doctors feeling burned out dropped from 51.9% to 38.8% after using the AI assistant. Another study found that 67% of users felt less at risk of burnout because it eased the stress of paperwork. Additionally, 64% of doctors reported feeling happier with their jobs when using Abridge. These findings suggest that Abridge makes paperwork easier and improves job satisfaction for healthcare providers. Participants in this trial will either receive an Abridge license or join a control group without the license. ^{1 2 5 6 7}

Are You a Good Fit for This Trial?

This trial is for clinicians experiencing burnout. Specific eligibility criteria are not provided, so it's assumed that any clinician feeling burnt out may be eligible to participate.

Inclusion Criteria

Clinician (physician, advance practice professional, or licensed mental health professional) employed by UCHealth

I own an iOS smartphone and agree to use the Epic Haiku app for clinic visits.

I see patients for at least three half-days a week without residents or fellows.

Exclusion Criteria

Trainees including residents and fellows

I require specialized care in physical therapy, emergency, maternal/fetal health, pediatrics, dental, or eye care.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Implementation

Deployment of Abridge licenses to clinicians and evaluation of its impact on documentation time and burnout

8 months

Baseline, 2, 4, and 8 months

Follow-up

Participants are monitored for outcomes such as burnout, documentation time, and operational efficiency

8 months

Baseline, 2, 4, and 8 months

What Are the Treatments Tested in This Trial?

Interventions

• Abridge

Trial Overview The trial is testing Abridge AI, a new technology designed to help with documentation by listening and recording clinician-patient interactions directly into the electronic health record.

How Is the Trial Designed?

Group I: Assigned Abridge license Experimental Treatment 1 Intervention

Providers assigned a license

Group II: Control Active Control 1 Intervention

Providers not assigned a license or waitlisted

Who Is Running the Clinical Trial?

University of Colorado, Denver

Lead Sponsor

Trials

1,842

Recruited

3,028,000+

Published Research Related to This Trial

The study successfully extracted and analyzed data from 1,380 reports of rabbit Anti-Thymocyte Globulin (rATG) to identify safety patterns related to dosing, demonstrating the effectiveness of automated tools in data retrieval.

The analysis revealed that cumulative doses of rATG greater than 8 mg/kg were associated with an increased risk of post-transplant lymphoproliferative disorder (PTLD), highlighting a potential safety concern for higher dosing regimens.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Application of Natural Language Processing and Network Analysis Techniques to Post-market Reports for the Evaluation of Dose-related Anti-Thymocyte Globulin Safety Patterns. Botsis, T., Foster, M., Arya, N., et al.[2018]

Physicians involved in adverse events often experience emotional distress, which significantly increases their risk of burnout, with an adjusted odds ratio of 1.90 for those affected.

Peer support is a crucial factor in reducing burnout among physicians after adverse events, as those who received such support had a lower risk of burnout (adjusted odds ratio of 0.65), highlighting the importance of fostering supportive environments in healthcare.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Multispecialty Physician Online Survey Reveals That Burnout Related to Adverse Event Involvement May Be Mitigated by Peer Support. Gupta, K., Rivadeneira, NA., Lisker, S., et al.[2023]

Citations

1. jamanetwork.com jamanetwork.com/journals/jamanetworkopen/fullarticle/2839542

Use of Ambient AI Scribes to Reduce Administrative ... The primary outcome was burnout, and secondary analyses included changes in multiple other outcome measures linearly transformed to 10-point ...

2. medicine.yale.edu medicine.yale.edu/news-article/ai-scribes-reduce-physician-burnout-return-focus-to-the-patient/

AI Scribes Reduce Physician Burnout and Return Focus to the ... After using the AI scribe for patient visits, the percentage of physicians reporting burnout dropped from 51.9% to 38.8%—representing 74% lower ...

3. abridge.com abridge.com/blog/kumc-research-studies

Scientific Research Validates the Efficacy of Abridge 67% felt less at risk of burnout due to documentation; 64% felt increased satisfaction at work. These results are based on pre- and post- ...

4. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC11843214/

Enhancing clinical documentation with ambient artificial ... Outcomes included clinical documentation burden, work after-hours, clinician burnout, and work satisfaction. Data were analyzed using ...

5. hsrc.himmelfarb.gwu.edu hsrc.himmelfarb.gwu.edu/cgi/viewcontent.cgi?article=1033&context=smhs_URGENT_Matters

Revolutionizing Healthcare Documentation: Abridge's ... Revolutionizing Healthcare Documentation: Abridge's Innovative Solution to Physician. Burnout and Efficiency Challenges. Jack Buckanavage ...

6. altais.com altais.com/blog/abridge-ai-reduce-physician-burnout-enhance-documentation/

Altais Introduces Abridge AI to Reduce Physician Burnout ... Abridge uses ambient listening and generative AI to automatically capture and summarize patient-provider conversations directly into the clinical note.

7. massgeneralbrigham.org massgeneralbrigham.org/en/about/newsroom/press-releases/ambient-documentation-technologies-reduce-physician-burnout

Ambient Documentation Technologies Reduce Physician ... At Mass General Brigham, use of ambient documentation technologies was associated with a 21.2% absolute reduction in burnout prevalence at 84 ...