Clinicians’ Experiences with EHR Documentation and Attitudes Toward AI-Assisted Documentation

Grace Hong, BA*
Lauren Wilcox, PhD*
Amelia Sattler, MD
Samuel Thomas, MD
Nina Gonzalez, MD
Marissa Smith, PhD
John Hernandez, PhD
Margaret Smith, MBA
Steven Lin, MD
Robert Harrington, MD
Stanford and Google(2020)

Abstract

In September 2019, Stanford Medicine and Google Health conducted a comprehensive study of primary care providers’ (PCP) experiences with documentation in the electronic health record (EHR), and their attitudes toward artificial intelligence (AI)-assisted documentation. This study surveyed 50 PCPs at Stanford Medicine in Phase 1, and an additional 204 PCPs across the United States in Phase 2. This report is a synthesis of the findings across both studies. The goals for this research were to learn about primary care providers' 1. Documentation tasks, workflows, and time commitment; 2. Perspectives on the most cognitively helpful and clerically burdensome aspects of documentation; 3. Preferences for AI-enabled assistance with specific documentation tasks; 4. Perspectives and lessons learned from experiences with human scribe-enabled documentation; This report aims to inform the design of the next generation of AI-enabled documentation technologies for primary care providers, based on an in-depth understanding of their workflow, needs, attitudes, and preferences.