Prospective Evaluation of AI Generated History of Present Illness Drafts in the Emergency Department

Condition(s) studied

Investigational drug(s) / intervention(s)

EDnote HPI (AI-generated HPI draft): On-premise large language model-based tool that transcribes the patient-physician encounter in real time and generates an unedited HPI draft. The treating physician is blinded to the AI HPI draft.

Conventional physician HPI: HPI written by the treating emergency physician according to usual practice, blinded to the EDnote-generated HPI draft.

Study summary

This single-center prospective observational study evaluates whether an on-premise, large language model-based tool (EDnote) that generates a draft history of present illness (HPI) from real-time transcription of the patient-physician encounter produces documentation of higher quality than conventional physician-written HPI in the emergency department. The treating physician writes the conventional HPI blinded to the AI draft. Unedited AI-generated HPI drafts and conventional HPI are compared through blinded review by independent emergency physicians.

Eligibility

Primary outcome measure(s)

• Encounter-level clinical fact capture rate — At blinded review, within 6 months after each index ED visit

Trial sites (1)

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