Résumés
Abstract
Objective This scoping review aimed to examine the current available literature on the use of artificial intelligence (AI) scribes across all medical fields compared to their use in psychiatry.
Methods A scoping review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines. Five electronic databases (PubMed, MEDLINE, EMBASE, PsycINFO, and CINAHL) were systematically searched for studies published up to June 2025. Two reviewers independently screened titles and abstracts according to pre-established eligibility criteria using the PICOS framework. Full-text articles were then assessed for inclusion.
Results A total of 1896 records were identified, of which 15 met the inclusion criteria. Most studies were conducted in outpatient, primary care, and procedural settings. Across studies, clinicians generally reported favorable acceptance and perceptions of AI scribes. Findings also suggested improved clinician well-being, reduced documentation time, better workflow efficiency, and positive patient experience. Results on documentation accuracy and quality were mixed. Critically, no eligible studies evaluated the use of AI scribes in psychiatry. Limitations included study heterogeneity, with wide variations in study design, sample size, and evaluation metrics.
Conclusion The absence of empirical studies in psychiatry highlights a significant gap in the literature, particularly in contrast to the growing body of research across other medical specialties. Because of its unique clinical, ethical, and relational dimensions, dedicated research is needed to evaluate the feasibility, safety, and ethical implications of implementing AI scribes in psychiatric care.
Keywords:
- AI scribes,
- medical fields,
- psychiatry,
- scoping review
Résumé
Objectif Cette revue de portée visait à examiner la littérature actuellement disponible sur l’utilisation des scribes basés sur l’intelligence artificielle (IA) dans tous les domaines médicaux, en la comparant à leur utilisation en psychiatrie.
Méthodes Une revue de portée a été menée conformément aux lignes directrices du Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). Cinq bases de données électroniques (PubMed, MEDLINE, EMBASE, PsycINFO et CINAHL) ont été consultées systématiquement pour repérer les études publiées jusqu’en juin 2025. Deux évaluateurs ont examiné indépendamment les titres et résumés en fonction des critères d’éligibilité établis selon le cadre PICOS. Les articles en texte intégral ont ensuite été évalués pour inclusion.
Résultats Un total de 1896 articles a été identifié, dont 15 répondaient aux critères d’inclusion. La plupart des études ont été réalisées dans les milieux ambulatoires, de soins primaires et procéduraux. Dans l’ensemble, les cliniciens ont rapporté une acceptation et une perception favorables des scribes basés sur l’IA. Les résultats suggèrent également une amélioration du bien-être des cliniciens, une réduction du temps consacré à la documentation, une meilleure efficacité du flux de travaux et une expérience positive pour le patient. Les résultats portant sur la précision et la qualité de la documentation étaient toutefois mitigés. De manière importante, aucune étude éligible n’a évalué l’utilisation des scribes basés sur l’IA en psychiatrie. Les limitations comprenaient une hétérogénéité des études, avec d’importantes variations de conception, de taille d’échantillon et de mesures d’évaluation.
Conclusion L’absence d’études empiriques en psychiatrie met en lumière une lacune importante dans la littérature, particulièrement en contraste avec le nombre croissant de recherches menées dans d’autres spécialités médicales. En raison des dimensions cliniques, éthiques et relationnelles uniques à la psychiatrie, des études spécifiques sont nécessaires pour évaluer la faisabilité, la sécurité et les implications éthiques de l’implantation des scribes basés sur l’IA dans les soins psychiatriques.
Mots-clés :
- scribes basés sur l’IA,
- domaines médicaux,
- psychiatrie,
- revue de la portée
Parties annexes
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