Informed Consent for Ambient Documentation Using Generative AI in Ambulatory Care

How do patients and clinicians experience and navigate informed consent processes for ambient documentation using generative artificial intelligence in outpatient care?In this quality improvement study involving 121 users (18 clinicians and 103 patients) at a large urban academic health center, patient comfort varied based on trust in their clinician, understanding of the tool, and perceived benefits or risks. Clinicians prioritized workflow efficiency, risk mitigation, and communication clarity during consent conversations.This study suggests that the informed consent conversation is a critical but nuanced touchpoint that shapes the adoption and acceptance of technology by both clinicians and patients; flexible, multimodal approaches that include education, digital tools, and opt-out options may enhance engagement with ambient documentation.

Corresponding Author: Katharine Lawrence, MD, Department of Population Health, New York University Grossman School of Medicine, 227 E 30th St, 6th Floor, New York, NY 10016 (katharine.lawrence@nyulangone.org).

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