内容来源：https://news.microsoft.com/source/emea/features/ai-tool-for-clinicians/

内容总结：

英国医院引入AI临床助手，医生重拾"面对面"诊疗时间

英国曼彻斯特——在曼彻斯特大学 NHS 信托基金会医院的一间诊室里，心脏病专家查尔斯·珀尔曼医生正与一位患者及其妻子交谈。与以往不同的是，他的双手不再需要忙于在电脑上录入问诊记录，而是可以全程专注地与患者交流。这一改变得益于一款名为"Dragon Copilot"的AI临床语音助手。

这款由微软开发的工具，专为医疗场景设计。它利用环境语音技术，在后台自动聆听并记录医患对话，无需医生分心操作或口述命令。问诊结束后，系统能自动生成诊疗记录，并按照医生的偏好整理内容，直接录入电子病历。它还能协助起草转诊信函等文书。

"平均每位患者大概能节省三到五分钟，"珀尔曼医生表示，"听起来不多，但一个早上接诊八位患者，节省的时间或许就够多看一位病人。"这对于候诊名单长达12个月的他来说意义重大。该信托基金会首席执行官马克·卡本指出，早期数据显示，全面推广该技术后，每年有望额外接诊多达25万名新患者。

目前，该信托基金会旗下10家医院的150名医生正在参与这项由埃森哲支持的技术试点。曼彻斯特 NHS 信托基金会电子病历与数字应用总监塞达·莫古尔科克-庄强调，该工具与医院新整合的统一电子病历系统无缝对接，实现了"零手动输入"录入病历，极大简化了临床工作流程。

试点项目临床负责人亨利·莫里斯医生从临床信息学角度阐释了其价值："节省的时间就是用于患者的时间，而非文书工作。"他特别指出，在急诊等需要快速、全面获取患者信息的科室，该工具能完整、准确地捕捉医患对话细节，为后续诊疗提供可靠依据。

技术赋能，回归医疗本质

院方管理层与临床医生共同认为，该技术的核心价值在于让技术服务于"人的互动"。卡本首席执行官强调："人际互动是医疗的核心。我们始终在探索，如何利用技术让我们能尽早与患者进行恰当的互动。"珀尔曼医生也深有感触，尤其在处理患者敏感病史时，能够全心专注地交流至关重要。

莫里斯医生展望，语音技术在医疗沟通中潜力巨大，未来或能应用于院前急救交接、多学科会诊等复杂沟通场景，让所有关键信息得以留存。"临床医学的本质就是沟通，"他说，"而我们使用的正是我们的声音。"

此次试点表明，AI临床助手通过减轻医生的行政负担，不仅提升了医疗系统的运行效率，更关键的成就是让医生得以将更多精力与时间真正回归于患者本身，重塑了以人为中心的诊疗体验。

中文翻译：

英国曼彻斯特——曼彻斯特大学国民保健服务基金会信托的心血管专家查尔斯·皮尔曼医生，在一间狭小的诊室里接待了一位患者和他的妻子。

他征得患者同意后，用语音启动了人工智能助手记录这次会诊，随即打开手机上的应用程序，将手机置于桌面。

会诊开始后，他不再需要注视手机或电脑屏幕。而是全程面向患者夫妇，三人共同探讨病情。

这与数月前的情形形成了鲜明对比。那时皮尔曼必须在与患者交谈时同步向电脑输入笔记，事后还需将记录录入病历系统，并口述所有与患者或其他医生的往来信函。

如今他使用的是微软Dragon Copilot系统。这款为医疗工作者设计的系统采用环境语音技术——人工智能在后台聆听对话并自动处理，无需用户发出指令或主动口述。

"这套系统平均为每位患者节省约三到五分钟，"皮尔曼说，"听起来或许不多，但若上午接诊八位患者，累积的时间就足以多看一位病人。"

在曼彻斯特大学国民保健服务基金会信托的测试项目中，心血管专家皮尔曼医生正在使用Dragon Copilot。他表示该系统既节省了行政事务时间，也令问诊时更能专注患者。克里斯·韦尔什为微软拍摄。

