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medRxiv PreprintsInternational9 November 2026

Randomized Trial Protocol: Head-to-Head Comparison of Two Ambient Artificial Intelligence Documentation Tools on Clinician Usability

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Abstract Background: Ambient AI documentation reduces documentation burden and electronic health record (EHR) time for ambulatory clinicians. Newer features also queue orders and offer some level of coding support for clinician review. This study compares two commercial products deployed at UCLA Health. Objective: To compare Nabla and Epic Systems, Inc. ambient AI solution among ambulatory clinicians at UCLA Health on usability, documentation burden, perceived note quality, adoption, EHR time and productivity, clinician-reported experience with order queueing and coding support, coding and bil
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