{"id":"AIBD-0609","title":"Abridge AI scribe pilot at the University of Chicago lowered clinicians' EHR and note time against matched nonusers","summary":"In a 2024 University of Chicago pilot, 125 Abridge scribe users spent 15.9% less time in notes and 8.5% less time in the EHR than 478 weighted nonusers.","date_observed":"2024-07-01","date_basis":"event","date_precision":"day","benefit_status":"reported","source_collection":null,"source_entry":null,"account":"In July 2024 the University of Chicago Medicine offered the Abridge AI scribe to its ambulatory clinicians as a three-month pilot that ran to 30 September 2024. After patients consented, clinicians recorded visits with an Abridge app on their personal devices, then reviewed the drafted note before moving it into the record. Researchers at the university compared 125 scribe users with 478 nonusers, using propensity score weighting to balance the groups. Scribe use was associated with 8.5% less EHR time per appointment (about 2.4 minutes) and 15.9% less time in notes (about 1.8 minutes). After-hours documentation time, appointment length and visit volume did not change significantly. Clinicians volunteered for the pilot. The authors used the weighting to address selection bias, which they describe as a key limit of earlier studies. The authors report no conflicts tied to Abridge.","category":"general benefit","unexpected":false,"purpose":"Abridge is built to draft visit notes from recorded conversations so that clinicians spend less time documenting. The time saving is that purpose.","system":"Abridge AI scribe","model_version":null,"developer":"Abridge AI","deployer":"University of Chicago Medicine","location":"University of Chicago Medicine ambulatory clinics, Chicago, Illinois, United States","domain":"Healthcare","segment":null,"benefit_type":"Reduced Task Time","taxonomy_note":null,"registry_ids":{},"ratings":[{"group":"organizational","depth":1,"reason":"Scribe users spent 15.9% less time in notes and 8.5% less time in the EHR per appointment."}],"ai_role":{"status":"assessed","statement":"The study compares scribe users with propensity-weighted nonusers and also compares users with their own baseline. The comparison is observational, and users chose to join the pilot."},"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":"Pearlman et al. studied 125 AI scribe users and 478 controls and found an 8.5% reduction in mean EHR time per appointment and a 15.9% reduction in note time per appointment"},{"kind":"peer-reviewed study","citation":"Pearlman K, Wan W, Shah S, Laiteerapong N. Use of an AI Scribe and Electronic Health Record Efficiency. JAMA Network Open 2025;8(10):e2537000. doi:10.1001/jamanetworkopen.2025.37000. Written by University of Chicago researchers at the deploying health system.","title":"Use of an AI Scribe and Electronic Health Record Efficiency","url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12514625/","date":"2025-10-10","written_by":"deployer","quote":"In the weighted generalized linear regression, AI scribe use was associated with an 8.5% (95% CI, -12.8% to -3.9%; P < .001) lower mean EHR time (ie, 2.4 minutes) and a 15.9% (95% CI -21.2% to -10.4%; P < .001) lower mean time in notes (ie, 1.8 minutes) with no significant differences in other outcomes."},{"kind":"peer-reviewed study","citation":"Same study, methods section.","title":"Use of an AI Scribe and Electronic Health Record Efficiency","url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12514625/","date":"2025-10-10","written_by":"deployer","quote":"In July 2024, the University of Chicago deployed an AI scribe developed by Abridge AI Inc."}],"replication":{"produced_by":["Clinicians volunteered and completed a one-hour training session led by Abridge support staff.","Clinicians recorded visits on personal devices and edited drafts before filing them."],"must_hold":["Clinicians use the scribe for routine visits and review its drafts."],"echoes":[{"date":"2025-03-27","setting":"UW Health randomized trial of the Abridge scribe","model_version":null,"outcome":"recurred","source":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12858090/"}]},"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 pilot trimmed EHR time for UChicago clinicians","metric":"15.9% less time in notes and 8.5% less time in the EHR","comparator":{"against":"Propensity-weighted ambulatory clinicians who did not use the scribe","before":"Nonuser mean time in notes","after":"15.9% lower mean time in notes (about 1.8 minutes per appointment)","basis":"measured","quote":"a 15.9% (95% CI -21.2% to -10.4%; P < .001) lower mean time in notes (ie, 1.8 minutes)","url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12514625/"},"later":{"status":"unknown","date":null,"note":"The cited source covers the three-month pilot only.","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. The cited evidence includes no finding by a regulator or court.","case_jurisdictions":["United States"],"profile":{"case_id":"AIBD-0609","catalog_version":"1.0.0","source_fingerprint":"947ae13c309f07e995cafad3cfcfc46cad8bb65098b349e2ecd1fc9593f48438","collection_refs":[{"collection_id":"aibd","version":"2026-10-29"}],"source_ids":["AIBD-0609-source-0001","AIBD-0609-source-0002","AIBD-0609-source-0003"],"families":{"strategic