EHRs, AI scribes, and clinical judgment

We have to be honest about what AI is being entrusted to do when using an AI scribe. (Or ambient AI, as some folks call it...)


EHRs and AI scribes don't get to have it both ways:

  • They can't yammer on and on about how a progress note can be generated in seconds simply by recording a visit...

AND

  • Then insist that the clinical decision-making and judgment still lies solely with the human clinician.

Something is happening to turn that transcript into a draft of a progress note.

And that something is not the human clinician doing their usual human clinical thinking.

It's the AI, doing its parsing and processing and interpretation of the transcript... Making decisions and observations and judgment calls around what to include and what not to include in the progress note that it produces.

When a session transcript is chucked at AI, and the output is a fully-written progress note, of course the first pass of clinical judgment is being chucked at AI too. Let's stop saying that this isn't happening. It's insulting to all of us.

And this hits close to home for us at Quill, because we want that clinical judgment to be done by the human, not the AI. Which is one of many many reasons why the therapist provides their own summary of details for what to include in the note. The AI is only involved in rearranging those details to then make a polished progress note.

Alright, we'll get off our soapbox now.

Quill Therapy Solutions

What is Quill?

Quill streamlines progress notes for therapists, saving time by generating notes from a verbal or typed session summary. With privacy at its core, Quill never records client sessions, protecting the therapist-client relationship and avoiding ethical and confidentiality risks. Just record a summary, click a button, and Quill generates your notes for you.

Try Quill for free today, no credit card required. And for unlimited notes (and other types of therapy documentation), it's only $20/month. (Even less for teams.)

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