Real-world evaluation of an ambient AI scribe in Spanish outpatient care after 2.3 million uses: impact on clinician experience, semantic agreement, and workflow efficiency - Scorecard - MDSpire

Real-world evaluation of an ambient AI scribe in Spanish outpatient care after 2.3 million uses: impact on clinician experience, semantic agreement, and workflow efficiency

  • By

  • Jose María Alcázar-Peral

  • Juan Antonio Álvaro-de la Parra

  • Daniel Blanco

  • Ángel Blanco

  • María Elvira Barrios

  • Ion Cristóbal

  • Cristina Caramés

  • July 6, 2026

  • 0 min

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Clinical Scorecard: Assessment of an Ambient AI Documentation System in Spanish Outpatient Settings: Clinician Experience, Semantic Alignment, and Workflow Efficiency Following 2.3 Million Uses

At a Glance

CategoryDetail
ConditionAmbient AI Documentation System
Key MechanismsAutomatic speech recognition, natural language processing, and large language models
Target PopulationOutpatient care in Spain
Care SettingOutpatient medical centers

Key Highlights

  • Scribe adoption increased from 2.7% to ∼31% of outpatient visits.
  • Consultation duration showed modest differences, averaging 15.01 vs. 14.65 minutes.
  • Semantic agreement remained high and stable at 87.4–89.2%.
  • Improvements in clinician experience were noted in five of seven domains.
  • The study included over 2.33 million assisted encounters.

Guideline-Based Recommendations

Diagnosis

    Management

      Monitoring & Follow-up

        Risks

          Patient & Prescribing Data

          Outpatients across various specialties in Spain

          No specific treatment insights provided.

          Clinical Best Practices

          • Utilize ambient AI documentation systems to reduce EHR burden.
          • Monitor clinician experience and workflow efficiency regularly.
          • Ensure high semantic agreement in documentation for quality and safety.

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