{"id":"AIBD-0608","title":"Abridge ambient AI scribe reduced work exhaustion and note time in a stepped-wedge randomized trial at UW Health","summary":"In a UW Health randomized trial of 66 practitioners, the Abridge ambient scribe lowered work exhaustion scores by 0.44 points and cut note time by 0.36 hours a day.","date_observed":"2025-03-27","date_basis":"event","date_precision":"day","benefit_status":"reported","source_collection":null,"source_entry":null,"account":"UW Health, the academic health system of the University of Wisconsin, ran a 24-week stepped-wedge randomized trial of the Abridge ambient AI scribe in ambulatory clinics in Wisconsin and Illinois between 21 August 2024 and 27 March 2025. Sixty-six practitioners were randomly assigned to three six-week sequences for starting the scribe. Of 71,487 notes, 27,092 were drafted with the scribe. Scribe use lowered work exhaustion and interpersonal disengagement on the Stanford Professional Fulfillment Index by 0.44 points on a five-point scale (95% confidence interval 0.25 to 0.62). Time spent on notes fell by 0.36 hours a day. The rise in professional fulfillment did not reach the trial's significance threshold. The drop in work outside work lost significance after the authors removed extreme values. The authors report that note quality scores stayed high and that billing diagnostic codes improved. UW Health bought the licenses under a standard vendor agreement, and Abridge provided no funding.","category":"general benefit","unexpected":false,"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.","system":"Abridge ambient AI scribe","model_version":null,"developer":"Abridge AI","deployer":"UW Health (University of Wisconsin Hospitals and Clinics)","location":"UW Health ambulatory clinics in Wisconsin and Illinois, United States","domain":"Healthcare","segment":null,"benefit_type":"Reduced Task Time","taxonomy_note":null,"registry_ids":{},"ratings":[{"group":"personal","depth":2,"reason":"Practitioners' work exhaustion and interpersonal disengagement scores fell by 0.44 points on a five-point scale with scribe use."},{"group":"organizational","depth":1,"reason":"Time spent on notes fell by 0.36 hours a day per practitioner."}],"ai_role":{"status":"assessed","statement":"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."},"evidence":[{"kind":"peer-reviewed study","citation":"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.","title":"Ambient Documentation Systems in Emergency Medicine: A Scoping Review of Clinical Precision, Patient Experience, Throughput, and Quality","url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13154711/","date":"2026-04-08","written_by":"independent","quote":"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"},{"kind":"peer-reviewed study","citation":"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.","title":"A Pragmatic Randomized Controlled Trial of Ambient Artificial Intelligence to Improve Health Practitioner Well-Being","url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12858090/","date":"2025-11-26","written_by":"deployer","quote":"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)"},{"kind":"peer-reviewed study","citation":"Afshar M et al. (2025), NEJM AI, funding statement.","title":"A Pragmatic Randomized Controlled Trial of Ambient Artificial Intelligence to Improve Health Practitioner Well-Being","url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12858090/","date":"2025-11-26","written_by":"deployer","quote":"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."}],"replication":{"produced_by":["The scribe ran on practitioners' Apple devices through Epic Haiku.","Practitioners had at least 20 ambulatory encounters a week."],"must_hold":["Practitioners adopt the scribe for a large share of notes.","Note quality holds up under review."],"echoes":[{"date":"2024-07-01","setting":"University of Chicago Medicine ambulatory pilot of the Abridge scribe, propensity-weighted comparison","model_version":null,"outcome":"recurred","source":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12514625/"},{"date":"2025-01-03","setting":"UCLA Health randomized trial of Nabla and DAX Copilot","model_version":null,"outcome":"recurred","source":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12768499/"}]},"paired_incident":{"database":"AI Incident Database","identifier":"1754","title":"California Health System Allegedly Used an AI Medical Scribe to Record Patients Without Consent","url":"https://incidentdatabase.ai/cite/1754","severity":null,"group":"organizational","basis":"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."},"headline":"*Abridge* scribe eased exhaustion for UW Health clinicians in a trial","metric":"Time spent on notes fell by 0.36 hours a day","comparator":{"against":"The same practitioners' periods before starting the scribe, within a randomized stepped-wedge design","before":"Usual documentation","after":"0.36 fewer hours a day on notes","basis":"measured","quote":"Among secondary measures, time spent on notes decreased (-0.36 hours per day; 95% CI, -0.55 to -0.17).","url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12858090/"},"later":{"status":"unknown","date":null,"note":"The cited sources do not report later use at UW Health.","quote":null,"url":null},"value":null,"developer_country":"United States","deployer_country":"United States","unrated_because":null,"brief_notes":null,"brief":null,"revisions":[{"date":"2026-10-29","change":"Added the case.","source":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13154711/","editor":"AIBD"},{"date":"2026-10-29","change":"Linked a comparable incident in the AI Incident Database (incident 1754).","source":"https://incidentdatabase.ai/cite/1754","editor":"AIBD"}],"confidence":"studied","shade":"high","claim_status":"Independently studied","claim_basis":"Sources: one independent peer-reviewed study and the deployer's peer-reviewed study. 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