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5 min read

AI vs Human Medical Scribes: Documentation Accuracy

Explore the accuracy, cost, and efficiency of AI vs human medical scribes in healthcare documentation. Discover their strengths and weaknesses.
Published on
October 20, 2024
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David Danks
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AI scribes are more accurate but lack context, while human scribes excel at nuance but can make errors. Here's a quick comparison:

Feature AI Scribes Human Scribes
Accuracy 95-98% 90-95%
Cost $240-$960/year $42,000-$55,000/year
Availability 24/7 Limited by work hours
Context understanding Limited High
Time saved for doctors Up to 3 hours/day Varies

Key takeaways:

  • AI scribes are cheaper and more consistent
  • Human scribes better grasp context and nuances
  • Combining AI and human scribes may offer the best results
  • AI technology is improving, potentially changing the role of human scribes

The choice between AI and human scribes depends on specific healthcare needs and priorities.

2. Human Medical Scribes

2.1 What Human Scribes Do

Human medical scribes are the doctor's right-hand in patient visits. They're the ones furiously typing away, making sure every detail is captured. Here's what they do:

  • Update electronic health records (EHR) in real-time
  • Document everything the doctor says
  • Handle paperwork
  • Grab lab reports
  • Answer patient questions

Basically, they're the documentation ninjas that let doctors focus on what they do best: treating patients.

2.2 Skills and Training

Want to be a medical scribe? You'll need:

  • A solid grasp of medical lingo
  • Fast typing skills
  • Top-notch organization
  • The ability to juggle multiple tasks
  • Reliability (no slackers allowed!)

While you don't NEED certification, it definitely helps. Most employers prefer candidates with some healthcare or science background.

Training to become a scribe takes about 6 to 9 months. You'll learn:

  • Medical terminology (get ready for some tongue-twisters)
  • Anatomy and physiology
  • How to document properly
  • HIPAA rules (because patient privacy is a big deal)

Some quick facts:

  • HIPAA training is a must for handling patient info
  • Medical scribes make about $30,100 a year
  • The job market's looking good, with about 9,300 new openings expected each year through 2030

Bottom line: Medical scribes are the unsung heroes of healthcare. They handle the paperwork so doctors can focus on patients. It's a win-win for everyone involved.

3. AI Medical Scribes

AI medical scribes are changing healthcare documentation. These smart tools use AI to create medical notes during patient visits.

3.1 Core AI Technologies

AI scribes use two main technologies:

  1. Speech Recognition: Turns talk into text.
  2. Natural Language Processing (NLP): Understands and extracts key medical info from the text.

3.2 How AI Scribes Work

Here's the process:

  1. Record and transcribe the doctor-patient chat.
  2. Use NLP to find important medical details.
  3. Create structured medical notes.
  4. Add notes to the patient's electronic health record.

Let's look at some real AI scribes:

AI Scribe Key Features
DeepScribe - 95-98% accurate transcription
- Works with major EHR systems
- Saves doctors up to 3 hours daily
Lyrebird Health - Real-time transcription
- No audio storage for privacy
- Customizable note style

Dr. Jane Smith, a Boston primary care doctor, says:

"AI scribes let me focus on patients. The notes are good, and I do less paperwork. It's been a big help."

But it's not all perfect. Some doctors find AI notes inconsistent, needing extra review. But these issues are getting less common as the tech improves.

AI scribes are catching on fast. About 75% of US hospitals use AI for medical data, with many using AI scribes.

Both AI and human scribes have their place in healthcare. The trick is finding the right mix to make documentation better and faster.

4. Comparing Documentation Accuracy

4.1 How Accuracy is Measured

Measuring accuracy in medical documentation boils down to three key factors:

  1. Error rate: How many mistakes are in the final document?
  2. Completeness: Did we capture all the important stuff?
  3. Contextual accuracy: Did we get the medical terms and patient info right?

4.2 Common Error Types

Both AI and humans can mess up. Here's what usually goes wrong:

  • Mixing up medical terms
  • Missing key info
  • Getting patient details wrong
  • Simple typos

4.3 Accuracy Comparison: AI vs Human Scribes

Metric Human Scribes AI Scribes
Accuracy Rate 90-95% 95-98%
Error Reduction Baseline Up to 90%
Consistency Varies High
Contextual Understanding High Limited

AI scribes like DeepScribe are more accurate on paper. But humans? They're better at getting the context. Take Lyrebird Health - they do real-time transcription without storing audio. It's a nice balance of accuracy and privacy.

Here's what Dr. Jane Smith, a primary care doc in Boston, thinks:

"AI scribes are accurate, but sometimes miss nuances in patient conversations. Human scribes catch these details but can make transcription errors."

