Benefits
- Benefit
-
Time spent on notes fell by 0.36 hours a day
Awaiting review
- Outcome identifiers
-
Unresolved
Not reviewedUnresolved
- Category
-
Reduced Task Time
Awaiting review
- Status
-
Reported benefit
Awaiting review
- Beneficiary groups
-
People. Organizations.
Awaiting review
- Beneficiaries
-
Unresolved
Not reviewedUnresolved
- Reach
-
Unresolved
Not reviewedUnresolved
- Distribution and access
-
Unresolved
Not reviewedUnresolved
- Duration
-
Unresolved
Not reviewedUnresolved
- Expected?
-
Yes
Awaiting review
- Costs and harms
-
Unresolved
Not reviewedUnresolved
AI system
- System
-
Abridge ambient AI scribe
Awaiting review
- Model
-
This is an explicit unresolved assignment: the sources on record do not settle this question.
Not reviewedUnresolved
- Release
-
Unresolved
Not reviewedUnresolved
- Provider
-
Unresolved
Not reviewedUnresolved
- Role
-
Unresolved
Not reviewedUnresolved
- Configuration
-
Unresolved
Not reviewedUnresolved
- Inputs and outputs
-
Unresolved
Not reviewedUnresolved
- Autonomy
-
Unresolved
Not reviewedUnresolved
- Workflow
-
The scribe ran on practitioners' Apple devices through Epic Haiku. Practitioners had at least 20 ambulatory encounters a week.
Awaiting review
- Human oversight
-
Unresolved
Not reviewedUnresolved
- Relation to AI
-
Practitioners were randomized to the order in which they started the scribe, and the intention-to-treat analysis compares periods with and without access. The design isolates the effect of the scribe from calendar time.
Awaiting review
- AI contribution
-
Practitioners were randomized to the order in which they started the scribe, and the intention-to-treat analysis compares periods with and without access. The design isolates the effect of the scribe from calendar time.
Awaiting review
Measurement
- Studies
-
Randomized. [2]
Fully reviewed: supporting details for Studies
Review date: 29 October 2026.
Sources: [2]
- Study design
-
Randomized. [2]
Fully reviewed: supporting details for Study design
Review date: 29 October 2026.
Sources: [2]
- Measurement
-
Stanford Professional Fulfillment Index; EHR audit logs for note time; PDSQI-9 note quality; coder review of billing codes. [2]
Fully reviewed: supporting details for Measurement
Review date: 29 October 2026.
Sources: [2]
- Setting and sample
-
66 practitioners in UW Health ambulatory clinics in Wisconsin and Illinois; 71,487 notes. [2]
Fully reviewed: supporting details for Setting and sample
Review date: 29 October 2026.
Sources: [2]
- Measures
-
Work exhaustion/interpersonal disengagement score; hours a day on notes. [2]
Fully reviewed: supporting details for Measures
Review date: 29 October 2026.
Sources: [2]
- Comparison
-
Periods without scribe access. [2]
Fully reviewed: supporting details for Comparison
Review date: 29 October 2026.
Sources: [2]
- Results
-
-0.44 points exhaustion (95% CI -0.62 to -0.25); -0.36 hours a day on notes (95% CI -0.55 to -0.17). [2]
Fully reviewed: supporting details for Results
Review date: 29 October 2026.
Sources: [2]
- Additional value from AI
-
0.36 fewer hours a day on notes. [2]
Fully reviewed: supporting details for Additional value from AI
Review date: 29 October 2026.
Sources: [2]
- Limitations
-
Small sample, one health system, survey outcomes, fulfillment change not significant, no patient-reported outcomes. [2]
Fully reviewed: supporting details for Limitations
Review date: 29 October 2026.
Sources: [2]
Money
- Kind of value
-
The kind of monetary value is unclear.
Not reviewedUnresolved
- Amount
-
The monetary value is not established.
Not reviewedUnresolved
- Currency and prices
-
The currency and price basis are unclear.
Not reviewedUnresolved
- Period and unit
-
The period and unit of the monetary estimate are unclear.
Not reviewedUnresolved
- Realization
-
Whether the monetary value was realized is unclear.
Not reviewedUnresolved
- Recipients and payers
-
The recipients and payers are unclear.
Not reviewedUnresolved
- Gross or net
-
Whether the monetary figure includes costs is unclear.
Not reviewedUnresolved
- Included costs
-
The costs included in the estimate are unclear.
Not reviewedUnresolved
- Comparison
-
The financial comparison is not established.
Not reviewedUnresolved
- Method
-
The method used to calculate monetary value is unclear.
Not reviewedUnresolved
- Return and payback
-
The return on investment or payback period is not established.
Not reviewedUnresolved
People and places
- Participants
-
Developer: Abridge AI. Operator: UW Health (University of Wisconsin Hospitals and Clinics).
Awaiting review
- Jurisdictions
-
Benefit: UW Health ambulatory clinics in Wisconsin and Illinois,
United States. Developer: United States. Operator: United States.Awaiting review
- Ownership and control
-
Unresolved
Not reviewedUnresolved
- Dependencies
-
Unresolved
Not reviewedUnresolved
- Cross-border connections
-
Unresolved
Not reviewedUnresolved
- Geopolitical implications
-
The geopolitical implications are unclear.
Not reviewedUnresolved
Follow-up
- Conditions for replication
-
Practitioners adopt the scribe for a large share of notes. Note quality holds up under review.