Dragon Copilot不仅转录了会诊内容，还按照皮尔曼偏好的方式整理资料，并直接导入患者档案。随后，皮尔曼可指示系统撰写临床记录或致患者全科医生的信函，而这些信息也会同步呈现在患者的个人档案中。

"这意味着每周能接诊更多患者，全年累计可达数百人，"皮尔曼指出。考虑到目前预约他门诊的等待期长达12个月，这项改进意义重大。该机构拥有50位心血管专家，"若全面推广，影响将十分可观。"

曼彻斯特基金会信托的国民保健服务医生获益

皮尔曼是曼彻斯特大学国民保健服务基金会信托150名测试该系统的医生之一。作为英国最大的综合性信托机构，该组织在曼彻斯特及特拉福德地区拥有10家医院、两项社区服务及超过3.1万名员工。此次试验由埃森哲提供支持，协助该信托进行评估。

首席执行官马克·卡本表示试验成果令人振奋，未来数周内院方将扩大环境语音技术的应用范围。"初步迹象表明，采用这项技术后，我们每年能多接诊25万名新患者，这个数字非常可观。"

"人际互动是医疗护理的核心，"卡本强调，"我们始终在探索如何运用科技，尽早实现与患者的有效互动。"

皮尔曼是看到Dragon Copilot潜力的医生之一。他对患者信息整理方式要求严格，而该系统已能按照他理想模式的"约80%"来组织信息并撰写信函。根据个人偏好定制后，系统表现显著提升。

"它省去了起草初稿的大量工作，"皮尔曼说。在他看来，效率提升并非唯一益处。使用Dragon Copilot让他能更专注于患者。

"尤其在我从事的心律失常领域，许多患者有着非常敏感的经历，"他解释道，"这是涉及情感的议题。因此在问诊时全神贯注陪伴患者至关重要。"

数字化系统整合

过去五年间，曼彻斯特国民保健服务基金会信托的电子病历与数字应用总监塞达·莫古尔科克-庄，主导了旗下10家医院患者数据管理系统的全面改革。她指出，多年来不同团队采用各自系统创建存储病历数据，形成了数百个不同平台，导致信息共享异常复杂。

三年前院方决定引入统一的电子病历系统。"整合10家医院不仅是数字层面的融合，更是流程变革，堪称浩大工程，"她表示。整合目标始终是简化临床工作流程，同时为优质护理创造最佳条件。Dragon Copilot与电子病历系统集成后的良好表现，是其被选中的重要原因。

"试点项目让我们能直接填充电子病历，无需临床医生手动干预，"莫古尔科克-庄说，"我们正努力减少医生登录多系统、跨平台复制粘贴的操作步骤，而这正是Dragon Copilot实现的成果。"

临床医学中沟通的重要性

亨利·莫里斯医生对曼彻斯特国民保健服务信托的运作有着独特视角。他既是医院急诊科的顾问医师，同时担任临床信息学总监，负责监督医疗信息技术应用。

"有时我觉得自己选对了时代从事这份工作，因为一切令人振奋，"他说，"我们将彻底改变行医方式。"语音技术正是这场变革的组成部分。该信托的医生此前已尝试过环境语音工具并测试过其他系统，但在看到其他医疗系统医生对Dragon Copilot的积极反馈后，决定深入探索。

"我们听到其他临床医生评价它能减轻认知负担、缩减行政时间，"莫里斯说，"因此我们最初持审慎态度，希望确保能获得同等效益——毕竟这些工具需要资金投入，我们必须确保投资价值。"

"我们强调的观点是：节省的时间就是陪伴患者的时间，而非耗费在文书工作上的时间，"莫里斯解释道，"这样既能提升当下与患者的互动质量，又能加快流程以接诊下一位患者。在我们这样庞大的医疗体系中，累积效应将惠及大量病患。"

作为急诊科医生，莫里斯亲身体验到该系统的好处。"在急诊室，你面对的是刚入院的患者，"他说，"所有信息都来自与患者的交流……虽然问诊可能仅十分钟，但其中浓缩了大量关键信息。"Dragon Copilot能精准保存对话记录，确保后续出现疑问时可回溯核查。