assessments":{"state":"unresolved","provenance":{"kind":"curatorial","basis":"Editorial assignment.","record_fields":[],"source_refs":[]},"reason":"Editorial assignment.","review_state":"not_assessed","coverage":"partial","record_ids":[]},"evaluations":{"state":"value_present","value":{"kind":"identifiers","identifiers":["AIBD-0609-evaluation-1"],"role":"Evaluations of the benefit"},"provenance":{"kind":"source_review","basis":"Editorial assignment.","record_fields":[],"source_refs":["AIBD-0609-source-0002"],"reviewed_on":"2026-10-29"},"review_state":"reviewed","coverage":"partial","record_ids":["AIBD-0609-evaluation-1"]},"monetary observations":{"state":"unresolved","provenance":{"kind":"curatorial","basis":"Editorial assignment.","record_fields":[],"source_refs":[]},"reason":"Editorial assignment.","review_state":"not_assessed","coverage":"partial","record_ids":[]},"institutional decisions":{"state":"unresolved","provenance":{"kind":"curatorial","basis":"Editorial assignment.","record_fields":[],"source_refs":[]},"reason":"Editorial assignment.","review_state":"not_assessed","coverage":"partial","record_ids":[]}},"fields":{"actors[]":{"state":"value_present","value":{"kind":"record_fields","fields":{"developer":"Abridge AI","deployer":"University of Chicago Medicine"}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["developer","deployer"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"},"actors[].ownership_control":{"state":"unresolved","provenance":{"kind":"curatorial","basis":"Editorial assignment.","record_fields":[],"source_refs":[]},"reason":"This is an explicit unresolved assignment: the sources on record do not settle this question.","review_state":"not_assessed","coverage":"partial"},"ai_contribution":{"state":"value_present","value":{"kind":"record_fields","fields":{"ai_role":{"status":"assessed","statement":"The study compares scribe users with propensity-weighted nonusers and also compares users with their own baseline. The comparison is observational, and users chose to join the pilot."}}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["ai_role"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"},"ai_relationship":{"state":"value_present","value":{"kind":"record_fields","fields":{"category":"general benefit","ai_role":{"status":"assessed","statement":"The study compares scribe users with propensity-weighted nonusers and also compares users with their own baseline. The comparison is observational, and users chose to join the pilot."}}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["ai_role","category"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"},"assessments[].alternatives":{"state":"unresolved","provenance":{"kind":"curatorial","basis":"Editorial assignment.","record_fields":[],"source_refs":[]},"reason":"This is an explicit unresolved assignment: the sources on record do not settle this question.","review_state":"not_assessed","coverage":"partial"},"assessments[].assessor_date":{"state":"unresolved","provenance":{"kind":"curatorial","basis":"Editorial assignment.","record_fields":[],"source_refs":[]},"reason":"This is an explicit unresolved assignment: the sources on record do not settle this question.","review_state":"not_assessed","coverage":"partial"},"assessments[].depth":{"state":"value_present","value":{"kind":"record_fields","fields":{"ratings":[{"group":"organizational","depth":1,"reason":"Scribe users spent 15.9% less time in notes and 8.5% less time in the EHR per appointment."}]}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["ratings"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"},"assessments[].display_confidence":{"state":"value_present","value":{"kind":"structured","data":{"confidence":"high","evidence_word":"studied","claim_status":"Independently studied","basis":"Sources: one independent peer-reviewed study and the deployer's peer-reviewed study. The cited evidence includes no finding by a regulator or court.","interpretation":"Existing display rule preserved; the richer outcome-specific confidence question still needs review."}},"provenance":{"kind":"curatorial","basis":"Editorial assignment.","record_fields":[],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"},"assessments[].rationale":{"state":"value_present","value":{"kind":"record_fields","fields":{"ratings":[{"group":"organizational","depth":1,"reason":"Scribe users spent 15.9% less time in notes and 8.5% less time in the EHR per appointment."}]}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["ratings"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"},"assessments[].rubric_version":{"state":"unresolved","provenance":{"kind":"curatorial","basis":"Editorial assignment.","record_fields":[],"source_refs":[]},"reason":"This is an explicit unresolved assignment: the sources on record do not settle this question.","review_state":"not_assessed","coverage":"partial"},"assessments[].status_basis":{"state":"unresolved","provenance":{"kind":"curatorial","basis":"Editorial assignment.","record_fields":[],"source_refs":[]},"reason":"This is an explicit unresolved assignment: the sources on record do not settle this question.","review_state":"not_assessed","coverage":"partial"},"assessments[].target":{"state":"value_present","value":{"kind":"record_fields","fields":{"ratings":[{"group":"organizational","depth":1,"reason":"Scribe users spent 15.9% less time in notes and 8.5% less time in the EHR per appointment."