[Viewpoint] Ambient scribes as narrative technologies

Ambient scribes, also known as artificial intelligence-powered voice-to-text technology, are widely cited as time-saving tools that reduce administrative burden for clinicians. Yet, in their current use, these tools pose substantial, often unacknowledged risks that threaten to undermine patient-centred care. We argue that ambient scribes are inherently narrative technologies whose risks—and potential benefits—cannot be fully understood without careful attention to the ways that patients tell the