{"id":"https://openalex.org/W4414534337","doi":"https://doi.org/10.1093/jamia/ocaf166","title":"Enhancing Structured Team Communication in Acute Care Settings with Ambient AI Scribes","display_name":"Enhancing Structured Team Communication in Acute Care Settings with Ambient AI Scribes","publication_year":2025,"publication_date":"2025-09-14","ids":{"openalex":"https://openalex.org/W4414534337","doi":"https://doi.org/10.1093/jamia/ocaf166","pmid":"https://pubmed.ncbi.nlm.nih.gov/41003645"},"language":"en","primary_location":{"id":"doi:10.1093/jamia/ocaf166","is_oa":false,"landing_page_url":"https://doi.org/10.1093/jamia/ocaf166","pdf_url":null,"source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5000812738","display_name":"Laleh Jalilian","orcid":"https://orcid.org/0000-0001-5083-516X"},"institutions":[{"id":"https://openalex.org/I161318765","display_name":"University of California, Los Angeles","ror":"https://ror.org/046rm7j60","country_code":"US","type":"education","lineage":["https://openalex.org/I161318765"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Laleh Jalilian","raw_affiliation_strings":["Department of Anesthesiology and Perioperative Medicine, UCLA David Geffen School of Medicine , Los Angeles, CA 90095,","Department of Anesthesiology and Perioperative Medicine, UCLA David Geffen School of Medicine, Los Angeles, CA 90095, United States"],"raw_orcid":"https://orcid.org/0000-0001-5083-516X","affiliations":[{"raw_affiliation_string":"Department of Anesthesiology and Perioperative Medicine, UCLA David Geffen School of Medicine , Los Angeles, CA 90095,","institution_ids":["https://openalex.org/I161318765"]},{"raw_affiliation_string":"Department of Anesthesiology and Perioperative Medicine, UCLA David Geffen School of Medicine, Los Angeles, CA 90095, United States","institution_ids":["https://openalex.org/I161318765"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5047017332","display_name":"Paul J. Lukac","orcid":"https://orcid.org/0000-0002-3315-6613"},"institutions":[{"id":"https://openalex.org/I2799798094","display_name":"UCLA Health","ror":"https://ror.org/01d88se56","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799798094"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Paul Lukac","raw_affiliation_strings":["Department of Pediatrics, UCLA David Geffen School of Medicine, UCLA Health Information Technology, UCLA Health , Los Angeles, CA 90095,","Department of Pediatrics, UCLA David Geffen School of Medicine, UCLA Health Information Technology, UCLA Health, Los Angeles, CA 90095, United States"],"raw_orcid":"https://orcid.org/0000-0002-3315-6613","affiliations":[{"raw_affiliation_string":"Department of Pediatrics, UCLA David Geffen School of Medicine, UCLA Health Information Technology, UCLA Health , Los Angeles, CA 90095,","institution_ids":["https://openalex.org/I2799798094"]},{"raw_affiliation_string":"Department of Pediatrics, UCLA David Geffen School of Medicine, UCLA Health Information Technology, UCLA Health, Los Angeles, CA 90095, United States","institution_ids":["https://openalex.org/I2799798094"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5020334905","display_name":"Meghan B. Lane\u2010Fall","orcid":"https://orcid.org/0000-0001-7050-0017"},"institutions":[{"id":"https://openalex.org/I2799503643","display_name":"Columbia University Irving Medical Center","ror":"https://ror.org/01esghr10","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799503643"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Meghan Lane-Fall","raw_affiliation_strings":["Department of Anesthesiology and Critical Care, New York-Presbyterian/Columbia University Irving Medical Center , New York, NY 10032,","Department of Anesthesiology and Critical Care, New York-Presbyterian/Columbia University Irving Medical Center, New York, NY 10032, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology and Critical Care, New York-Presbyterian/Columbia University Irving Medical Center , New York, NY 10032,","institution_ids":["https://openalex.org/I2799503643"]},{"raw_affiliation_string":"Department of Anesthesiology and Critical Care, New York-Presbyterian/Columbia University Irving Medical Center, New