}]}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["ratings"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"},"availability":{"state":"unresolved","provenance":{"kind":"curatorial","basis":"Editorial assignment.","record_fields":[],"source_refs":[]},"reason":"This is an explicit unresolved assignment: the sources on record do not settle this question.","review_state":"not_assessed","coverage":"partial"},"brief":{"state":"unresolved","provenance":{"kind":"curatorial","basis":"Editorial assignment.","record_fields":[],"source_refs":[]},"reason":"This is an explicit unresolved assignment: the sources on record do not settle this question.","review_state":"not_assessed","coverage":"partial"},"case_kind":{"state":"value_present","value":{"kind":"structured","data":{"classification":"evaluation or study","answer":"The case describes an evaluation or a study. Retrospective cohort study with pre-post and propensity-weighted comparisons.","scope":"The period and activity described in the case."}},"provenance":{"kind":"source_review","basis":"Editorial assignment.","record_fields":["account","evidence"],"source_refs":["AIBD-0609-source-0001"],"reviewed_on":"2026-10-29"},"review_state":"reviewed","coverage":"complete","display":{"answer":"The case describes an evaluation or a study. Retrospective cohort study with pre-post and propensity-weighted comparisons.","inferred":false}},"case_links[]":{"state":"value_present","value":{"kind":"structured","data":{"answer":"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.","links":[{"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","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.","relation":"comparable_harm"}]}},"provenance":{"kind":"curatorial","basis":"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.","record_fields":["paired_incident"],"source_refs":["https://incidentdatabase.ai/cite/1754"]},"review_state":"reviewed","coverage":"complete","display":{"answer":"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.","inferred":false}},"claims[].evidence_links":{"state":"unresolved","provenance":{"kind":"curatorial","basis":"Editorial assignment.","record_fields":[],"source_refs":[]},"reason":"This is an explicit unresolved assignment: the sources on record do not settle this question.","review_state":"not_assessed","coverage":"partial"},"claims[].evidence_strength":{"state":"value_present","value":{"kind":"structured","data":{"answer":"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.","evidence_word":"studied","claim_status":"Independently studied"}},"provenance":{"kind":"source_review","basis":"Editorial assignment.","record_fields":["evidence"],"source_refs":["AIBD-0609-source-0001","AIBD-0609-source-0002","AIBD-0609-source-0003"],"reviewed_on":"2026-10-29"},"review_state":"reviewed","coverage":"complete","display":{"answer":"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.","inferred":false}},"claims[].missingness":{"state":"unresolved","provenance":{"kind":"curatorial","basis":"Editorial assignment.","record_fields":[],"source_refs":[]},"reason":"This is an explicit unresolved assignment: the sources on record do not settle this question.","review_state":"not_assessed","coverage":"partial"},"claims[].proposition":{"state":"unresolved","provenance":{"kind":"curatorial","basis":"Editorial assignment.","record_fields":[],"source_refs":[]},"reason":"This is an explicit unresolved assignment: the sources on record do not settle this question.","review_state":"not_assessed","coverage":"partial"},"cross_border_flows[]":{"state":"unresolved","provenance":{"kind":"curatorial","basis":"Editorial assignment.","record_fields":[],"source_refs":[]},"reason":"This is an explicit unresolved assignment: the sources on record do not settle this question.","review_state":"not_assessed","coverage":"partial"},"decisions[].action_outcome":{"state":"unresolved","review_state":"not_assessed","coverage":"partial","family":"institutional decisions"},"decisions[].grounds":{"state":"unresolved","review_state":"not_assessed","coverage":"partial","family":"institutional decisions"},"decisions[].institution_task":{"state":"unresolved","review_state":"not_assessed","coverage":"partial","family":"institutional decisions"},"decisions[].success_criterion":{"state":"unresolved","review_state":"not_assessed","coverage":"partial","family":"institutional decisions"},"deployment_stage":{"state":"value_present","value":{"kind":"structured","data":{"classification":"pilot","answer":"The system was used in a pilot. A voluntary three-month pilot from 1 July to 30 September 2024.","scope":"The period and activity described in the case."