Global EditionArtificial IntelligenceHCA deploys AI from Augmedix for acute care documentation in EDsIn what's billed as the first use of genAI-powered medical documentation in U.S. emergency departments, HCA Healthcare clinicians say a recent pilot with Augmedix shortened charting time and reduced their daily burden.By Andrea FoxApril 25, 202409:19 AM.

全球编辑人工智能协会（Global EditionArtificial IntelligenceHCA）部署了来自Augmedix的人工智能，用于EDS中的急性护理文档。HCA医疗保健临床医生表示，最近使用Augmedix的试点缩短了绘图时间，减轻了他们的日常负担，这被称为美国急诊部门首次使用genAI驱动的医疗文档。作者：Andrea Fox425，202409:19 AM。

San Francisco-based Augmedix has launched what it says is the first fully-automated, generative AI-powered medical documentation software for emergency departments, and it's already in use at one of the biggest health systems in the country.

总部位于旧金山的Augmedix公司推出了据称是第一款面向急诊部门的全自动、生成式人工智能医疗文档软件，该软件已在美国最大的医疗系统之一使用。

Known as Augmedix Go, the ambient documentation tool for EDs leverages automatic speech recognition and natural language processing and was developed in partnership with physicians at four HCA Healthcare hospitals, the company said Wednesday in announcing its general availability.

该公司周三在宣布正式上市时表示，EDs环境文档工具Augmedix Go利用自动语音识别和自然语言处理，是与四家HCA医疗保健医院的医生合作开发的。

WHY IT MATTERS

为什么它很重要

Emergency department workflows require clinicians to document multiple interactions, decisions and re-evaluations and make patient progress updates – all in the busy, loud ED environment, according to a statement from Augmedix.

根据Augmedix的一份声明，急诊科的工作流程要求临床医生记录多种互动、决策和重新评估，并更新患者的进展情况——所有这些都是在繁忙、喧闹的环境中进行的。

'Despite how loud it was in the ED, Augmedix got the note content right,' Dr. Michael Borunda, director at HCA's Florida Trinity Hospital, noted.

HCA佛罗里达三一医院院长迈克尔·博伦达（MichaelBorunda）博士指出，尽管急诊室的声音很大，但奥格梅迪克斯（Augmedix）的笔记内容正确。

In the last year, emergency patients at the HCA hospitals consented to the use of ambient listening at a 99% acceptance rate, enabling ED doctors to capture multiple, non-sequential interactions, the company said.

该公司表示，去年，HCA医院的急诊患者同意以99%的接受率使用环境听力，使ED医生能够捕捉多个非连续的互动。

Go medical documentation for EDs uses proprietary fine-tuned large language models and foundational industry LLMs, including Google Cloud’s MedLM, Augmedix said.

Augmedix说，EDs的Go医学文档使用专有的微调大型语言模型和基础行业LLM，包括谷歌云的MedLM。

When desired, instantly drafting medical notes from patient visits was accomplished through a mobile, hands-free application. ED clinicians could choose to store a mobile device with a Bluetooth microphone in their lab coat pocket and the tool would generate the patient interactions, automatically.

如果需要，可以通过移动免提应用程序从患者就诊中即时起草医疗记录。急诊科临床医生可以选择将带有蓝牙麦克风的移动设备存储在实验室外套口袋中，该工具将自动生成患者交互。

Clinicians involved in the pilot reported positive feedback on the audio capture, note quality and AI accuracy, Augmedix said.

Augmedix说，参与试验的临床医生报告说，他们对音频采集、笔记质量和人工智能准确性给予了积极反馈。

'Using Augmedix allowed me to spend more time with my patients and less time in front of my computer,' Veronica Cassese Klasko, physician assistant at HCA Florida Trinity Hospital, said in a statement about the pilot's completion and the tool's readiness.

HCA佛罗里达三一医院的助理医生维罗妮卡·卡塞塞·克拉斯科（VeronicaCassesesKlasko）在一份关于飞行员完成情况和工具准备情况的声明中说，使用Augmedix可以让我花更多的时间与病人在一起，而不用花那么多时间在电脑前。

'I was also able to essentially eliminate charting after my shift was over, which makes a huge difference.'

“在我的轮班结束后，我也基本上消除了制图，这产生了巨大的变化。”

The partners said that the pilot was designed to capture direct feedback from physicians and nurses and mold the platform to meet their needs, said Dr. Michael J. Schlosser, senior vice president of HCA Healthcare’s Department of Care Transformation and Innovation.

HCA Healthcare护理转型与创新部高级副总裁迈克尔·施洛瑟（MichaelJ.Schlosser）博士表示，合作伙伴表示，该试点旨在获取医生和护士的直接反馈，并塑造平台以满足他们的需求。

'This Augmedix proof-of-concept is not a complete solution, which is by design,' said when the partnership with Augmedix was first announced in 2023.

2023年首次宣布与Augmedix建立合作关系时说，Augmedix的概念验证并不是一个完整的解决方案，这是设计出来的。

THE LARGER TREND

更大的趋势

Deployment of generative AI has been largely focused on scheduled clinical visits, however, if health systems can integrate AI into critical care, that could pay dividends downstream in healthcare delivery, according to Andrew Taylor, director of emergency department clinical informatics at Yale University School of Medicine..

耶鲁大学医学院急诊科临床信息学主任安德鲁·泰勒（AndrewTaylor）表示，生成性人工智能的部署主要集中在预定的临床就诊上，然而，如果卫生系统能够将人工智能整合到重症监护中，这可能会在医疗服务的下游产生红利。。

Regarding workflows and stakeholder engagement, the success of AI relies in part on the acceptance and integration of these systems by those directly impacted by their use, he told Healthcare IT News in January.

关于工作流程和利益相关者的参与，人工智能的成功部分取决于那些直接受其使用影响的人对这些系统的接受和集成，他在1月份告诉医疗IT新闻。

By actively involving stakeholders, 'AI tools can be crafted to address the nuanced demands of healthcare delivery, ensuring that such innovations serve as a supportive extension of human care,' he said.

他说，通过积极让利益相关者参与，可以精心设计人工智能工具，以满足医疗保健服务的细微需求，确保这些创新成为人类护理的支持性延伸。

ON THE RECORD

记录在案

'Our agility and flexible architecture, exhibited by our broad product suite and open network platform, help us address the complex and varying needs of clinicians and providers,' said Manny Krakaris, CEO of Augmedix in a statement, calling Augmedix Go a 'sophisticated platform designed to enable clinicians to be present with their patients.'.

Augmedix首席执行官曼尼·克拉卡里斯（MannyKrakaris）在一份声明中称，Augmedix Go是一个“旨在使临床医生能够与患者在一起的复杂平台”。他说：“我们广泛的产品套件和开放式网络平台展示了我们的敏捷性和灵活性架构，有助于我们解决临床医生和提供者复杂多变的需求。”。