Check the AI scribe note against the chart

Módulo 1: AI in health admin

Temario del curso

Esta lección aún no está en tu idioma, así que aquí la tienes en inglés.

Prueba rápida

Guess first, no penalty. In a 2025 trial of AI scribes with 238 doctors, how often did reviewers find clinically significant mistakes in the notes?

An AI scribe listens to a visit and drafts the clinical note for the clinician to review and sign. In a randomized trial at UCLA, published in NEJM AI in 2025, one scribe cut time spent in notes by 9.5%, another made no significant difference, and clinically significant inaccuracies were noted "occasionally".

The clinician signs the note. But records staff often see what doesn't fit the rest of the chart: an MRI "ordered" with no order on file, a symptom the patient denied written as present, last year's problems copied into today. You don't change clinical content. You ask the author.

Encuentra los errores

The chart shows: an MRI discussed for later, not ordered. The patient denied chest pain. A physical therapy referral was sent. Tap the two lines that don't match.

AI scribe note, signed

0 de 2 encontrados

Ask the author

Dr. Haddad, a question on your note for [patient ID], visit 3 Oct.
The note says "MRI lumbar spine ordered", but I can't find an MRI
order, and the plan says "consider MRI if no improvement in 4 weeks".
Could you check which is right and add an amendment if needed?

Completa los espacios

Fill the gaps in the same query.

Query

The note says "MRI lumbar spine ordered", but . Could you ?

Try it

Tus pasos, unos 2 minutos

0 de 1
  1. 1.Add line 3 to your Record check sheet: "Notes match the chart: orders, symptoms, dates. If not, ask the author." Write a made-up two-line query for one mismatch.2 min

Práctica

Pregunta 1 de 2

A signed scribe note says "referral to cardiology sent", but no referral exists in the system. What do you do?

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