}},"provenance":{"kind":"source_review","basis":"Editorial assignment.","record_fields":["account","evidence"],"source_refs":["AIBD-0609-source-0001"],"reviewed_on":"2026-10-29"},"review_state":"reviewed","coverage":"complete","display":{"answer":"The system was used in a pilot. A voluntary three-month pilot from 1 July to 30 September 2024.","inferred":false}},"economics[].amount":{"state":"unresolved","review_state":"not_assessed","coverage":"partial","family":"monetary observations"},"economics[].costs[]":{"state":"unresolved","review_state":"not_assessed","coverage":"partial","family":"monetary observations"},"economics[].counterfactual":{"state":"unresolved","review_state":"not_assessed","coverage":"partial","family":"monetary observations"},"economics[].currency_price_basis":{"state":"unresolved","review_state":"not_assessed","coverage":"partial","family":"monetary observations"},"economics[].gross_net":{"state":"unresolved","review_state":"not_assessed","coverage":"partial","family":"monetary observations"},"economics[].measure_type":{"state":"unresolved","review_state":"not_assessed","coverage":"partial","family":"monetary observations"},"economics[].period_unit":{"state":"unresolved","review_state":"not_assessed","coverage":"partial","family":"monetary observations"},"economics[].realization":{"state":"unresolved","review_state":"not_assessed","coverage":"partial","family":"monetary observations"},"economics[].recipient_payer":{"state":"unresolved","review_state":"not_assessed","coverage":"partial","family":"monetary observations"},"economics[].return_payback":{"state":"unresolved","review_state":"not_assessed","coverage":"partial","family":"monetary observations"},"economics[].valuation_method":{"state":"unresolved","review_state":"not_assessed","coverage":"partial","family":"monetary observations"},"evaluations[].ai_uplift":{"state":"value_present","value":{"kind":"text","text":"About 1.8 minutes less in notes per appointment."},"provenance":{"kind":"source_review","basis":"Editorial assignment.","record_fields":["evidence"],"source_refs":["AIBD-0609-source-0002"],"reviewed_on":"2026-10-29"},"review_state":"reviewed","coverage":"complete","display":{"answer":"About 1.8 minutes less in notes per appointment.","inferred":false}},"evaluations[].comparator":{"state":"value_present","value":{"kind":"text","text":"Propensity-weighted nonusers."},"provenance":{"kind":"source_review","basis":"Editorial assignment.","record_fields":["evidence"],"source_refs":["AIBD-0609-source-0002"],"reviewed_on":"2026-10-29"},"review_state":"reviewed","coverage":"complete","display":{"answer":"Propensity-weighted nonusers.","inferred":false}},"evaluations[].design":{"state":"value_present","value":{"kind":"text","text":"Controlled observational."},"provenance":{"kind":"source_review","basis":"Editorial assignment.","record_fields":["evidence"],"source_refs":["AIBD-0609-source-0002"],"reviewed_on":"2026-10-29"},"review_state":"reviewed","coverage":"complete","display":{"answer":"Controlled observational.","inferred":false}},"evaluations[].effect":{"state":"value_present","value":{"kind":"text","text":"-8.5% EHR time (95% CI -12.8% to -3.9%); -15.9% note time (95% CI -21.2% to -10.4%)."},"provenance":{"kind":"source_review","basis":"Editorial assignment.","record_fields":["evidence"],"source_refs":["AIBD-0609-source-0002"],"reviewed_on":"2026-10-29"},"review_state":"reviewed","coverage":"complete","display":{"answer":"-8.5% EHR time (95% CI -12.8% to -3.9%); -15.9% note time (95% CI -21.2% to -10.4%).","inferred":false}},"evaluations[].exposure":{"state":"value_present","value":{"kind":"text","text":"Pilot users across specialties."},"provenance":{"kind":"source_review","basis":"Editorial assignment.","record_fields":["evidence"],"source_refs":["AIBD-0609-source-0002"],"reviewed_on":"2026-10-29"},"review_state":"reviewed","coverage":"complete","display":{"answer":"Pilot users across specialties.","inferred":false}},"evaluations[].id":{"state":"value_present","value":{"kind":"identifiers","identifiers":["AIBD-0609-evaluation-1"],"role":"Evaluations of the benefit"},"provenance":{"kind":"source_review","basis":"Editorial assignment.","record_fields":["evidence"],"source_refs":["AIBD-0609-source-0002"],"reviewed_on":"2026-10-29"},"review_state":"reviewed","coverage":"complete","display":{"answer":"Controlled observational.","inferred":false}},"evaluations[].measurement_method":{"state":"value_present","value":{"kind":"text","text":"EHR audit-log time per appointment."},"provenance":{"kind":"source_review","basis":"Editorial assignment.","record_fields":["evidence"],"source_refs":["AIBD-0609-source-0002"],"reviewed_on":"2026-10-29"},"review_state":"reviewed","coverage":"complete","display":{"answer":"EHR audit-log time per appointment.","inferred":false}},"evaluations[].metric":{"state":"value_present","value":{"kind":"text","text":"Mean EHR time and mean time in notes per appointment."},"provenance":{"kind":"source_review","basis":"Editorial assignment.","record_fields":["evidence"],"source_refs":["AIBD-0609-source-0002"],"reviewed_on":"2026-10-29"},"review_state":"reviewed","coverage":"complete","display":{"answer":"Mean EHR time and mean time in notes per appointment.","inferred":false}},"evaluations[].reproduction_materials":{"state":"value_present","value":{"kind":"text","text":"Data sharing statement in Supplement 2."},"provenance":{"kind":"source_review","basis":"Editorial assignment.","record_fields":["evidence"],"source_refs":["AIBD-0609-source-0002"],"reviewed_on":"2026-10-29"},"review_state":"reviewed","coverage":"complete","display":{"answer":"Data sharing statement in Supplement 2.","inferred":false}},"evaluations[].setting_sample":{"state":"value_present","value":{"kind":"text","text":"125 scribe users and 478 nonusers, University of Chicago ambulatory clinics."