Medical AI Scribes vs Dragon Medical One: Feature and Functionality Comparison Table

Medical AI scribe vs Dragon Medical One

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Ambient medical AI scribes and AI documentation assistants have rapidly gained popularity in recent months. Microsoft’s Dragon Medical One is often referenced in the same context but functions in a distinctly different way.

What are the difference between Dragon Medical One and medical AI scribes?

But what are the difference between Dragon Medical One and medical AI scribes? Both utilise AI to assist in creating clinical documentation, but there are some key differences in how clinicians use them and how they function.

Given the amount of commentary on the need for caution among doctors when adopting generative AI products, we have prepared a table of features and functionalities to highlight the differences between Dragon Medical One and medical AI scribes.

Feature/ functionalityMicrosoft’s
Nuance Dragon Medical One
Medical AI Scribes
How clinical notes and documents are createdClinician dictates notes with the help of AI-powered speech recognition,
templates & automations via
voice commands.
AI scribes record & then transcribe consultations. They automatically generate notes from consultation transcripts. The clinician then has to
review the text for accuracy and correct any errors or inconsistencies.
CorrectionsThe clinician dictates the text and makes real-time corrections as they go.AI scribes are inflexible and can make errors, such as: Filtering out pertinent information, classifying it as irrelevant. Mishearing the names of symptoms, medicines or conditions as a result of the speaker’s accent or use of slang terms.
Incorrectly categorising data (eg, confusing historical and current symptoms). The clinician is responsible for identifying and correcting these errors.
Quality of clinical documentation.Case studies indicate a significant increase in the quality of clinical documentation.AI generated documentation includes only what was discussed during the consultation; the clinician has to manually add other relevant clinical information that was not explicitly discussed and nonverbal cues from the patient.
Speech recognitionAI-powered speech recognition. Every user trains their own voice profile with accent detecting and frequently used vocabulary improving accuracy and efficiency over time.AI-powered speech recognition. No personalisation options. No capability of AI system learning from errors made or personal preferences.
Integration with practice management software (PMS).Clinicians are able to dictate directly into all major PMS including Epic, Allscripts, Cerner, and Medtech, no copy and paste.Requires copying and pasting notes into PMS.
Time savings compared to
typing notes by hand
Case studies report up to 60% less time spent on clinical documentation
using Dragon.
Unknown. The time needed to review, correct and add to AI generated text might outweigh any initial time savings.
Compliance with NZ regulations related to health information, data security, and healthcare standards.Compliant with NZ Privacy Act, Health Information Privacy Code, Health and Disability Services Consumer Rights Act, and Public Health Act Accreditation standards & guidelines.
Approved by Te Whatu Ora and has been used in numerous hospitals across New Zealand and Australia for many years.
Most AI scribes were developed for international markets and do not necessary meet compliance standards in New Zealand. Please check with software provider.
Compliance with NZ and AU privacy lawsAudio data is not stored.
Compliant with privacy laws.
Audio data may be stored by supplier.
Compliant with privacy laws. If errors or inconsistencies are later identified in AI-generated clinical documents, audio files and transcripts will not be available to the clinician to assist in correcting these errors.
Patient safety & risk of errorNo risk for patient safety as clinician dictates the text.Errors in AI-generated clinical documentation may be overlooked by the clinician, potentially leading to negative impacts on patient treatment and outcomes.
Established reliability and software longevityNuance was founded in 1992 and acquired by Microsoft in 2021. Dragon is a proven and dependable software solution.Most AI medical scribes are software startups that were founded within the last five years.
Device and app flexibilityDragon dictation can be used in any application on your pc or the Dragon Mobile App on your smartphone.Runs inside the web browser on your smartphone or computer
Patient consent RequirementsNo patient consent required.The clinician must obtain consent from the patient to use an AI scribe in the consultation, as data will be recorded and processed by AI.
HardwareDedicated hardware such as Nuance PowerMic ensuring effective performance loud environments like EDs.relying on the built-in microphone of laptop
Annual cost per clinicianNZ$1,599NZ$800 – $3500
Widely depending on the provider and features.

If you are interested in reading more about potential problems and risks of the use of AI scribes in clinical documentation the Royal Australian College of General Practitioners has published a great PDF summary here: Artificial intelligence (AI) scribes – Fact sheet

Even with the potential pitfalls of AI scribes: The future of medical documentation is already here, and it’s smarter, faster, and more intuitive than we ever imagined.
Clearly, AI scribes will require a governance and regulatory framework. However, there is excitement about how AI can help reduce administrative burdens, increase workflow efficiency, and provide clinicians with more time to focus on patient care.

If you’re hesitant about AI writing clinical notes on your behalf but are interested in using AI-powered dictation to streamline your documentation and admin tasks, contact us for a free demonstration and free trial of Microsoft’s Dragon Medical One.

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Related Links:

Evaluation of Dragon Medical One by the Queensland government

Dragon Medical One Product overview

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