"现在我可以安心与患者进行详细讨论，因为知道所有内容都在后台被完整记录，随时可供查阅，"他表示。

莫里斯进一步指出，人类语音在医疗服务中具有尚未开发的潜力。他举例说明：护理人员向急诊科医生汇报转运患者的观察情况，或是多学科专家团队会诊复杂病例时。"坦白说，目前这类信息大多未被留存。但在未来，所有这些都将纳入医疗记录。"

"临床医学的本质就是沟通，"莫里斯总结道，"无论是与患者还是同事的互动，我们依靠什么？依靠的就是我们的声音。"

英文来源：

How an AI tool is helping U.K. clinicians save time and be present with patients
MANCHESTER, U.K.— Dr. Charles Pearman, a cardiologist at the Manchester University NHS Foundation Trust, greeted a patient and his wife in a small examination room.
He asked the patient if he could use a voice-activated AI assistant to record the meeting, opened the app on his phone and put it on his desk.
Once the consultation began, he didn’t look at his phone or his computer. Instead, he faced the patient and his wife as the three of them discussed his heart condition.
It’s a notable change since just a few months ago. Then, Pearman would be typing notes into his computer while he talked with the patient; afterward, he would type a note into the medical record and dictate any correspondence with the patient or other doctors.
Now he’s using Microsoft Dragon Copilot. The system, designed for healthcare professionals, uses ambient voice technology, an AI system that listens to conversations and works in the background, without requiring users to issue commands or actively dictate.
“I’d say that it saves me an average of maybe three to five minutes per patient, and that doesn’t sound like very much, but by the time you add that up over eight consults in a morning, maybe it might give you enough time to fit in an extra patient.”
Dr. Charles Pearman, a cardiologist, at the Manchester University NHS Foundation Trust. He has been using Dragon Copilot in a test program and says it saves him time on administrative tasks while also making it easier to focus on patients during consultations. Photo by Chris Welsch for Microsoft.
Dragon Copilot transcribed the meeting, organized the material the way Pearman prefers and added it directly to the patient’s record. Later, Pearman could ask Dragon Copilot to write clinical notes or a letter to the patient’s general practitioner, for example. And the patient can see the same information on their record.
“I’d say that it saves me an average of maybe three to five minutes per patient,” Pearman said. “And that doesn’t sound like very much, but by the time you add that up over eight consults in a morning, maybe it might give you enough time to fit in an extra patient.”
That could mean seeing more patients each week, which could add up to hundreds each year, he said. Pearman noted that that is significant because the waiting time to see him can stretch up to 12 months. With 50 cardiologists on staff, “we’re talking big numbers if we scale this up.”
Benefits for Manchester Foundation Trust’s NHS doctors
“Human interaction is at the heart of healthcare, what we’re always looking to do is to ask, how can we embrace technology that is going to allow us to have the right interaction with a patient as early as possible?”
Mark Cubbon, the chief executive of the Manchester University NHS Foundation Trust, a group of 10 hospitals with more than 30,000 employees. Photo by Chris Welsch for Microsoft.
Pearman is among 150 doctors testing the system at Manchester University NHS Foundation Trust (MFT), which is the largest integrated trust in the country and has 10 hospitals, two community services and more than 31,000 employees in Manchester and Trafford. This trial is supported by Accenture, which is helping MFT with the evaluation.
The results of the trial have been impressive, said Chief Executive Mark Cubbon, who said the hospitals would be expanding the use of ambient voice technology over the next few weeks.
“The early indications are, with the adoption of this technology, we will be able to see and treat up to a quarter of a million new patients every single year, which is significant,” Cubbon said.
“Human interaction is at the heart of healthcare,” he said. “What we’re always looking to do is to ask, how can we embrace technology that is going to allow us to have the right interaction with a patient as early as possible?”
Pearman said that he is among those who see the potential of Dragon Copilot.
He is quite particular about how he organizes patient information, he said. Dragon Copilot has been able to organize that information and compose letters to “about 80%” of the way he ideally likes them. Customizing Dragon Copilot to match his preferences improved performance significantly.
“It cuts out a lot of the work of making a first draft,” he said.
In his view, efficiency isn’t the only benefit. With Dragon Copilot, he can be more focused on the patient.