},"provenance":{"kind":"source_review","basis":"Editorial assignment.","record_fields":["evidence"],"source_refs":["AIBD-0609-source-0002"],"reviewed_on":"2026-10-29"},"review_state":"reviewed","coverage":"complete","display":{"answer":"125 scribe users and 478 nonusers, University of Chicago ambulatory clinics.","inferred":false}},"evaluations[].uncertainty_limitations":{"state":"value_present","value":{"kind":"text","text":"Voluntary users, one site, three months, no change in after-hours time."},"provenance":{"kind":"source_review","basis":"Editorial assignment.","record_fields":["evidence"],"source_refs":["AIBD-0609-source-0002"],"reviewed_on":"2026-10-29"},"review_state":"reviewed","coverage":"complete","display":{"answer":"Voluntary users, one site, three months, no change in after-hours time.","inferred":false}},"external_references[]":{"state":"value_present","value":{"kind":"record_fields","fields":{"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","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."}}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["paired_incident"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"},"follow_up[]":{"state":"value_present","value":{"kind":"record_fields","fields":{"later":{"status":"unknown","note":"The cited source covers the three-month pilot only."}}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["later"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"},"human_oversight":{"state":"unresolved","provenance":{"kind":"curatorial","basis":"Editorial assignment.","record_fields":[],"source_refs":[]},"reason":"This is an explicit unresolved assignment: the sources on record do not settle this question.","review_state":"not_assessed","coverage":"partial"},"id":{"state":"value_present","value":{"kind":"record_fields","fields":{"id":"AIBD-0609"}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["id"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"},"infrastructure_dependencies[]":{"state":"unresolved","provenance":{"kind":"curatorial","basis":"Editorial assignment.","record_fields":[],"source_refs":[]},"reason":"This is an explicit unresolved assignment: the sources on record do not settle this question.","review_state":"not_assessed","coverage":"partial"},"outcomes[].beneficiaries":{"state":"unresolved","provenance":{"kind":"curatorial","basis":"Editorial assignment.","record_fields":[],"source_refs":[]},"reason":"This is an explicit unresolved assignment: the sources on record do not settle this question.","review_state":"not_assessed","coverage":"partial"},"outcomes[].beneficiary_count":{"state":"unresolved","provenance":{"kind":"curatorial","basis":"Editorial assignment.","record_fields":[],"source_refs":[]},"reason":"This is an explicit unresolved assignment: the sources on record do not settle this question.","review_state":"not_assessed","coverage":"partial"},"outcomes[].benefit_type":{"state":"value_present","value":{"kind":"record_fields","fields":{"benefit_type":"Reduced Task Time"}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["benefit_type"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"},"outcomes[].claim":{"state":"value_present","value":{"kind":"record_fields","fields":{"account":"In July 2024 the University of Chicago Medicine offered the Abridge AI scribe to its ambulatory clinicians as a three-month pilot that ran to 30 September 2024. After patients consented, clinicians recorded visits with an Abridge app on their personal devices, then reviewed the drafted note before moving it into the record. Researchers at the university compared 125 scribe users with 478 nonusers, using propensity score weighting to balance the groups. Scribe use was associated with 8.5% less EHR time per appointment (about 2.4 minutes) and 15.9% less time in notes (about 1.8 minutes). After-hours documentation time, appointment length and visit volume did not change significantly. Clinicians volunteered for the pilot. The authors used the weighting to address selection bias, which they describe as a key limit of earlier studies. The authors report no conflicts tied to Abridge.","benefit_type":"Reduced Task Time"}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["account","benefit_type"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"},"outcomes[].distribution":{"state":"unresolved","provenance":{"kind":"curatorial","basis":"Editorial assignment.","record_fields":[],"source_refs":[]},"reason":"This is an explicit unresolved assignment: the sources on record do not settle this question.","review_state":"not_assessed","coverage":"partial"},"outcomes[].duration":{"state":"unresolved","provenance":{"kind":"curatorial","basis":"Editorial assignment.","record_fields":[],"source_refs":[]},"reason":"This is an explicit unresolved assignment: the sources on record do not settle this question.","review_state":"not_assessed","coverage":"partial"},"outcomes[].id":{"state":"unresolved","provenance":{"kind":"curatorial","basis":"Editorial assignment.","record_fields":[],"source_refs":[]},"reason":"This is an explicit unresolved assignment: the sources on record do not settle this question.","review_state":"not_assessed","coverage":"partial"},"outcomes[].stakeholder_group":{"state":"value_present","value":{"kind":"record_fields","fields":{"ratings":[{"group":"organizational","depth":1,"reason":"Scribe users spent 15.9% less time in notes and 8.5% less time in the EHR per appointment."