Our ED just started a week-long pilot of Nuance DAX for triage during the 7p–7a shift, and we’re being asked to let it capture the nurse–patient interview. First impressions are mixed — fewer clicks, but lots of cleanup — so what happens if this scales to med-surg and ICU, and where does this go next for charting standards and accountability?
One concrete step: build a required attestation at sign‑off (“RN reviewed ambient draft; corrections logged”) and auto‑capture a simple correction count, so we can track accuracy and accountability without extra clicks. If this goes to ICU/med‑surg, I’d also force allergies/meds to manual verify rather than DAX, so it doesn’t turn into telephone at 3 a.m. Anyone willing to share baseline correction rates per shift to compare?
In our 7p–7a triage trial with DAX, the best fix for the “fewer clicks, but lots of cleanup” problem was adding a standard 15‑second verbal recap at the end (“Allergies none, meds updated, CC chest pain since 1900, denies SOB”), which cut our edits by about half. Small caveat: we had to angle the tablet mic toward the patient to avoid hallway chatter. Anyone tried a simple lapel mic before scaling this to med‑surg/ICU?