York, NY 10032, United States","institution_ids":["https://openalex.org/I2799503643"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5000812738"],"corresponding_institution_ids":["https://openalex.org/I161318765"],"apc_list":{"value":3967,"currency":"USD","value_usd":3967},"apc_paid":null,"fwci":4.5097,"has_fulltext":false,"cited_by_count":3,"citation_normalized_percentile":{"value":0.94910966,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":98,"max":99},"biblio":{"volume":"32","issue":"11","first_page":"1785","last_page":"1789"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12174","display_name":"Hospital Admissions and Outcomes","score":0.4424999952316284,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12174","display_name":"Hospital Admissions and Outcomes","score":0.4424999952316284,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11636","display_name":"Artificial Intelligence in Healthcare and Education","score":0.13330000638961792,"subfield":{"id":"https://openalex.org/subfields/2718","display_name":"Health Informatics"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.1111999973654747,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/acute-care","display_name":"Acute care","score":0.7894999980926514},{"id":"https://openalex.org/keywords/documentation","display_name":"Documentation","score":0.7073000073432922},{"id":"https://openalex.org/keywords/workforce","display_name":"Workforce","score":0.5835999846458435},{"id":"https://openalex.org/keywords/reliability","display_name":"Reliability (semiconductor)","score":0.5022000074386597},{"id":"https://openalex.org/keywords/patient-care","display_name":"Patient care","score":0.4564000070095062},{"id":"https://openalex.org/keywords/acute-medicine","display_name":"Acute medicine","score":0.4343999922275543},{"id":"https://openalex.org/keywords/medline","display_name":"MEDLINE","score":0.3813000023365021},{"id":"https://openalex.org/keywords/acute-stroke","display_name":"Acute stroke","score":0.3578000068664551},{"id":"https://openalex.org/keywords/acute-hospital","display_name":"Acute hospital","score":0.3375000059604645}],"concepts":[{"id":"https://openalex.org/C2781385661","wikidata":"https://www.wikidata.org/wiki/Q4677918","display_name":"Acute care","level":3,"score":0.7894999980926514},{"id":"https://openalex.org/C56666940","wikidata":"https://www.wikidata.org/wiki/Q788790","display_name":"Documentation","level":2,"score":0.7073000073432922},{"id":"https://openalex.org/C2778139618","wikidata":"https://www.wikidata.org/wiki/Q13440398","display_name":"Workforce","level":2,"score":0.5835999846458435},{"id":"https://openalex.org/C43214815","wikidata":"https://www.wikidata.org/wiki/Q7310987","display_name":"Reliability (semiconductor)","level":3,"score":0.5022000074386597},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4918000102043152},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.486299991607666},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.48089998960494995},{"id":"https://openalex.org/C2989236134","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Patient care","level":2,"score":0.4564000070095062},{"id":"https://openalex.org/C2991694339","wikidata":"https://www.wikidata.org/wiki/Q4677936","display_name":"Acute medicine","level":2,"score":0.4343999922275543},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.40610000491142273},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.3813000023365021},{"id":"https://openalex.org/C3020166492","wikidata":"https://www.wikidata.org/wiki/Q12202","display_name":"Acute stroke","level":3,"score":0.3578000068664551},{"id":"https://openalex.org/C56739046","wikidata":"https://www.wikidata.org/wiki/Q192060","display_name":"Knowledge management","level":1,"score":0.3467999994754791},{"id":"https://openalex.org/C3017977530","wikidata":"https://www.wikidata.org/wiki/Q557429","display_name":"Acute hospital","level":3,"score":0.3375000059604645},{"id":"https://openalex.org/C2779328685","wikidata":"https://www.wikidata.org/wiki/Q1475557","display_name":"Patient