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I don't think we have a dedicated threat about this.
How are people's experiences using AI apps for generating ER notes. I generally think they are kind of crappy, in that they are extraordinarily verbose. Even in the "concise" mode. Anyone happy with a particular app?
I've tried Abridge and Speke
Here is a Speke MDM, compared to mine
Speke:
The patient, a female with a history of hysterectomy, presented with hematuria, fatigue, nausea, and persistent abdominal pain. She reported episodes of red urine and significant fatigue, nausea, and abdominal pain that have persisted. The initial differential diagnosis included urinary tract infection, nephrolithiasis, and hepatobiliary pathology. The patient denied any history of bladder infections or UTIs and reported no pain during urination. She is on medications including insulin, dapagliflozin, and metformin for diabetes management.
An abdominal ultrasound was performed, revealing acute cholecystitis with a normal common bile duct. Laboratory tests showed elevated liver enzymes (ALT 804 IU/L, AST 156 IU/L, Alk Phos 209 IU/L), elevated bilirubin levels (Total 1.8 mg/dL, Direct 0.90 mg/dL), and a low albumin level (3.3 Gm/dl). The patient's sodium level was slightly low at 135 mEq/L, and CO2 was low at 19.0 mEq/L. The patient's hemoglobin and hematocrit were elevated (Hgb 16.4 Gm/dl, Hct 48.6%). The patient's glucose level was normal at 94 mg/dL.
The treatment plan included initiating IV fluids and administering antiemetic medication for nausea. The patient was advised to follow up with a gastroenterologist for further evaluation and management of acute cholecystitis. Given the elevated liver enzymes and bilirubin, further hepatobiliary imaging and possible surgical consultation may be warranted. The patient was instructed to monitor her symptoms and return to the ED if her condition worsens.
Mine (that I put in the same note):
referred for RUQ abd pain, workup shows cholecystitis. d/w surgery and will admit..
So not only is the AI generated MDM incredibly verbose and 90% useless, it didn't even get it correct. I didn't discharge her. I admitted the patient. Who in the world wants to read these AI notes?
The problem is, as I see it, are the software engineers who write these apps are not doctors. Even if they have doctors consulting, the end product is just way too lengthy.
How are people's experiences using AI apps for generating ER notes. I generally think they are kind of crappy, in that they are extraordinarily verbose. Even in the "concise" mode. Anyone happy with a particular app?
I've tried Abridge and Speke
Here is a Speke MDM, compared to mine
Speke:
The patient, a female with a history of hysterectomy, presented with hematuria, fatigue, nausea, and persistent abdominal pain. She reported episodes of red urine and significant fatigue, nausea, and abdominal pain that have persisted. The initial differential diagnosis included urinary tract infection, nephrolithiasis, and hepatobiliary pathology. The patient denied any history of bladder infections or UTIs and reported no pain during urination. She is on medications including insulin, dapagliflozin, and metformin for diabetes management.
An abdominal ultrasound was performed, revealing acute cholecystitis with a normal common bile duct. Laboratory tests showed elevated liver enzymes (ALT 804 IU/L, AST 156 IU/L, Alk Phos 209 IU/L), elevated bilirubin levels (Total 1.8 mg/dL, Direct 0.90 mg/dL), and a low albumin level (3.3 Gm/dl). The patient's sodium level was slightly low at 135 mEq/L, and CO2 was low at 19.0 mEq/L. The patient's hemoglobin and hematocrit were elevated (Hgb 16.4 Gm/dl, Hct 48.6%). The patient's glucose level was normal at 94 mg/dL.
The treatment plan included initiating IV fluids and administering antiemetic medication for nausea. The patient was advised to follow up with a gastroenterologist for further evaluation and management of acute cholecystitis. Given the elevated liver enzymes and bilirubin, further hepatobiliary imaging and possible surgical consultation may be warranted. The patient was instructed to monitor her symptoms and return to the ED if her condition worsens.
Mine (that I put in the same note):
referred for RUQ abd pain, workup shows cholecystitis. d/w surgery and will admit..
So not only is the AI generated MDM incredibly verbose and 90% useless, it didn't even get it correct. I didn't discharge her. I admitted the patient. Who in the world wants to read these AI notes?
The problem is, as I see it, are the software engineers who write these apps are not doctors. Even if they have doctors consulting, the end product is just way too lengthy.