}]}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["ratings"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"},"outcomes[].status":{"state":"value_present","value":{"kind":"record_fields","fields":{"benefit_status":"reported"}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["benefit_status"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"},"outcomes[].tradeoffs":{"state":"unresolved","provenance":{"kind":"curatorial","basis":"Editorial assignment.","record_fields":[],"source_refs":[]},"reason":"This is an explicit unresolved assignment: the sources on record do not settle this question.","review_state":"not_assessed","coverage":"partial"},"outcomes[].unexpected":{"state":"value_present","value":{"kind":"record_fields","fields":{"unexpected":false,"purpose":"Abridge is built to draft visit notes from recorded conversations so that clinicians spend less time documenting. The time saving is that purpose."}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["unexpected","purpose"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"},"places[]":{"state":"value_present","value":{"kind":"record_fields","fields":{"location":"University of Chicago Medicine ambulatory clinics, Chicago, Illinois, United States","developer_country":"United States","deployer_country":"United States"}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["location","developer_country","deployer_country"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"},"purpose":{"state":"value_present","value":{"kind":"record_fields","fields":{"purpose":"Abridge is built to draft visit notes from recorded conversations so that clinicians spend less time documenting. The time saving is that purpose."}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["purpose"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"},"record_dates":{"state":"value_present","value":{"kind":"record_fields","fields":{"date_observed":"2024-07-01","date_basis":"event","date_precision":"day","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"}]}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["date_observed","date_basis","date_precision","revisions"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"},"replication.attempts[]":{"state":"value_present","value":{"kind":"record_fields","fields":{"replication":{"produced_by":["Clinicians volunteered and completed a one-hour training session led by Abridge support staff.","Clinicians recorded visits on personal devices and edited drafts before filing them."],"must_hold":["Clinicians use the scribe for routine visits and review its drafts."],"echoes":[{"date":"2025-03-27","setting":"UW Health randomized trial of the Abridge scribe","outcome":"recurred","source":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12858090/"}]}}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["replication"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"},"replication.conditions":{"state":"value_present","value":{"kind":"record_fields","fields":{"replication":{"produced_by":["Clinicians volunteered and completed a one-hour training session led by Abridge support staff.","Clinicians recorded visits on personal devices and edited drafts before filing them."],"must_hold":["Clinicians use the scribe for routine visits and review its drafts."],"echoes":[{"date":"2025-03-27","setting":"UW Health randomized trial of the Abridge scribe","outcome":"recurred","source":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12858090/"}]}}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["replication"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"},"revision_history[]":{"state":"value_present","value":{"kind":"record_fields","fields":{"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"}]}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["revisions"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"},"sector":{"state":"value_present","value":{"kind":"record_fields","fields":{"domain":"Healthcare"}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["domain"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"},"sources[].access_version":{"state":"unresolved","provenance":{"kind":"curatorial","basis":"Editorial assignment.","record_fields":[],"source_refs":[]},"reason":"This is an explicit unresolved assignment: the sources on record do not settle this question.","review_state":"not_assessed","coverage":"partial"},"sources[].citation_locator":{"state":"value_present","value":{"kind":"record_fields","fields":{"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":"Pearlman et al. studied 125 AI scribe users and 478 controls and found an 8.5% reduction in mean EHR time per appointment and a 15.9% reduction in note time per appointment"},{"kind":"peer-reviewed study","citation":"Pearlman K, Wan W, Shah S, Laiteerapong N. Use of an AI Scribe and Electronic Health Record Efficiency. JAMA Network Open 2025;8(10):e2537000. doi:10.1001/jamanetworkopen.2025.37000. Written by University of Chicago researchers at the deploying health system.","title":"Use of an AI Scribe and Electronic Health Record Efficiency","url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12514625/","date":"2025-10-10","written_by":"deployer","quote":"In the weighted generalized linear regression, AI scribe use was associated with an 8.5% (95% CI, -12.8% to -3.9%; P < .001) lower mean EHR time (ie, 2.4 minutes) and a 15.9% (95% CI -21.2% to -10.4%; P < .001) lower mean time in notes (ie, 1.8 minutes) with no significant differences in other outcomes."