Effectiveness of AI-Assisted Clinical Documentation

Effectiveness of AI-Assisted Clinical Documentation: Evidence From a Staggered Rollout at the Western Uusimaa Wellbeing Services County

Effectiveness of AI-assisted clinical documentation tool (AI scribes) in healthcare services using staggered difference-in-differences and multiple sources of data including registers, questionnaires and interviews. Primary outcomes include completion of statutory health check-ups, working hours, time use of nurses, secondary outcomes include subjective nurse job satisfaction, job burden and perceived quality of work and time use.

Study Overview

• Status: Not yet recruiting
• Conditions: Healthy; Effectiveness of AI-assisted Clinical Documentation Tool
• Intervention / Treatment: Device: AI clinical documentation tool

• Study Type: Interventional
• Enrollment (Estimated): 400
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Laura Jernström, PhD; Phone Number: +358413629767; Email: laura.jernstrom@utu.fi

Study Locations

• Finland
  • Turku, Finland
    • University of Turku
    • Contact: Laura Jernström, PhD; Phone Number: +358413629767; Email: laura.jernstrom@utu.fi

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• Member of study population: nurses working at wellchild or student health care services of Western-Uusimaa Wellbeing Services County.

Exclusion Criteria:

• Nurse works in several teams.
• Under 18 years.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Health Services Research
• Allocation: Randomized
• Interventional Model: Sequential Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Early-Treated; Nurses adopting AI clinical documentation tool (treatment)	Device: AI clinical documentation tool; AI clinical documentation tool is adopted starting at different assigned time points by eight subgroups. Early vs later adopters are compared using staggered difference-in-differences design. The order of subgroups is randomized for 7/8 subgroups.
Experimental: Later-Treated; Nurses that have not yet adopted AI clinical documentation tool (control)	Device: AI clinical documentation tool; AI clinical documentation tool is adopted starting at different assigned time points by eight subgroups. Early vs later adopters are compared using staggered difference-in-differences design. The order of subgroups is randomized for 7/8 subgroups.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Ratio of completed statutory health check-ups		7 months.
Number of completed statutory health check-ups		7 months.
Working Hours	Number of working hours (average and dynamic measures)	7 months.

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Time use	Questionnaire. Time used in documentation and other tasks (self-assessed). "How much time did you spend on each activity during the preceding workday (on average per client)?; Documentation (record-keeping / charting); Client contact (direct client encounters / face-to-face client interaction); Other (e.g. special responsibilities, prescriptions)"	7 months.
Job Satisfaction	Questionnaire: How satisfied have you been with your work during the preceding workday?Very dissatisfied Somewhat dissatisfied Neither dissatisfied nor satisfied Somewhat satisfied Very satisfied; How often has each of the following clearly disturbed, worried, or burdened you at work during the preceding workday?Constant time pressure and the burden of unfinished tasksVery rarely or never Fairly rarely Occasionally Fairly often Very often or constantlyToo little time to do the work properlyVery rarely or never Fairly rarely Occasionally Fairly often Very often or constantly; How well do you feel you performed your work tasks (from the patient's perspective) during the preceding workday? Very dissatisfied Fairly dissatisfied Neither dissatisfied nor satisfied Fairly satisfied Very satisfied	7 months.

Collaborators and Investigators

• Sponsor: University of Turku
• Collaborators: University of Helsinki; Helsinki University Hospital, Finland

Study record dates

Study Major Dates

• Study Start (Estimated): September 1, 2026
• Primary Completion (Estimated): March 31, 2027
• Study Completion (Estimated): December 31, 2027

Study Registration Dates

• First Submitted: July 18, 2026
• First Submitted That Met QC Criteria: July 28, 2026
• First Posted (Actual): August 3, 2026

Study Record Updates

• Last Update Posted (Actual): August 3, 2026
• Last Update Submitted That Met QC Criteria: July 28, 2026
• Last Verified: July 1, 2026

More Information

Terms related to this study

• Keywords: AI Scribes; Clinical Notes; Nurse Time Use; AI Clinical Documentation Tools
• Other Study ID Numbers: TY/1110/2026

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No