Understanding Stigmatizing Language in Clinical Documentation: A Paired Comparison of Ambient AI Drafts and Clinician Finalized Notes
Fuente:
arXiv
Saved in:
| Main Authors: | , , , , , , , , , , , |
|---|---|
| Format: | Preprint |
| Published: |
2026
|
| Subjects: | |
| Online Access: | |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1866918532237754368 |
|---|---|
| author | Zhou, Yiliang Guo, Yawen Sutari, Sairam Dhillon, Jasmine Beck, Alexandra L. Chow, Emilie Tam, Steven Perret, Danielle Pandita, Deepti Sadigh, Gelareh McEligot, Archana J. Zheng, Kai |
| author_facet | Zhou, Yiliang Guo, Yawen Sutari, Sairam Dhillon, Jasmine Beck, Alexandra L. Chow, Emilie Tam, Steven Perret, Danielle Pandita, Deepti Sadigh, Gelareh McEligot, Archana J. Zheng, Kai |
| contents | Ambient artificial intelligence (AI) documentation tools are increasingly deployed to reduce clinician documentation burden, but their implications for biased language in clinical notes remain unclear. We conducted a large-scale comparison analysis of AI drafts and corresponding clinician finalized notes to quantify stigmatizing language changes pre- and post-editing. Using a lexicon-based natural language processing (NLP) pipeline, we measured (1) the prevalence of stigmatizing language in AI drafts, (2) the prevalence and term composition in final notes, and (3) the frequency of removal or introduction of stigmatizing terms. Across 66,297 paired note sections, 21.4% of AI draft sections contained at least one stigmatizing language mention, rising to 24.0% in clinician finalized versions. Introductions occurred more often than removals, suggesting clinician editing can be a net source of stigmatizing language entering the EHR with using Ambient AI. |
| format | Preprint |
| id |
arxiv_https___arxiv_org_abs_2606_00019 |
| institution | arXiv |
| publishDate | 2026 |
| record_format | arxiv |
| spellingShingle | Understanding Stigmatizing Language in Clinical Documentation: A Paired Comparison of Ambient AI Drafts and Clinician Finalized Notes Zhou, Yiliang Guo, Yawen Sutari, Sairam Dhillon, Jasmine Beck, Alexandra L. Chow, Emilie Tam, Steven Perret, Danielle Pandita, Deepti Sadigh, Gelareh McEligot, Archana J. Zheng, Kai Human-Computer Interaction Artificial Intelligence Ambient artificial intelligence (AI) documentation tools are increasingly deployed to reduce clinician documentation burden, but their implications for biased language in clinical notes remain unclear. We conducted a large-scale comparison analysis of AI drafts and corresponding clinician finalized notes to quantify stigmatizing language changes pre- and post-editing. Using a lexicon-based natural language processing (NLP) pipeline, we measured (1) the prevalence of stigmatizing language in AI drafts, (2) the prevalence and term composition in final notes, and (3) the frequency of removal or introduction of stigmatizing terms. Across 66,297 paired note sections, 21.4% of AI draft sections contained at least one stigmatizing language mention, rising to 24.0% in clinician finalized versions. Introductions occurred more often than removals, suggesting clinician editing can be a net source of stigmatizing language entering the EHR with using Ambient AI. |
| title | Understanding Stigmatizing Language in Clinical Documentation: A Paired Comparison of Ambient AI Drafts and Clinician Finalized Notes |
| topic | Human-Computer Interaction Artificial Intelligence |
| url | https://arxiv.org/abs/2606.00019 |