{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T16:28:38Z","timestamp":1790094518534,"version":"4.0.1"},"reference-count":40,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T00:00:00Z","timestamp":1786579200000},"content-version":"vor","delay-in-days":12,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Evaluation Clinical Practice"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Artificial Intelligence (AI) scribes are increasingly adopted to address electronic health record (EHR) documentation burden. Although early evaluations report perceived efficiency gains and reduced after\u2010hours work, findings on documentation quality and safety remain mixed. Reported issues, including omissions, attribution mistakes, and hallucinated content, raise concerns about potential clinical, administrative and medico\u2010legal risks. Existing evaluations largely focus on performance metrics, offering limited insight into the socio\u2010technical conditions shaping real\u2010world experiences and outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To examine how interacting socio\u2010technical conditions influence AI scribe use, reported problems and associated risk implications in clinical documentation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methodology<\/jats:title>\n                    <jats:p>A netnographic analysis was conducted of 2267 relevant data segments from 952 documents across 162 Reddit threads (2023\u20132025) drawn from clinician\u2010oriented communities. Data were collected using a structured query design via the Python Reddit API Wrapper. Data were analysed using an inductive\u2013abductive qualitative approach and organised through a socio\u2010technical lens across technology, organisation, person and environment domains.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Contributors' accounts suggested that reported AI scribe problems were associated with interacting technological constraints, including template rigidity, integration gaps and reliability issues; organisational governance and billing pressures; environmental time constraints; and individual verification practices. These conditions appeared to operate through three mediating mechanisms: adoption and configuration practices, workflow coupling and documentation targets. Reported problems included content\u2010related issues, such as misattribution, hallucinations and omissions, as well as workflow disruptions, including latency, crashes and copy\u2010and\u2010paste friction. Clinicians described potential clinical, administrative and medico\u2010legal risks as contingent on integration quality, governance clarity and review capacity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>AI scribe safety is not solely a function of model accuracy. The findings suggest that documentation problems may arise through socio\u2010technical interactions that influence whether errors are identified, corrected or carried forward. Safe deployment requires strengthening integration, governance and verification processes alongside technical performance.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jep.70554","type":"journal-article","created":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:30:05Z","timestamp":1786645805000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Evaluation of Socio\u2010Technical Mechanisms Shaping AI Scribe Documentation Failures: A Netnographic Study"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-0671-6056","authenticated-orcid":false,"given":"Samuel","family":"Atiku","sequence":"first","affiliation":[{"name":"Digital Technology and Innovation University of Staffordshire Stafford UK"},{"name":"Research Services Aston University Birmingham Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kehinde","family":"Owolanke","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Mersey and West Lancashire NHS Trust Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1999-5135","authenticated-orcid":false,"given":"Olufisayo","family":"Olakotan","sequence":"additional","affiliation":[{"name":"Department of Neonatology, Women and Children's Directorate University Hospitals Leicester NHS Trust Leicester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,13]]},"reference":[{"key":"e_1_2_21_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jep.70189"},{"key":"e_1_2_21_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/jamia\/ocaa325"},{"key":"e_1_2_21_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/jamia\/ocz220"},{"key":"e_1_2_21_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-019-05055-x"},{"key":"e_1_2_21_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjoq-2022-002084"},{"key":"e_1_2_21_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mcpdig.2025.100292"},{"key":"e_1_2_21_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/jamiaopen\/ooaf013"},{"key":"e_1_2_21_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jep.70460"},{"key":"e_1_2_21_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2025.8614"},{"key":"e_1_2_21_11_1","doi-asserted-by":"publisher","DOI":"10.1200\/CCI.22.00166"},{"key":"e_1_2_21_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/jamia\/ocaf214"},{"key":"e_1_2_21_13_1","doi-asserted-by":"publisher","DOI":"10.1056\/AIoa2501000"},{"key":"e_1_2_21_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/jep.70365"},{"key":"e_1_2_21_15_1","doi-asserted-by":"publisher","DOI":"10.2196\/71434"},{"key":"e_1_2_21_16_1","doi-asserted-by":"publisher","DOI":"10.3389\/frai.2025.1691499"},{"key":"e_1_2_21_17_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41746-025-01895-6"},{"key":"e_1_2_21_18_1","article-title":"Liability Risks of Ambient Clinical Workflows With Artificial Intelligence for Clinicians, Hospitals, and Manufacturers","volume":"10","author":"Gerke S.","year":"2025","journal-title":"JCO Oncology Practice"},{"key":"e_1_2_21_19_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41746-025-01622-1"},{"key":"e_1_2_21_20_1","doi-asserted-by":"publisher","DOI":"10.2196\/80898"},{"key":"e_1_2_21_21_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2020-012538"},{"key":"e_1_2_21_22_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2015-004486"},{"key":"e_1_2_21_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781118767771.wbiedcs067"},{"key":"e_1_2_21_24_1","doi-asserted-by":"publisher","DOI":"10.4324\/9781003085348"},{"key":"e_1_2_21_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/jep.70516"},{"key":"e_1_2_21_26_1","doi-asserted-by":"publisher","DOI":"10.1080\/1369118X.2012.678878"},{"key":"e_1_2_21_27_1","doi-asserted-by":"publisher","DOI":"10.1177\/1461444815608807"},{"key":"e_1_2_21_28_1","unstructured":"\u201cInternet Research: Ethical Guidelines 3.0\u201d AoIR (The International Association of Internet Researchers) Report 2020."},{"key":"e_1_2_21_29_1","volume-title":"Privacy in Context: Technology, Policy, and the Integrity of Social Life","author":"Nissenbaum H. F.","year":"2010"},{"key":"e_1_2_21_30_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1021316409277"},{"key":"e_1_2_21_31_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781405165518.wbeosn006"},{"key":"e_1_2_21_32_1","doi-asserted-by":"publisher","DOI":"10.2196\/60020"},{"key":"e_1_2_21_33_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2024.60637"},{"key":"e_1_2_21_34_1","doi-asserted-by":"publisher","DOI":"10.1093\/jamia\/ocae295"},{"key":"e_1_2_21_35_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41746-025-02272-z"},{"key":"e_1_2_21_36_1","doi-asserted-by":"publisher","DOI":"10.7326\/M14-2128"},{"key":"e_1_2_21_37_1","doi-asserted-by":"publisher","DOI":"10.2196\/76743"},{"key":"e_1_2_21_38_1","doi-asserted-by":"publisher","DOI":"10.1177\/20552076251403211"},{"key":"e_1_2_21_39_1","doi-asserted-by":"publisher","DOI":"10.2196\/64993"},{"key":"e_1_2_21_40_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2024.60642"},{"key":"e_1_2_21_41_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2025.22400"}],"container-title":["Journal of Evaluation in Clinical Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jep.70554","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jep.70554","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jep.70554","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T06:34:27Z","timestamp":1787812467000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jep.70554"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":40,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1111\/jep.70554"],"URL":"https:\/\/doi.org\/10.1111\/jep.70554","archive":["Portico"],"relation":{},"ISSN":["1356-1294","1365-2753"],"issn-type":[{"value":"1356-1294","type":"print"},{"value":"1365-2753","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"2026-02-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-27","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-13","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70554"}}