Understanding Clinician Perceptions of GenAI: A Mixed Methods Analysis of Clinical Documentation Tasks.
This mixed-methods study evaluated clinicians' user experience (UX) with Generative AI (GenAI) in Electronic Health Record (EHR) systems across three clinical documentation tasks (Information Extraction, Summarization, and Speech-to-Text) at varying levels of user supervision (low, medium, high), fo...
| Publicado en: | Journal of Medical Systems Vol. 49; no. 1; pp. 1 - 15 |
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| Autores principales: | , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
Springer Nature
8/2/2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=187117793&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 187117793 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01485598 4N0 jtl: Journal of Medical Systems issn: 01485598 maglogo: N pubinfo: dt: 8/2/2025 vid: 49 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 187117793 187117793 187117793 10.1007/s10916-025-02234-8 187117793 ppf: 1 ppct: 14 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Understanding Clinician Perceptions of GenAI: A Mixed Methods Analysis of Clinical Documentation Tasks. aug: au: Fraile Navarro, David Kocaballi, A. Baki Berkovsky, Shlomo affil: https://ror.org/01sf06y89 Centre for Health Informatics, Australian Institute of Health Innovation, Macquarie University, 75 Talavera Road, 2113, Sydney, NSW, Australia sug: subj: Artificial Intelligence, Generative User-Computer Interface Electronic Health Records Task Performance and Analysis Documentation Automation Physician Attitudes Human Multimethod Studies Usability Study Physicians, Family Questionnaires Descriptive Statistics Kruskal-Wallis Test Spearman's Rank Correlation Coefficient Thematic Analysis New South Wales Cross Sectional Studies ab: This mixed-methods study evaluated clinicians' user experience (UX) with Generative AI (GenAI) in Electronic Health Record (EHR) systems across three clinical documentation tasks (Information Extraction, Summarization, and Speech-to-Text) at varying levels of user supervision (low, medium, high), focusing on workflow improvements, safety, and acceptable automation levels. Using conceptual prototyping in a usability study framework, we evaluated how incorporating GenAI into EHR could support the three documentation tasks at varying automation levels. A total of 38 clinicians interacted with the prototype and completed a questionnaire on task relevance, perceived importance, desired automation level, and EHR satisfaction. Both quantitative (descriptive statistics, Kruskal-Wallis tests, Spearman correlations) and qualitative (thematic) analyses were conducted with equal priority to explore preferences, perceived safety, and practical requirements. Clinicians showed positive reception to GenAI integration, particularly for streamlining documentation. While task relevance and importance were strongly correlated, EHR satisfaction did not significantly predict automation acceptance. Medium automation emerged as the preferred level, considered "safe with caution". Five key themes emerged from qualitative analysis: efficiency and quality benefits; system reliability concerns; safety and medico-legal considerations; automation bias and loss of nuance; and deployment requirements including adjustable settings and oversight. While clinicians welcome GenAI-driven documentation, they prefer moderate automation to balance efficiency with clinical control. Successful integration requires addressing safety concerns, conducting real-world trials, and mitigating potential biases and medico-legal challenges. These findings suggest a cautious but optimistic path forward for AI integration in EHR systems, emphasizing the importance of maintaining clinician oversight while leveraging automation benefits. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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