},{"kind":"peer-reviewed study","citation":"Same study, methods section.","title":"Use of an AI Scribe and Electronic Health Record Efficiency","url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12514625/","date":"2025-10-10","written_by":"deployer","quote":"In July 2024, the University of Chicago deployed an AI scribe developed by Abridge AI Inc."}]}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["evidence"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"},"sources[].id":{"state":"value_present","value":{"kind":"identifiers","identifiers":["AIBD-0609-source-0001","AIBD-0609-source-0002","AIBD-0609-source-0003"],"role":"Existing evidence items, in their original order"},"provenance":{"kind":"curatorial","basis":"Editorial assignment.","record_fields":[],"source_refs":[]},"review_state":"record_mapped","coverage":"complete"},"sources[].language":{"state":"unresolved","provenance":{"kind":"curatorial","basis":"Editorial assignment.","record_fields":[],"source_refs":[]},"reason":"This is an explicit unresolved assignment: the sources on record do not settle this question.","review_state":"not_assessed","coverage":"partial"},"sources[].relationship":{"state":"value_present","value":{"kind":"record_fields","fields":{"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":"Pearlman et al. studied 125 AI scribe users and 478 controls and found an 8.5% reduction in mean EHR time per appointment and a 15.9% reduction in note time per appointment"},{"kind":"peer-reviewed study","citation":"Pearlman K, Wan W, Shah S, Laiteerapong N. Use of an AI Scribe and Electronic Health Record Efficiency. JAMA Network Open 2025;8(10):e2537000. doi:10.1001/jamanetworkopen.2025.37000. Written by University of Chicago researchers at the deploying health system.","title":"Use of an AI Scribe and Electronic Health Record Efficiency","url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12514625/","date":"2025-10-10","written_by":"deployer","quote":"In the weighted generalized linear regression, AI scribe use was associated with an 8.5% (95% CI, -12.8% to -3.9%; P < .001) lower mean EHR time (ie, 2.4 minutes) and a 15.9% (95% CI -21.2% to -10.4%; P < .001) lower mean time in notes (ie, 1.8 minutes) with no significant differences in other outcomes."},{"kind":"peer-reviewed study","citation":"Same study, methods section.","title":"Use of an AI Scribe and Electronic Health Record Efficiency","url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12514625/","date":"2025-10-10","written_by":"deployer","quote":"In July 2024, the University of Chicago deployed an AI scribe developed by Abridge AI Inc."}]}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["evidence"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"},"sources[].upstream_sources":{"state":"unresolved","provenance":{"kind":"curatorial","basis":"Editorial assignment.","record_fields":[],"source_refs":[]},"reason":"This is an explicit unresolved assignment: the sources on record do not settle this question.","review_state":"not_assessed","coverage":"partial"},"strategic_assessments[]":{"state":"unresolved","review_state":"not_assessed","coverage":"partial","family":"strategic assessments"},"summary":{"state":"value_present","value":{"kind":"record_fields","fields":{"summary":"In a 2024 University of Chicago pilot, 125 Abridge scribe users spent 15.9% less time in notes and 8.5% less time in the EHR than 478 weighted nonusers.","account":"In July 2024 the University of Chicago Medicine offered the Abridge AI scribe to its ambulatory clinicians as a three-month pilot that ran to 30 September 2024. After patients consented, clinicians recorded visits with an Abridge app on their personal devices, then reviewed the drafted note before moving it into the record. Researchers at the university compared 125 scribe users with 478 nonusers, using propensity score weighting to balance the groups. Scribe use was associated with 8.5% less EHR time per appointment (about 2.4 minutes) and 15.9% less time in notes (about 1.8 minutes). After-hours documentation time, appointment length and visit volume did not change significantly. Clinicians volunteered for the pilot. The authors used the weighting to address selection bias, which they describe as a key limit of earlier studies. The authors report no conflicts tied to Abridge."