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@nyhan@fediscience.org

Post #3022640

2026-04-16 09:42 UTC

@jtonline@mastodon.me.uk Sorry, I got stuck on the fourth paragraph, where he says "Let me not be ungenerous to the tools themselves. The clinical governance around the particular tool used, is genuinely solid.... A large US study published in JAMA found that ambient scribing reduced clinician burnout from 51.9% to 38.8% after just thirty days of use." I have read that paper. It was a quality improvement study with no control group, volunteers who opted in to trying the tech, and 263 of the volunteers filled out the pre- and post-implementation survey and used it in non-emergency room consultations. But wait, "Site 5 (which included 63 participants) did not include survey burnout questions and so was censored from the primary outcome" - so: the burnout finding is based on 200 participants. "Large study" "ungenerous" "genuinely solid" ROTFL

Replies (1)

  • @nyhan@fediscience.org 2026-04-16 09:46

    @jtonline@mastodon.me.uk Personally, I would record the fact that 63 of my 263 survey respondents answered a version of my survey that didn't have the questions about THE PRE SPECIFIED PRIMARY OUTCOME in the study participant flowchart (not just the narrative of the methods section) But frankly I wouldn't consider a 263-participant analysis to be "a large study" either so maybe it doesn't matter for the purpose of evaluating the blog post

    Open ##3022641