Remodeling the nursing workflow with ambient voice and AI

The nursing workflow is exclusive—and any options developed for nurses should be purpose-built to combine with the way in which during which they work. That’s why we positioned the voice of nurses on the middle of our ongoing work to design and develop an answer that augments nurses’ each day workflows and is now within the palms of nurses throughout a number of supplier organizations.

Rising demand, extreme documentation necessities, and inefficient workflows are all contributing to nurses’ exhaustion, emotions of burnout, and excessive turnover charges.

Based mostly on latest conversations I’ve had with nursing executives, one factor is crystal clear: to make an actual distinction for sufferers and clinicians, innovation must stream all through the care continuum—and the nursing workflow is not any exception. It’s the most ubiquitous given nurses comprise the most important workforce in healthcare.

With 32% of nurses planning to exit the US workforce this 12 months1 and the World Well being Group (WHO) predicting a scarcity of 4.5 million nurses by 2030,2 the urgency to ship expertise to assist the nursing occupation is felt greater than ever.

Nursing data hub

Empower nurses to effectively doc care

Listening to nurses’ voices

The individuals who actually perceive the intricacies and challenges of nursing workflows are those that dwell and breathe it on daily basis. To construct an progressive answer that’s impactful, nurses and their management should be the guiding gentle of the method, from design to launch and right through to profitable adoption by the workforce.

As Lea Ann Arnold, Director of Nursing Informatics at Northwestern Drugs, explains:

“Nurses should be on the desk. They should be a voice; they want to have the ability to assist expertise groups work out you possibly can’t simply put an answer on the market. It’s essential to get into the precise workflows and perceive how nurses work.”

Lea Ann Arnold, Director of Nursing Informatics at Northwestern Drugs

Terry McDonnell, Senior Vice President and Chief Nursing Govt at Duke Well being, agrees: “The primary key in guaranteeing that any expertise goes to achieve success or helpful for nurses is to essentially contain nurses within the design.”

“Setting nurses up for fulfillment and ensuring that they’re a part of the answer is essential. We can not count on them to simply accept an answer simply because we expect it’s the strategy to do it. We have to carry nurses together with the choice and ensure they really feel that they perceive methods to use the expertise,” stated Tammy Daniel, Senior Vice President and Chief Nursing Officer at Baptist Well being of Northeast Florida. 

AI within the nursing workflow

AI is quickly evolving expertise, and it’s essential that its powers are prolonged to nursing workflows. Nurses must handle their workloads in a approach that doesn’t result in elevated stress and burnout, permitting nurses to focus their vitality on affected person care.

“It’s so crucial for our nurses to grasp AI,” says Arnold. “Then they begin to notice that that including AI shouldn’t be meant to interchange the human issue, nevertheless it’s actually meant to enhance and take off that work that might be finished by a machine.”

Microsoft is dedicated to empowering clients with cutting-edge instruments designed to harness the facility of generative AI. Our dedication to innovation continues in our newest funding in industry-specific options that allow companies to undertake and combine AI applied sciences swiftly and effectively. We’re seizing the exceptional alternative that AI presents in healthcare, propelling the {industry} in the direction of a transformative future.

Making a purpose-built answer with nurses on the desk

Although physicians and nurses work intently collectively to deal with and look after sufferers, the working day of a nurse appears very totally different to that of a doctor, and nursing documentation workflow is likewise separate and distinct. Nurses are cell throughout their shift, transferring between rooms to see their sufferers. They’ve bedside conversations and seize affected person data in extremely structured codecs akin to flowsheets.

Microsoft has been on a multi-year journey to handle the problem of nursing documentation and complicated workflows with refined AI to construct an answer we’ve deployed at a number of clients.

We gathered suggestions from lots of of frontline nurses, nurse managers, and executives. Our group has spent hours shadowing nurses throughout their shifts to see how they perform their duties and to find the place the best factors of friction exist all through their day.

We established the ambient class 5 years in the past for doctor documentation and now lots of of organizations use our AI capabilities for scientific workflow. We’re constructing on that success and defining the usual for AI in nursing. 

“Sufferers are complicated, and we want to consider how we’re going to doc otherwise—as a result of finally the worth of nursing is again on the bedside, it isn’t the taxing work of documenting in a flowsheet. With the work that Microsoft has finished with suppliers, I used to be very excited to be chosen as one of many pilot websites to really inform that roadmap.”

Gretchen Brown, Chief Nursing Info Officer at Stanford Well being Care

We’re actively collaborating with a number of main healthcare organizations—together with Advocate Well being, Baptist Well being of Northeast Florida, Duke Well being, Intermountain Well being Saint Joseph Hospital, Mercy, Northwestern Drugs, NYU Langone Well being, Stanford Well being Care, and Tampa Basic Hospital—and constructing an AI answer that addresses nursing documentation by finishing flowsheets supported by ambient expertise, permitting nurses to focus much less on paperwork and extra on their sufferers.​ Many of those organizations have already deployed a preview model as we additional optimize the capabilities earlier than making them usually out there.

Tapping into our confirmed monitor file with Dragon Medical and digital well being file (EHR) embedded workflows, our preliminary work on this house builds on a longstanding strategic relationship and joint growth collaboration with Epic.

Discover the potential of AI for nursing

Nursing is on the point of important innovation. We see this with the momentum of digital nursing, the place well being techniques are investing in applied sciences targeted on supporting nursing care groups. We purpose to fulfill the rapid ache level of documentation and, in time, essentially reshape the expertise of nurses, serving to to evolve that have into one thing intuitive and environment friendly, the place the non-patient care work might be facilitated by leading edge applied sciences working within the backdrop, returning the human connection of affected person and nurse to the forefront.

As I interact within the dialogue between nursing leaders and {industry} innovators, I’ve little doubt the long run shall be remodeled. Collectively, now we have the ambition and the conviction to level these breakthrough applied sciences at our most crucial issues, in assist of among the most important members of the healthcare {industry}: our nurses!


1Surveyed nurses contemplate leaving direct affected person care at elevated charges, McKinsey, 2022.

2Nursing and midwifery, World Well being Group, 2024.