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Accepted for/Published in: JMIR AI

Date Submitted: Jun 10, 2025
Date Accepted: Dec 12, 2025

The final, peer-reviewed published version of this preprint can be found here:

Ambient AI Documentation and Patient Satisfaction in Outpatient Care: Retrospective Pilot Study

Davis E, Davis S, Haralambides K, Gleber C, Nicandri G

Ambient AI Documentation and Patient Satisfaction in Outpatient Care: Retrospective Pilot Study

JMIR AI 2026;5:e78830

DOI: 10.2196/78830

PMID: 41650387

PMCID: 12880801

Ambient AI Documentation and Patient Satisfaction in Outpatient Care: A Retrospective Pilot Study

  • Eric Davis; 
  • Sarah Davis; 
  • Kristina Haralambides; 
  • Conrad Gleber; 
  • Gregg Nicandri

ABSTRACT

Background:

Patient experience is a critical aspect for any healthcare institution. Leveraging Artificial Intelligence (AI) to improve healthcare delivery has rapidly become an institutional priority across the nation. This study analyzes Press Ganey (PG) patient experience scores for providers before and after the implementation of an ambient AI documentation system (Dragon Ambient Experience (DAX) - Nuance).

Objective:

This objective of this study is to assess the impact of the implementation of an ambient AI documentation system (DAX) on Press Ganey patient experience scores.

Methods:

A retrospective study was conducted to evaluate the relationship between provider use of DAX and PG patient satisfaction scores from January 2023 to December 2024. Three domains were analyzed: 1. Overall assessment of experience, 2. Concern the care provider showed for your questions or worries, and 3. Likelihood of recommending this care provider to others.

Results:

49 providers across 9 departments participated in the DAX pilot. Aggregate scores for individual questions increased between 0.9 to 1.9 points. Care provider concern for a patient’s question/worries increased the most (1.9 points, P = .013), overall assessment of experience (1.3 points, P = .091), and likelihood of recommending this provider (0.9 points, P = .328).

Conclusions:

This pilot study aimed to investigate the relationship between provider use of DAX and PG patient experience scores in the outpatient setting at a large academic medical center. Increases in PG scores after implementing DAX were found across all PG questions assessed. As technology and AI continues to improve and become more widespread, these results are encouraging. Providers may consider leveraging AI notetaking software as a way to enhance their communication and interactions with patients.


 Citation

Please cite as:

Davis E, Davis S, Haralambides K, Gleber C, Nicandri G

Ambient AI Documentation and Patient Satisfaction in Outpatient Care: Retrospective Pilot Study

JMIR AI 2026;5:e78830

DOI: 10.2196/78830

PMID: 41650387

PMCID: 12880801

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