AI-assisted charting tools promise greater efficiency, more complete documentation, and reduced administrative burden for physicians and nurses. The technology is so popular, it’s even been featured in the popular HBO television show “The Pitt.” For healthcare professionals, the question is not whether AI charting improves practice (it often does) but how its use may later be framed in the courtroom, particularly by plaintiffs’ counsel eager to test novel theories of liability.
Many physicians still document and chart in traditional ways. Some type up a physical note. Some use a template. Some use dictation, handwritten, or electronic notes that have auto-populated entries (which can be deselected by the provider). Some providers have their notes initially written by a resident or scribe and review the note for accuracy.
In its simplest form, AI-assisted charting techniques will, with consent of the patient, record the visit and create an initial outline or draft of the note. The physician then reviews that initial draft, checks accuracy, makes edits, and adds additional information as appropriate.
Just like any other charting technique, careful and consistent review of the note is essential. Be aware that, even with careful application, this note-taking methodology is bound to stir up new litigation, especially from counsel seeking to capitalize on the present fears associated with the abbreviation “AI.”
Here at Waranch and Brown, we make every effort to stay up to date on the latest healthcare provider technology and to anticipate potential litigation. If you have a question about a case or about a charting practice, contact our experienced attorneys to discuss how we can help.