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

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The Scribe AI documentation system was implemented in Spanish outpatient care, achieving a 31% adoption rate over 16 months.
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Consultation durations showed modest differences, averaging 15.01 minutes with Scribe compared to 14.65 minutes without.
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Semantic agreement between AI-generated and clinician-confirmed documentation remained high, ranging from 87.4% to 89.2%.
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Clinician experience improved in five of seven assessed domains, demonstrating excellent reliability in survey results.
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The study provides empirical evidence on the real-world impact of ambient AI scribes in a European healthcare setting.

Frontiers In Digital Health

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

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