A Generative AI-Enhanced Robotic Desktop Automation Framework for Multi-System Nephrology Data Entry in Government Healthcare Platforms

This study introduces a Generative AI-Enhanced Robotic Data Automation (AI-ERDA) framework designed to improve accuracy, efficiency, and adaptability in healthcare data workflows. Conducted over a two-month, real-world experiment across three government health platforms—one web-based (NHSO) and two PC-based systems (CHi and TRT)—the study compared the performance of AI-ERDA against a conventional RDA system in terms of usability, automation accuracy, and resilience to user interface (UI) changes. Results demonstrated notable improvements in both usability and reliability. The AI-ERDA achieved a mean System Usability Scale (SUS) score of 80, compared with 68 for the traditional RDA, while Field Exact Match Accuracy increased by 1.8 percent in the web system and by 0.2 to 0.3 percent in the PC systems. During actual UI modifications, the AI-ERDA maintained near-perfect accuracy, with rapid self-correction within one day, whereas the baseline RDA required several days of manual reconfiguration and assistance from the development team to resolve issues. These findings indicate that generative and adaptive automation can effectively reduce manual workload, minimize downtime, and maintain high data integrity across heterogeneous systems. By integrating adaptive learning, semantic validation, and human-in-the-loop oversight, the AI-ERDA framework advances sustainable digital transformation and reinforces transparency, trust, and accountability in healthcare data management.