An ED scribe program is able to improve throughput time and patient satisfaction

Bastani, Aveh; Shaqiri, B.; Palomba, Kristen; Bananno, Dominic; Anderson, William C.

doi:10.1016/j.ajem.2013.03.040

Cited by 66 publications

(94 citation statements)

References 10 publications

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“…As shown in Figure 1, application of exclusion criteria resulted in 5 studies for this review. Four studies were identified using the database search [25][26][27][28] and 1 through Google Scholar. 29 No additional studies were identified by searching the included studies' reference lists or the forward publication search.…”

Section: Resultsmentioning

confidence: 99%

“…Only Bastani et al 28 observed a significant improvement, with the postscribe time period rebounding to the level observed before implementing the emergency department's computerized physician order entry system.…”

Section: Patient Satisfactionmentioning

confidence: 99%

“…27 Duties performed by medical scribes in the 5 studies are delineated in Table 2. Four studies reported scribes were assigned to work with a single clinician within a given shift [25][26][27][28] ; 1 study reported scribes worked with multiple clinicians within a designated area over the course of a single shift. 29 While the level of specificity in the description of scribe duties varied from study to study, each described the fundamental task of providing documentation services.…”

Section: Medical Scribesmentioning

confidence: 99%

“…In 2 studies the scribes were students (premedical, prenursing, pre-physician assistant, or first-year medical students). 26,28 In the first, the nature of the employment relationship between the scribe and clinical setting was not clearly specified. The study described a 2-week, nonstandardized training period during which the scribe familiarized themselves with the urology practice site and its documentation practices.…”

Section: Medical Scribesmentioning

confidence: 99%

“…[25][26][27][28] Scribe types varied in terms of both training and employment relationship with the clinical setting. In 2 studies the scribes were students (premedical, prenursing, pre-physician assistant, or first-year medical students).…”

Section: Medical Scribesmentioning

confidence: 99%

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The Use of Medical Scribes in Health Care Settings: A Systematic Review and Future Directions

Shultz

Holmstrom

2015

The Journal of the American Board of Family Medicine

119

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Background: Electronic health records (EHRs) hold promise to improve productivity, quality, and outcomes; however, using EHRs can be cumbersome, disruptive to workflow, and off-putting to patients and clinicians. One proposed solution to this problem is the use of medical scribes. The purpose of this systematic review is to summarize the literature investigating the effect of medical scribes on health care productivity, quality, and outcomes. Implications for future research are discussed.Methods: A keyword search of the Cochrane Library, OvidSP Medline database, and Embase database from January 2000 through September 2014 was performed using the terms scribe or scribes in the title or abstract. To ensure no potentially eligible articles were missed, a second search was done using Google Scholar. English-language, peer-reviewed studies assessing the effect of medical scribes on health care productivity, quality, and outcomes were retained. Identified studies were assessed and the findings reported.Results: Five studies were identified. Three studies assessed scribe use in an emergency department, 1 in a cardiology clinic, and 1 in a urology clinic. Two of 3 studies reported scribes had no effect on patient satisfaction; 2 of 2 reported improved clinician satisfaction; 2 of 3 reported an increase in the number of patients; 2 of 2 reported an increase in the number of relative value units per hour; 1 of 1 reported increased revenue; 3 of 4 reported improved time-related efficiencies; and 1 of 1 reported improved patient-clinician interactions.Conclusions: Available evidence suggests medical scribes may improve clinician satisfaction, productivity, time-related efficiencies, revenue, and patient-clinician interactions. Because the number of studies is small, and because each study suffered important limitations, confidence in the reliability of the evidence is significantly constrained. Given the nascent state of the science, methodologically rigorous and sufficiently powered studies are greatly needed. (J Am Board Fam Med 2015;28:371-381.)

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Section: Resultsmentioning

confidence: 99%

Section: Patient Satisfactionmentioning

confidence: 99%

Section: Medical Scribesmentioning

confidence: 99%

Section: Medical Scribesmentioning

confidence: 99%

Section: Medical Scribesmentioning

confidence: 99%

See 3 more Smart Citations

The Use of Medical Scribes in Health Care Settings: A Systematic Review and Future Directions

Shultz

Holmstrom

2015

The Journal of the American Board of Family Medicine

119

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Clinical scribes and their association with patient experience in the otolaryngology clinic

et al. 2019

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Objectives/Hypothesis Electronic health records have brought many advantages but also placed a documentation burden on the provider during and after the clinic visit. Some otolaryngologists have countered this challenge by employing clinical scribes. This project aimed to better understand the influence of scribes on patient experience in the otolaryngology clinic. Study Design Retrospective cohort survey study. Methods Patients presenting to the otolaryngology clinic for new and follow‐up appointments were recruited to complete surveys about their experience. Results A total of 153 patients completed the survey, and 96 of those patients (62.7%) interacted with a scribe. Patient satisfaction was not significantly associated with participation of the scribe (P = .668). Similarly, patient rating of their physician on a scale of 1 to 10 was not associated with scribe involvement (P = .851). The patients who did interact with a scribe responded that the scribe positively impacted the visit 77.1% of the time. Participation of a resident, primary language other than English, and use of interpreter were associated with lower satisfaction (P = .004, P < .001, and P < .001, respectively). Conclusions There are no published data on the effect of scribes on patient experience in the otolaryngology clinic. In other specialties, scribes have been demonstrated as having a positive effect on provider satisfaction, clinical productivity, and patient perception. These data demonstrate that patient satisfaction was neither impaired nor improved by the presence of the scribe in this clinic. In light of benefits demonstrated by prior studies, these findings support the conclusion that scribes are a useful adjunct in providing high‐level otolaryngology care. Level of Evidence 4 Laryngoscope, 130:E134–E139, 2020

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Emergency Department of the New Era

Guerrero¹,

Barnes

Pattison

2019

The Modern Hospital

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An ED scribe program is able to improve throughput time and patient satisfaction

Cited by 66 publications

References 10 publications

The Use of Medical Scribes in Health Care Settings: A Systematic Review and Future Directions

The Use of Medical Scribes in Health Care Settings: A Systematic Review and Future Directions

Clinical scribes and their association with patient experience in the otolaryngology clinic

Emergency Department of the New Era

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