}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["summary","account"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"},"systems[].autonomy_permissions":{"state":"unresolved","provenance":{"kind":"curatorial","basis":"Editorial assignment.","record_fields":[],"source_refs":[]},"reason":"This is an explicit unresolved assignment: the sources on record do not settle this question.","review_state":"not_assessed","coverage":"partial"},"systems[].component_role":{"state":"unresolved","provenance":{"kind":"curatorial","basis":"Editorial assignment.","record_fields":[],"source_refs":[]},"reason":"This is an explicit unresolved assignment: the sources on record do not settle this question.","review_state":"not_assessed","coverage":"partial"},"systems[].deployment_configuration":{"state":"unresolved","provenance":{"kind":"curatorial","basis":"Editorial assignment.","record_fields":[],"source_refs":[]},"reason":"This is an explicit unresolved assignment: the sources on record do not settle this question.","review_state":"not_assessed","coverage":"partial"},"systems[].inputs_outputs":{"state":"unresolved","provenance":{"kind":"curatorial","basis":"Editorial assignment.","record_fields":[],"source_refs":[]},"reason":"This is an explicit unresolved assignment: the sources on record do not settle this question.","review_state":"not_assessed","coverage":"partial"},"systems[].model_name":{"state":"unresolved","provenance":{"kind":"curatorial","basis":"Editorial assignment.","record_fields":[],"source_refs":[]},"reason":"This is an explicit unresolved assignment: the sources on record do not settle this question.","review_state":"not_assessed","coverage":"partial"},"systems[].model_version":{"state":"unresolved","provenance":{"kind":"curatorial","basis":"Editorial assignment.","record_fields":[],"source_refs":[]},"reason":"This is an explicit unresolved assignment: the sources on record do not settle this question.","review_state":"not_assessed","coverage":"partial"},"systems[].product_name":{"state":"value_present","value":{"kind":"record_fields","fields":{"system":"Abridge AI scribe"}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["system"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"},"systems[].provider":{"state":"unresolved","provenance":{"kind":"curatorial","basis":"Editorial assignment.","record_fields":[],"source_refs":[]},"reason":"This is an explicit unresolved assignment: the sources on record do not settle this question.","review_state":"not_assessed","coverage":"partial"},"taxonomy_crosswalks[]":{"state":"unresolved","provenance":{"kind":"curatorial","basis":"Editorial assignment.","record_fields":[],"source_refs":[]},"reason":"This is an explicit unresolved assignment: the sources on record do not settle this question.","review_state":"not_assessed","coverage":"partial"},"title":{"state":"value_present","value":{"kind":"record_fields","fields":{"title":"Abridge AI scribe pilot at the University of Chicago lowered clinicians' EHR and note time against matched nonusers","headline":"*Abridge* scribe pilot trimmed EHR time for UChicago clinicians"}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["title","headline"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"},"version":{"state":"value_present","value":{"kind":"identifiers","identifiers":["f6831a5dfbcb5252b4750a7e9fe646c9b8c632a06122830f9ba2033af4e86428"],"role":"SHA-256 of the complete public case and its assessments"},"provenance":{"kind":"curatorial","basis":"SHA-256 of the public case, its assessments, and its displayed answers and notes, excluding its own identifier and the derived coverage summary.","record_fields":[],"source_refs":[]},"review_state":"record_mapped","coverage":"complete"},"workflow":{"state":"value_present","value":{"kind":"record_fields","fields":{"account":"In July 2024 the University of Chicago Medicine offered the Abridge AI scribe to its ambulatory clinicians as a three-month pilot that ran to 30 September 2024. After patients consented, clinicians recorded visits with an Abridge app on their personal devices, then reviewed the drafted note before moving it into the record. Researchers at the university compared 125 scribe users with 478 nonusers, using propensity score weighting to balance the groups. Scribe use was associated with 8.5% less EHR time per appointment (about 2.4 minutes) and 15.9% less time in notes (about 1.8 minutes). After-hours documentation time, appointment length and visit volume did not change significantly. Clinicians volunteered for the pilot. The authors used the weighting to address selection bias, which they describe as a key limit of earlier studies. The authors report no conflicts tied to Abridge.","replication":{"produced_by":["Clinicians volunteered and completed a one-hour training session led by Abridge support staff.","Clinicians recorded visits on personal devices and edited drafts before filing them."],"must_hold":["Clinicians use the scribe for routine visits and review its drafts."],"echoes":[{"date":"2025-03-27","setting":"UW Health randomized trial of the Abridge scribe","outcome":"recurred","source":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12858090/"}]}}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["account","replication"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"}},"summary":{"total":91,"addressed":91,"known":45,"reviewed":15,"reviewed_complete":15,"reviewed_partial":0,"record_mapped":30,"review_not_assessed":46,"not_assessed":0,"complete":false,"by_state":{"value_present":45,"not_reported":0,"unresolved":46,"not_assessed":0,"not_applicable":0,"withheld":0,"source_unavailable":0}}},"presentation_version":"3e7987f211a86571f70423dea46549fa4085ec8913ecee7087030ad814dc7b28"}