Awaiting review
- Replication attempts
-
2 follow-up entries. Benefit recurred: 2.
Awaiting review
- Later findings
-
The cited sources do not report later use at UW Health.
Awaiting review
- Availability
-
Unresolved
Not reviewedUnresolved
- Institutional decision
-
A relevant institutional decision has not been established.
Not reviewedUnresolved
- Grounds
-
The grounds for an institutional decision are unclear.
Not reviewedUnresolved
- Action and result
-
The result of an institutional decision is not established.
Not reviewedUnresolved
- Success criterion
-
The criterion for a successful institutional decision is unclear.
Not reviewedUnresolved
Evidence
- Source numbers
-
AIBD-0608-source-0001–0003
Awaiting review
- Citations
-
Numbered references below.
Awaiting review
- Language
-
Unresolved
Not reviewedUnresolved
- Source relationships
-
Independent, Operator
Awaiting review
- Original evidence
-
Unresolved
Not reviewedUnresolved
- Access and versions
-
Unresolved
Not reviewedUnresolved
- Supported findings
-
Unresolved
Not reviewedUnresolved
- Evidence links
-
Unresolved
Not reviewedUnresolved
- Evidence strength
-
Independently studied. Sources: one independent peer-reviewed study and the deployer's peer-reviewed study. The cited evidence includes no finding by a regulator or court. [1] [2]
- Missing evidence
-
Unresolved
Not reviewedUnresolved
Grades
- Assessed benefits
-
People. Organizations.
Awaiting review
- Depth
-
People: 2. Organizations: 1.
Awaiting review
- Reasons
-
People: Practitioners' work exhaustion and interpersonal disengagement scores fell by 0.44 points on a five-point scale with scribe use. Organizations: Time spent on notes fell by 0.36 hours a day per practitioner.
Awaiting review
- Observed or intended
-
Unresolved
Not reviewedUnresolved
- Rubric
-
Unresolved
Not reviewedUnresolved
- Assessor and date
-
Unresolved
Not reviewedUnresolved
- Alternative assessments
-
Unresolved
Not reviewedUnresolved
- Fill
-
Independently studied
Awaiting review
Entry details
- Kind
-
The case describes an evaluation or a study. A stepped-wedge, individually randomized pragmatic trial. [1]
Fully reviewed: supporting details for Kind
Review date: 29 October 2026.
Sources: [1]
- Related entries
-
Both records concern the Abridge ambient AI scribe used by a health system, and in this incident a health system faces a proposed class-action lawsuit alleging that it used the scribe to record patient visits without consent and that the scribe workflow placed false consent statements in its medical notes.
Fully reviewed: supporting details for Related entries
Compared with the incidents in the AI Incident Database snapshot of 26 October 2026; a second reading confirmed that the incident concerns the same kind of system and stakeholder.
Sources: incidentdatabase.ai
- Field
-
Healthcare.
Awaiting review
- Purpose
-
Abridge is built to capture clinical conversations and draft visit notes in order to lower documentation burden. Lower exhaustion and less note time are that purpose.
Awaiting review
- Dates
-
Observed: 27 March 2025. Updated: 29 October 2026.
Awaiting review
- Stage
-
The system was used in a pilot. Access was rolled out to 66 practitioners in randomized sequences over 24 weeks. [1]
Fully reviewed: supporting details for Stage
Review date: 29 October 2026.
Sources: [1]
- Version
-
SHA-256: 06a69927c304…
Awaiting review: supporting details for Version
SHA-256 of the public case, its assessments, and its displayed answers and notes, excluding its own identifier and the derived coverage summary.
References
- Other identifiers
-
AI Incident Database: 1754.
Awaiting review
- Category mappings
-
Unresolved
Not reviewedUnresolved
- Citable summary
-
Unresolved
Not reviewedUnresolved
- Revisions
-
2 revisions. Latest: 29 October 2026.
Awaiting review
Sources
-
Peer-reviewed study Independent author
Wolfe J, Welsh SM. Ambient Documentation Systems in Emergency Medicine: A Scoping Review of Clinical Precision, Patient Experience, Throughput, and Quality. Cureus 2026;18(4):e106643. doi:10.7759/cureus.106643. Review by emergency physicians at University Hospitals Cleveland Medical Center and Case Western Reserve University; the authors declare no financial support and no financial relationships.
Afshar et al. conducted a 24-week stepped-wedge pragmatic RCT with 66 practitioners and over 71,000 notes at an academic health system spanning ambulatory clinics in Wisconsin and Illinois, demonstrating significant reductions in work exhaustion and interpersonal disengagement (-0.44 points; p < 0.001), a 0.36-hour daily reduction in documentation time
-
Peer-reviewed study Deployer
Afshar M, Ryan Baumann M, Resnik F, et al. A Pragmatic Randomized Controlled Trial of Ambient Artificial Intelligence to Improve Health Practitioner Well-Being. NEJM AI 2025;2(12). doi:10.1056/aioa2500945. Author manuscript in PMC. Written by University of Wisconsin researchers at the deploying health system.
Ambient AI use had a significant reduction in work exhaustion/interpersonal disengagement (-0.44 points; 95% confidence interval [CI], -0.62 to -0.25; P<0.001)
No funding was provided by the AI software company, and all software licenses were procured under a vendor software-as-a-service (SaaS) agreement between UW Health and Abridge AI, 2024.