So, which is better? It depends on what you need. AI is fast and consistent. Humans are flexible and get the context. Pick your poison.

5. What Affects Documentation Accuracy

Documentation accuracy is key in healthcare. It impacts patient care, billing, and legal compliance. Both human and AI scribes face challenges that can affect their performance.

5.1 Human Factors

Human scribes can struggle with:

  • Fatigue from long shifts
  • Distractions in busy clinics
  • Knowledge gaps with complex terms

A study of 300 medical records showed that high workloads and lack of equipment hurt documentation quality.

5.2 AI Limitations

AI scribes are consistent but have issues too:

  • Poor data quality can lead to mistakes
  • Trouble understanding context in conversations
  • Speech recognition problems with accents or jargon

Lyrebird Health, an AI scribe, uses real-time transcription without storing audio. This helps with privacy and may reduce errors.

Factor Human Scribes AI Scribes
Accuracy Rate 90-95% 95-98%
Main Challenges Fatigue, distractions, knowledge gaps Data quality, context understanding, technical issues
Strengths Better at nuances and context Consistent, faster processing

To boost accuracy:

1. Train human scribes on new terms and standards

2. Use diverse datasets for AI training

3. Combine AI efficiency with human oversight

6. Pros and Cons of Each Method

Let's break down the good and bad of human and AI medical scribes:

6.1 Human Scribes: The Ups and Downs

Pros Cons
Flex to doctor's style Pricey (salary, benefits)
Clear up confusion on the spot Limited hours, need breaks
Get context and nuance Can get tired or distracted
Add a personal touch Skill varies by person
Quick to start, minimal training Can make mistakes

Human scribes bring that personal touch. They can quickly adapt to how a doctor likes things done and ask questions right away if something's unclear.

But they're not cheap. You're looking at $32,000 to $42,000 a year for a full-timer. Plus, they need breaks and have set hours, so they're not always available.

6.2 AI Scribes: The Good and the Bad

Pros Cons
Cheaper long-term Upfront setup costs
Always on, 24/7 Data security worries
Consistent work Struggles with context
Instant notes Can trip up on accents or jargon
Gets smarter over time Docs must review and edit

AI scribes, like those from Lyrebird Health, never sleep and always perform. They use fancy tech to create accurate, real-time notes. This can save docs a ton of time.

Dr. Andrea Partida, an OB-GYN, says: "I have a better work-life balance with my family. I leave work at work and get home earlier." That's huge for fighting doctor burnout.

But AI's not perfect. It can miss the context of conversations and stumble on accents or complex medical terms. Docs still need to check and fix AI notes, which takes time.

Satish Swarnkar, CTO at Notified, shared: "The AI Medical Scribe allowed the doctor to focus on me, the patient, observe my reactions, and make an assessment. The doctor didn't have to reach for the keyboard to write notes." This shows how AI can help docs connect better with patients.

Money-wise, AI scribes can be a bargain. Prices start at $799 and go up to $5,000 a year. That's way less than a full-time human scribe.

Both human and AI scribes have their place. The best choice depends on what a healthcare provider needs for their practice.

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7. Effects on Clinical Practice

AI and human medical scribes are changing how doctors work and talk to patients. Here's what's happening:

7.1 Changes to Work Processes

AI and human scribes have shaken up how clinics run:

Aspect AI Scribes Human Scribes
Time Savings Up to 2 hours daily Depends on scribe
Availability Always on Limited by work hours
Learning Curve Setup time needed Ongoing training
Customization Gets better over time Can adapt quickly

Dr. Binu George from Douglas County Family says:

"Sunoh.ai gives me more time with my stethoscope. I can focus on examining patients and have full face-to-face time with my pulmonary critical care patients. It's about 90% faster, saving us up to two hours a day on paperwork."

This change lets doctors spend more time on patient care and less on typing.

7.2 Patient Experience and Data Safety

These tools affect how patients feel and how safe their info is:

AI scribes work quietly in the background. This lets doctors keep eye contact with patients. They can also make notes 85-90% more accurate than manual typing.

But there's a catch. AI systems make some people worry about data security. Human scribes, on the other hand, might make patients feel uncomfortable.

Nathaniel Smathers, who works in Client Education and Marketing, notes:

"Human scribes can write clinical notes straight from what the doctor and patient say. Doctors don't have to dictate the important stuff."

Both AI and human scribes try to make care better. But they each come with their own problems when it comes to keeping patient info private and correct.

