AI scribes save clinicians time while hiding errors inside fluent notes
Ambient AI scribes are spreading faster than the evidence needed to govern them. A new British Dental Journal literature review searched research published from January 2015 through December 2025, screened 3,036 records, and included 57 studies. Only three focused on dentistry. The systems can reduce documentation burden and may improve burnout measures, but fluent notes can conceal omissions, substitutions, and hallucinations that are harder to notice precisely because the prose reads well. In one dental speech-recognition study, an experimental system reached a 3.7 percent word-error rate and the strongest commercial product reached 5.4 percent, yet clinically meaningful mistakes remained, including changing “16 hours” to “10 minutes.” Across wider healthcare research cited by the review, one analysis found hallucinations in 1.47 percent of note sentences and omissions corresponding to 3.45 percent of transcript sentences. Those figures are not universal error rates; studies used different systems, specialties, and definitions. The severity evidence is still sobering: 44 percent of hallucinated sentences and 16.7 percent of omissions in that study were classified as capable of major harm. Human review reduced clinically significant errors from 63.6 percent to 7.8 percent in another cited study, but that shifts clinicians from writers to editors and potential liability sinks. Patient attitudes also depend on disclosure. Favorability toward ambient documentation fell when people received fuller information about how it works. The technology may genuinely return attention to the patient. Its success will depend on whether saved typing time becomes careful verification time rather than disappearing from the workflow.