“Particularly in the field of cardiology that I work in relating to heart rhythm problems, there are people who have really sensitive stories,” he said. “It’s an emotional subject. So absolutely, it’s important to be present with people in the consult.”
Streamlining digital systems
Ceyda Mogulkoc-Zhuang is the director of electronic patient records (EPR) and digital applications for the Manchester NHS Foundation Trust (MFT).
During the past five years, she has overseen a complete overhaul of the digital systems that manage patient data throughout the 10 hospitals under MFT’s umbrella. Over the years, different teams had adopted their own systems for creating and storing patient records and other data resulting in hundreds of different platforms, Mogulkoc-Zhuang said. This made sharing information complicated.
The hospital wanted to unify its approach, and three years ago it adopted an electronic patient record system. “Because it was bringing together 10 hospitals, not only from a digital footprint perspective but also a transformation of processes, it was a massive undertaking,” she said.
The goal, she said, was always to make the work of the clinicians simpler and more efficient while optimizing the conditions for top-notch patient care. Once integrated with the EPR, Dragon Copilot worked well in the system, which contributed to its selection.
“The pilot program is enabling us to be able to populate the electronic patient record directly without the need for any manual intervention by the clinician,” she said. ‘We are trying to reduce the number of clicks for a clinician logging onto multiple systems, having to copy and paste information from one system to another. And this is exactly what we are achieving with Dragon Copilot.”
The importance of communication in clinical medicine
“One of the points we like to make is that time saved is time spent with the patient. It’s time not spent doing documentation.”
Dr. Henry Morriss helped oversee the pilot program in Manchester that had 150 clinicians using Dragon Copilot to document patient transactions. Photo by Chris Welsch for Microsoft.
Dr. Henry Morriss has a unique perspective on the operations at the Manchester NHS Trust. He is a consultant physician who works in the hospital’s emergency department, and he’s also director of Clinical Informatics, which means he oversees the implementation and use of IT for medical purposes.
“Sometimes I think I’ve picked the right time to do this job because it’s very exciting,” he said. “We’re going to transform how we do medicine.”
Voice technology is part of that transformation, he said. The Trust’s doctors had already been experimenting with ambient voice tools and had tested another system, but they wanted to explore Dragon Copilot after seeing how positively it had been received by doctors in other healthcare systems.
“We heard other clinicians saying it was an offloading of a cognitive burden, and a reduction of administrative time,” Morriss said. “And so we were wary at first; we wanted to make sure we captured the same advantages because all these tools cost money and we want to make sure they are a sound investment.”
“One of the points we like to make is that time saved is time spent with the patient. It’s time not spent doing documentation. So you have, one, that increased engagement with the patient when you’re doing it, but also you’re faster, so you can see the next patient,” Morriss said. “In a system as large as ours, that can add up to a lot of patients.”
Morriss also sees the benefit as a doctor when he is interviewing a patient.
“In the emergency department, you’re seeing the patient fresh off the street,” he said. “All you’ve got is what you can glean by talking to them (…) I’m probably talking for about 10 minutes, which doesn’t sound a lot, but there’s a lot of information which you’ve distilled in that time.”
Using Dragon Copilot preserves that conversation accurately, meaning it can be consulted if there’s a question.
“I now have confidence that I can have a fairly detailed discussion with a patient, knowing in the background it’s all being captured and that I can go back to it,” he said.
Morriss points out that there is potential to capture and use the human voice in service to medicine in novel ways.
He cited the example of a paramedic briefing the attending physician at the emergency ward about what has been observed in a patient who has just been transported. Or in another case, when a team of doctors from different disciplines gathers to consider a complex case. “In all honesty, much of that information is now currently lost. But in the future, that will all be in the record.”
“Clinical medicine is all about communication,” he said. “It’s all about your interaction with the patient and with other colleagues, and what do we use? We use our voice.”