西奈山医疗中心将Epic的环境AI扩展到住院护理
Mount Sinai Medical Center Extends Epic’s Ambient AI to Inpatient Nursing
您需要了解的西奈山医疗中心位于迈阿密海滩，已为其住院护理团队推出“Chart with Art，”Epic的环境AI文档记录工具。
此次部署使西奈山成为佛罗里达州第一家、全美第四家将Epic的环境倾听技术扩展到床边护士的医疗机构。
该平台支持英语和西班牙语双语运行，满足了超过30%患者以西班牙语为主要语言的初级护理社区的需求。
住院护士可以实时捕捉自然的床边对话，将对话转换为草稿护理计划和文档，这些内容需要经过临床医生审核批准后才能进入电子病历。
护理扩展建立在为期数月的医生试点项目基础之上，该试点将每次就诊的图表记录时间减少了近30%，并大幅减少了下班后的文档工作。
超越医生听写：西奈山医疗中心将Epic的环境AI扩展到住院护理
临床信息学、护理管理和医疗系统工作流程领域面临一个持续存在的运营挑战：EHR文档负担。
住院护士将大量轮班时间用于将结构化数据和叙述性病程记录输入计算机，这使得他们的注意力无法集中在直接患者护理上。
虽然环境AI听写已在门诊医生工作流程中快速扩展，但将环境语音技术扩展到住院护理环境却面临独特挑战，因为存在复杂的轮班交接、频繁干扰和多语言患者群体。
为减少键盘依赖，将临床时间归还给床边，西奈山医疗中心已将Epic的环境AI工具“Chart with Art”扩展至其住院护理团队。在初步的医生推广中，每次就诊的图表记录时间减少了近30%，西奈山因此成为佛罗里达州第一家、全美第四家将这项技术部署到护理团队的医疗机构。
双语语音处理与人机回圈治理
Chart with Art将环境倾听能力直接集成到西奈山核心Epic EHR架构中：
双语对话解析：
以英语和西班牙语捕捉自然对话，将环境互动转换为结构化临床文档，无需患者或家属改变沟通方式。
实时草稿生成：
在后台将自由流畅的床边对话转换为草稿护理记录和护理计划更新。
人机回圈验证：
强制执行临床审核步骤，生成的任何文本在护士或医生明确检查和确认之前不得进入永久病历。
患者退出治理：
在工具激活时告知患者，并允许他们随时拒绝环境录音。
“我们的护士进入这个职业是为了照顾人。Chart with Art让他们能够从键盘后面走出来，完全专注于床边护理，”西奈山医疗中心首席护理官Wendy Stuart表示。
通过将环境文档记录扩展到急性住院护理——在这里双语能力对于多元患者群体至关重要——西奈山针对的是导致护士职业倦怠和离职的主要因素之一。此外，利用Epic原生功能而非引入第三方覆盖应用程序，保留了单点登录安全性、数据隐私和EHR治理。
随着西奈山在其住院病房推广Chart with Art，它为医疗系统如何利用EHR原生AI来简化护理工作流程并提升床边护理服务提供了清晰的运营模板。
What You Should Know
Mount Sinai Medical Center in Miami Beach has launched “ Chart with Art, ” Epic’s ambient AI documentation tool, for its inpatient nursing staff.
The deployment makes Mount Sinai the first health system in Florida and the fourth nationwide to extend Epic’s ambient listening technology to bedside nurses.
The platform operates in both English and Spanish, accommodating a primary care community where over 30 percent of patients speak Spanish as their primary language.
Inpatient nurses can capture free-flowing bedside conversations in real time, converting dialogue into draft care plans and documentation that require clinician review and approval before entering the electronic medical record.
The nursing expansion builds on a multi-month physician pilot that reduced chart time per encounter by nearly 30 percent and substantially decreased after-hours documentation.
Beyond Physician Scribing: Mount Sinai Medical Center Extends Epic’s Ambient AI to Inpatient Nursing The clinical informatics, nursing administration, and health system workflow sectors face a persistent operational challenge: EHR documentation burden.
Inpatient nurses spend a significant portion of their shifts entering structured data and narrative progress notes into computers, pulling their focus away from direct patient care.
While ambient AI scribing has scaled rapidly across outpatient physician workflows, extending ambient voice technology to inpatient nursing environments presents unique challenges due to complex shift handoffs, frequent interruptions, and multi-lingual patient populations.
To reduce keyboard dependencies and return clinical time to the bedside, Mount Sinai Medical Center has extended Epic’s ambient AI tool, “ Chart with Art,” to its inpatient nursing staff. Following an initial physician rollout that reduced charting time per encounter by nearly 30 percent, Mount Sinai becomes the first health system in Florida and the fourth in the United States to deploy the technology to nursing teams.
Bilingual Speech Processing and Human-in-the-Loop Governance
Chart with Art integrates ambient listening capabilities directly into Mount Sinai’s core Epic EHR architecture:
Bilingual Conversational Parsing:
Captures natural dialogue in both English and Spanish, translating ambient interactions into structured clinical documentation without requiring patients or families to alter how they communicate.
Real-Time Draft Generation:
Converts free-flowing bedside conversations into draft nursing notes and care plan updates in the background.
Human-in-the-Loop Validation:
Enforces a clinical review step where no generated text enters the permanent medical record until it is explicitly checked and confirmed by the nurse or physician.
Patient Opt-Out Governance:
Informs patients when the tool is active and allows them to decline ambient recording at any point.
“Our nurses came into this profession to care for people. Chart with Art lets them step out from behind the keyboard and be fully present at the bedside,” stated Wendy Stuart, Chief Nursing Officer at Mount Sinai Medical Center.
By extending ambient documentation into acute inpatient nursing—where bilingual capabilities are necessary for diverse patient populations—Mount Sinai targets one of the primary drivers of nurse burnout and turnover. Furthermore, utilizing native Epic functionality rather than introducing third-party overlay apps preserves single-sign-on security, data privacy, and EHR governance.
As Mount Sinai scales Chart with Art across its inpatient units, it provides a clear operational template for how health systems can leverage EHR-native AI to streamline nursing workflows and enhance bedside care delivery.
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