RESULTS · Published
The best AI scribe for gastroenterology
Hanah was the best AI scribe we tested on a gastroenteritis consultation. Heidi came second, close enough that the gap is within the margin of error, and Lyrebird was third.
The test
The consultation is a GP video appointment from the PriMock57 set: three days of watery diarrhoea with cramping lower abdominal pain, after illness in the household. Six AI scribes recorded it five times each, and every note was graded blind against the 45 clinical facts said in the consultation. We rank scribes by time to a finalised note, which is the wait after pressing stop plus the time a clinician needs to review the note and fix what is wrong. The recording, transcripts, notes and grading reasons are on the test page.
Results
| Rank | Scribe | Time to a finalised note | Note errors per note | Coverage | Hallucination flags per note | Word error rate |
|---|---|---|---|---|---|---|
| 1 | Hanah | 2 min 16 s | 2.8 | 96% | 0.2 | 15.2% |
| 2 | Heidi | 3 min 19 s+1 min 03 s | 9.6+6.8 | 83%−12% | 1.6+1.4 | 16.0%+0.8% |
| 3 | Lyrebird | 3 min 51 s+1 min 36 s | 11.6+8.8 | 83%−12% | 3.4+3.2 | 20.0%+4.9% |
| 4 | Freed | 4 min 17 s+2 min 01 s | 6.0+3.2 | 91%−5% | 0.8+0.6 | 21.4%+6.3% |
A Hanah note was ready to finalise 2 minutes 16 seconds after the consultation ended, on average. It captured 96% of the facts, with 2.8 note errors and 0.2 hallucination flags per note. Reviewing and fixing it took 77% less time than writing the note yourself.
Heidi averaged 3 minutes 19 seconds. Its quickest run, at 2 minutes 9 seconds, beat Hanah's slowest at 2 minutes 30 seconds, which puts the two within the margin of error on time. Hanah was quicker on average and had less than a third of Heidi's note errors, 2.8 against 9.6.
Lyrebird was third at 3 minutes 51 seconds and Freed fourth at 4 minutes 17 seconds. Freed had the second fewest note errors at 6.0 and the second highest coverage at 91%, but took longer to produce its note.
Hanah also had the lowest word error rate on this consultation at 15.2%, with Heidi at 16.0%.
Findings
- The doctor recommended Dioralyte rehydration sachets. Hanah spelled Dioralyte correctly in all five transcripts, and every other scribe got it wrong in every run.
- The patient said the diarrhoea "makes me feel weak". Lyrebird transcribed this as "fainted for a week" in all five runs, though the error did not reach its notes.
- The doctor advised paracetamol, "two tablets up to four times a day", without giving a strength. Heidi and Lyrebird both wrote a dose in milligrams into some of their notes, which counts as a hallucination flag.
- The doctor said antibiotics were not needed. Hanah and Lyrebird recorded this in four of five runs, and Heidi missed it in all five.
Figures in this article come from the ScribeStandard benchmark. See the full results, each test and how we test.
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