Wright, Aileen P. M.; Nall, Carolynn K.; Franklin, Jacob J. H.; Horst, Sara Nicole; Kumah-Crystal, Yaa A.; Wright, Adam T.; & Mize, Dara E. (2026). Enterprise-wide simultaneous deployment of ambient scribe technology: Lessons learned from an academic health system. Journal of the American Medical Informatics Association, 33(2), 457–461. https://doi.org/10.1093/jamia/ocaf186
This study examined whether it was feasible to launch electronic health record (EHR)-integrated ambient scribe technology across an entire large academic health system at the same time. Ambient scribing uses artificial intelligence to listen to clinician–patient conversations and automatically generate clinical documentation within the EHR.
On January 15, 2025, the technology was made available to more than 2,400 clinicians working in ambulatory clinics and emergency departments. The researchers monitored how frequently the tool was used, how much technical support was needed, and how clinicians evaluated their experience.
By March 31, 2025, 20.1 percent of visit notes included ambient scribing, and 1,223 clinicians had used the tool. Among 209 clinicians who responded to a survey (22.1 percent of those surveyed), 90.9 percent said they would be disappointed if they lost access to the technology, and 84.7 percent reported a positive training experience.
The findings indicate that a simultaneous, enterprise-wide rollout combined with a low-barrier training approach allowed clinicians to gain immediate access to the tool while keeping support demands manageable. Overall, the study demonstrates that large-scale implementation of EHR-integrated ambient scribing is feasible and can be successfully adopted across a health system.
Figure 1.
Number of ambient scribing users after enterprise-wide rollout.