8. Cost Analysis

8.1 Cost Comparison

AI scribes are WAY cheaper than human scribes. Check this out:

Scribe Type Annual Cost
In-Person Scribe $55,000
Virtual Human Scribe $42,000 - $50,000
AI Scribe (like Clareco CoPilot) $240 - $960

That's a HUGE difference. Lyrebird Health's AI scribe? Just $149 per year for unlimited use in the US. Talk about a bargain!

8.2 Long-term Financial Impact

But wait, there's more! AI scribes don't just save money upfront:

1. More Money, More Patients

AI scribes save docs 2-3 hours a day on paperwork. That means:

  • Seeing more patients
  • Extra $750 daily revenue per doctor
  • $125,000 - $200,000 more per year

2. Better Billing

AI scribes help nail billing and speed up insurance. Result? Up to 40% more healthcare income.

3. Less Operational Costs

Less admin work = lower costs and happier employees who stick around.

4. Quick ROI

The initial AI investment? Paid off fast with more patients and better billing.

Dr. Binu George from Douglas County Family says: "Sunoh.ai gives me more time with my stethoscope. I can focus on examining patients and have full face-to-face time with my pulmonary critical care patients. It's about 90% faster, saving us up to two hours a day on paperwork."

Bottom line: AI scribes look great on paper. But remember, every healthcare org is different. Do the math for your specific situation before making the leap.

9. Combining AI and Human Scribes

AI and human scribes can team up to create better medical notes. Here's how it works:

  1. AI transcribes the doctor-patient chat
  2. Human scribes review and edit the AI notes
  3. Scribes add context and explain tricky medical terms
  4. The final document blends AI speed with human smarts

This combo saves time and boosts note quality. Dr. Davin Lundquist from Augmedix says:

"A hybrid solution that keeps the human in the loop is the best of both worlds and is the most effective way to capture clinical conversations today."

There are a few ways to mix AI and human scribing:

Method How It Works Why It's Good
AI First AI drafts, humans edit Quick drafts, human checks
Human First Humans write, AI checks Detailed notes, fewer mistakes
Team Effort AI and humans work together Fast fixes, quicker finish

Augmedix's approach shows what's possible:

  • AI tools + trained virtual scribes = more help for doctors
  • Doctors save up to 3 hours a day on paperwork
  • They're up to 20% more productive
  • 40% of doctors say they're happier at work

By combining AI and humans, medical practices can:

  • Prep doctors before patient visits
  • Cut down EHR review time
  • Focus more on current patient issues
  • Handle extra tasks like catching up on charts

The goal? Use AI speed and human smarts to create top-notch medical notes.

10. Future of Medical Scribing

AI is shaking up the medical scribing world. Let's dive into what's coming and how it might impact human scribes.

10.1 Expected Tech Improvements

AI scribes are getting smarter. Here's what's on the horizon:

  • Better at understanding medical jargon and accents
  • Smarter note-taking, focusing on key info
  • Faster work (AI scribes like SimboAlphus already save docs 3 hours daily)

Sunoh.ai, an AI scribe company, shows the potential:

"Our AI gets medical terms and handles accents. Docs using Sunoh.ai save about 2 hours a day on paperwork."

10.2 Changing Role of Human Scribes

As AI steps up, human scribes need to adapt:

Current Role Future Role
Write notes Check AI notes
Listen to patients Focus on patient care
Enter EHR data Manage AI tools

But don't worry, human scribes aren't going anywhere. Dr. Davin Lundquist from Augmedix explains:

"A mix of AI and humans is the best way to capture doctor-patient talks today."

Human scribes might:

  • Team up with AI for better notes
  • Help train AI systems
  • Handle tasks AI can't, like reading body language

The goal? Use AI speed and human smarts for top-notch medical notes.

11. Conclusion

AI vs. human medical scribes: who wins the accuracy battle? Here's what you need to know:

11.1 Main Takeaways

1. Accuracy and Efficiency

AI scribes are crushing it:

Aspect AI Scribes Human Scribes
Accuracy 95-98% Varies
Time Saved Up to 3 hours/day Less
Availability 24/7 Limited

2. Real-World Impact

AI's freeing up doctors' time:

"Dr. Jones ate lunch today. He hasn't eaten lunch in 14 years", - WellSpan Health office manager

3. Hybrid Approach

Dr. Davin Lundquist from Augmedix says:

"A mix of AI and humans is the best way to capture doctor-patient talks today."

4. Ongoing Challenges

AI's not perfect. It misses non-lexical sounds and raises privacy concerns.

5. Next Steps for Healthcare Pros

  • Test AI scribes
  • Get feedback
  • Stay updated on tech and rules

The medical scribing world's changing fast. Stay informed, stay open to new tech, and watch your efficiency soar.

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