Consentimiento del paciente para el cuestionario de escribas de IA ambiental

Las respuestas y explicaciones aparecen a medida que realiza el cuestionario.

1. In an all-party consent state, whose agreement is needed before an ambient scribe records a visit where a patient brings her adult son?
   • Only the clinician's, since the clinician operates the device
   • Only the patient's, since it is her medical visit
   • The clinician's, the patient's and the son's
   • Only the clinic compliance officer's
2. Why does HIPAA by itself often not require a separate patient consent for ambient scribing?
   • HIPAA does not apply to audio recordings
   • Treatment and operations uses are permitted when the vendor signs a business associate agreement
   • AI scribe vendors are exempt from HIPAA
   • Clinical recordings are treated as public records
3. Why do many practices confirm consent out loud at each visit even when patients signed an intake form?
   • A blanket form signed months earlier may not reflect the patient's wishes for a sensitive visit
   • Verbal consent is legally required in every state
   • AI scribes cannot detect whether a form was signed
   • Insurers refuse to pay for visits without verbal consent
4. How did the telehealth practice in the examples handle patients spread across many states?
   • It recorded only patients located in one-party states
   • It applied the strictest all-party consent standard to every visit
   • It asked patients to travel to its home state
   • It skipped disclosure because video calls are already recorded
5. Which item does the guide list as part of a good ambient scribe disclosure?
   • The vendor's current stock price
   • The clinician's malpractice history
   • The number of parameters in the AI model
   • How long audio is kept and whether it is used to train models
6. What should happen when a patient declines ambient recording?
   • The clinic records anyway and deletes the audio later
   • The visit is rescheduled with a different clinician
   • The patient pays a manual-documentation fee
   • The clinician turns the app off, documents by hand, and care is unaffected
7. Why does the guide recommend storing consent as structured EHR data rather than free text?
   • So the scribe workflow can check it before recording and compliance can audit it
   • Because free-text consent notes are illegal
   • Because structured data raises billing codes
   • So the AI model can train on consent decisions
8. For an adult patient who lacks decision-making capacity, who usually gives consent to scribe recording?
   • The AI vendor's support team
   • The front desk staff member on duty
   • A legally authorized surrogate or guardian
   • No one, since consent is not possible