GOSH-led trial of AI-scribe technology shows transformative benefits for patients and clinicians across London
Great Ormond Street Hospital / NHS England· United KingdomTORTUSA Great Ormond Street Hospital (GOSH)-led, NHS England-sponsored study tested TORTUS, an ambient voice AI-scribing tool, across nine NHS sites in London including hospitals, GP practices, mental health services, and ambulance teams, evaluating over 17,000 patient encounters. The AI listens to consultations and drafts a clinic note and letter in a template personalized to each clinician's style, using generative AI, with clinicians reviewing and editing every note before it is saved to the patient record; the AI performs no clinical decision-making. Results showed a 23.5% increase in direct patient interaction time, an 8.2% reduction in overall appointment length, a 13.4% increase in patients seen per shift in A&E, and a 35% reduction in clinicians feeling overwhelmed by notetaking, with 92% of patients consenting to its use. At St George's University Hospital, time to complete the initial A&E patient note halved; economic modeling by York Health Economics Consortium estimated that national scaling to England's 11,055 A&E clinicians could yield 9,259 extra A&E consultations daily, saving GBP 176 million in documentation time and unlocking GBP 658 million in capacity annually.
Overview
A Great Ormond Street Hospital (GOSH)-led, NHS England-sponsored study tested TORTUS, an ambient voice AI-scribing tool, across nine NHS sites in London including hospitals, GP practices, mental health services, and ambulance teams, evaluating over 17,000 patient encounters. The AI listens to consultations and drafts a clinic note and letter in a template personalized to each clinician's style, using generative AI, with clinicians reviewing and editing every note before it is saved to the patient record; the AI performs no clinical decision-making. Results showed a 23.5% increase in direct patient interaction time, an 8.2% reduction in overall appointment length, a 13.4% increase in patients seen per shift in A&E, and a 35% reduction in clinicians feeling overwhelmed by notetaking, with 92% of patients consenting to its use. At St George's University Hospital, time to complete the initial A&E patient note halved; economic modeling by York Health Economics Consortium estimated that national scaling to England's 11,055 A&E clinicians could yield 9,259 extra A&E consultations daily, saving GBP 176 million in documentation time and unlocking GBP 658 million in capacity annually.
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