safety","level":3,"score":0.314300000667572},{"id":"https://openalex.org/C2781050511","wikidata":"https://www.wikidata.org/wiki/Q46994","display_name":"Telehealth","level":4,"score":0.29980000853538513},{"id":"https://openalex.org/C2777267654","wikidata":"https://www.wikidata.org/wiki/Q3519023","display_name":"Test (biology)","level":2,"score":0.29120001196861267},{"id":"https://openalex.org/C2984752397","wikidata":"https://www.wikidata.org/wiki/Q3259956","display_name":"Primary care","level":2,"score":0.2831999957561493},{"id":"https://openalex.org/C2988115150","wikidata":"https://www.wikidata.org/wiki/Q11024","display_name":"Communication skills","level":2,"score":0.2800999879837036},{"id":"https://openalex.org/C2778571376","wikidata":"https://www.wikidata.org/wiki/Q1355821","display_name":"Frontier","level":2,"score":0.27639999985694885},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.275299996137619},{"id":"https://openalex.org/C155663085","wikidata":"https://www.wikidata.org/wiki/Q1056396","display_name":"Workforce planning","level":3,"score":0.26669999957084656},{"id":"https://openalex.org/C2910912111","wikidata":"https://www.wikidata.org/wiki/Q7294220","display_name":"Rapid response team","level":2,"score":0.2653999924659729},{"id":"https://openalex.org/C67363961","wikidata":"https://www.wikidata.org/wiki/Q5268834","display_name":"Information and Communications Technology","level":2,"score":0.2630999982357025},{"id":"https://openalex.org/C106906290","wikidata":"https://www.wikidata.org/wiki/Q1140909","display_name":"Cronbach's alpha","level":3,"score":0.262800008058548},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.25679999589920044},{"id":"https://openalex.org/C111226992","wikidata":"https://www.wikidata.org/wiki/Q626225","display_name":"Teamwork","level":2,"score":0.2540999948978424},{"id":"https://openalex.org/C2777896191","wikidata":"https://www.wikidata.org/wiki/Q22907655","display_name":"Patient experience","level":3,"score":0.25200000405311584}],"mesh":[{"descriptor_ui":"D001185","descriptor_name":"Artificial Intelligence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D001185","descriptor_name":"Artificial Intelligence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D001185","descriptor_name":"Artificial Intelligence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D003142","descriptor_name":"Communication","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D003142","descriptor_name":"Communication","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D003142","descriptor_name":"Communication","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D004282","descriptor_name":"Documentation","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D004282","descriptor_name":"Documentation","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D004282","descriptor_name":"Documentation","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010348","descriptor_name":"Patient Care Team","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D010348","descriptor_name":"Patient Care Team","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D010348","descriptor_name":"Patient Care Team","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D057188","descriptor_name":"Workflow","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057188","descriptor_name":"Workflow","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057188","descriptor_name":"Workflow","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D058996","descriptor_name":"Quality Improvement","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D058996","descriptor_name":"Quality Improvement","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D058996","descriptor_name":"Quality Improvement","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D062209","descriptor_name":"Patient Handoff","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D062209","descriptor_name":"Patient Handoff","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D062209","descriptor_name":"Patient Handoff","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1093/jamia/ocaf166","is_oa":false,"landing_page_url":"https://doi.org/10.1093/jamia/ocaf166","pdf_url":null,"source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},{"id":"pmid:41003645","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41003645","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association : JAMIA","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":21,"referenced_works":["https://openalex.org/W77840266","https://openalex.org/W1919152067","https://openalex.org/W2032503600","https://openalex.org/W2073355643","https://openalex.org/W2098115960","https://openalex.org/W2119647354","https://openalex.org/W2802561155","https://openalex.org/W2883325723","https://openalex.org/W2883360336","https://openalex.org/W2884355303","https://openalex.org/W2902470985","https://openalex.org/W2944610424","https://openalex.org/W3154639445","https://openalex.org/W3192476753","https://openalex.org/W4210562352","https://openalex.org/W4405225674","https://openalex.org/W4405499002","https://openalex.org/W4407722098","https://openalex.org/W4408745526","https://openalex.org/W4409750223","https://openalex.org/W4411883246"],"related_works":[],"abstract_inverted_index":{"OBJECTIVE:":[0],"This":[1],"perspective":[2],"explores":[3],"how":[4,101],"ambient":[5,102],"artificial":[6],"intelligence":[7],"(AI)":[8],"scribes":[9,104,147,202],"could":[10,105],"support":[11,168],"documentation":[12,107,208],"and":[13,37,61,92,114,129,171,177,192,224,242],"quality":[14],"improvement":[15],"(QI)":[16],"of":[17,44,108,209,227],"structured,":[18],"team-based":[19,31,109],"provider-to-provider":[20],"communication":[21,110,178,222],"in":[22,77,85,89,111,207,213,245],"acute":[23,28,214,246],"care":[24,29,215,247],"settings.":[25,248],"BACKGROUND:":[26],"In":[27],"settings,":[30,216],"discussions":[32,48,69,212],"such":[33],"as":[34,139],"multidisciplinary":[35],"rounds":[36],"handoffs":[38],"are":[39,70,148],"essential":[40],"to":[41,56,83,165,175,195,220],"the":[42,78,218],"delivery":[43],"safe":[45],"care.":[46],"These":[47],"rely":[49],"on":[50,237],"standardized":[51],"frameworks":[52],"(eg,":[53],"IPASS,":[54],"checklists)":[55],"ensure":[57,196],"consistent":[58],"information":[59],"transfer":[60],"shared":[62],"understanding.":[63],"Despite":[64],"their":[65,235],"importance,":[66],"these":[67,228],"verbal":[68],"often":[71],"incompletely":[72],"documented":[73],"or":[74],"left":[75],"undocumented":[76],"electronic":[79],"health":[80],"record,":[81],"leading":[82],"gaps":[84],"clinical":[86],"narrative,":[87],"difficulty":[88],"QI":[90,176],"evaluation,":[91],"lost":[93],"opportunities":[94],"for":[95,152,162],"organizational":[96],"learning.":[97],"APPROACH:":[98],"We":[99,117,132],"outline":[100],"AI":[103,146,201],"enhance":[106],"daily":[112],"rounding":[113],"handoff":[115],"discussions.":[116],"examine":[118],"key":[119],"sociotechnical":[120],"challenges,":[121],"including":[122],"workflow":[123,184],"integration,":[124],"multiprovider":[125],"consent,":[126],"surveillance":[127],"concerns,":[128],"vendor":[130],"collaboration.":[131],"describe":[133],"our":[134],"experience":[135],"with":[136,217],"proof-of-concept":[137],"demonstrations":[138],"an":[140],"early":[141],"feasibility":[142],"signal.":[143],"RESULTS:":[144],"Ambient":[145,200],"a":[149,204],"promising":[150],"tool":[151],"capturing":[153],"structured":[154,210],"team":[155,211],"communication.":[156],"Their":[157],"use":[158],"should":[159,233],"be":[160],"explored":[161],"its":[163],"potential":[164,219],"improve":[166],"documentation,":[167],"clinician":[169,197],"well-being,":[170,241],"enable":[172],"data-driven":[173],"approaches":[174],"fidelity":[179],"assessments.":[180],"Effective":[181],"implementation":[182],"requires":[183],"adaptations":[185],"incorporating":[186],"scribe":[187],"output":[188],"verification,":[189],"transparent":[190],"governance,":[191],"trust-building":[193],"efforts":[194],"acceptance.":[198],"DISCUSSION:":[199],"represent":[203],"novel":[205],"frontier":[206],"strengthen":[221],"reliability":[223],"systems":[225],"learning":[226],"vital":[229],"conversations.":[230],"Future":[231],"research":[232],"evaluate":[234],"impact":[236],"patient":[238,243],"safety,":[239],"workforce":[240],"outcomes":[244]},"counts_by_year":[{"year":2026,"cited_by_count":3}],"updated_date":"2026-06-23T06:36:01.041984","created_date":"2025-10-10T00:00:00"}