Medical scribes have no impact on the patient experience of an emergency department

Dunlop, William A; Hegarty, Lachlan; Staples, Margaret; Levinson, Michele; Ben‐Meir, Michael; Walker, Katie

doi:10.1111/1742-6723.12818

Cited by 22 publications

(25 citation statements)

References 27 publications

(55 reference statements)

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“…9 Since publication of those reviews, there have been several additional studies related to the effect of scribes on patient satisfaction. Although patients have reported positive attitudes toward scribes and perceived improvement of provider-patient interactions, [10][11][12] no studies have found a quantitative difference in patient's satisfaction with providers. 11,[13][14][15][16][17] Conclusions are further limited by heterogeneity in the methodology for assessing patient satisfaction in all of these studies, including many studies that created their own surveys and metrics.…”

Section: Discussionmentioning

confidence: 99%

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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Section: Discussionmentioning

confidence: 99%

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

et al. 2019

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“…The NPS has been used in EM in the evaluation of patient experience, as well as staff satisfaction with particular interventions; however, as far as we know, not in the assessment of staff wellbeing. We were unable to find any assessment of reliability and validity of the NPS in EM literature.…”

Section: Discussionmentioning

confidence: 99%

Workplace wellbeing in an urban emergency department in Aotearoa New Zealand

Kumar

Pio

Brewer

et al. 2019

Emerg Medicine Australasia

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Objectives: Staff wellbeing is important for individuals and considered integral to the development and maintenance of high performing health systems. Unless baseline parameters of wellbeing are known, the effects of any interventions to improve staff wellbeing will remain uncertain. By clarifying staff perceptions and objective measures of important factors related to wellbeing, our primary goal was to assess the baseline wellbeing of staff in our central city ED. Methods: A survey template, the WoWe@AED (Workplace Wellbeing at the Adult Emergency Department) was developed from several sources. Burnout was measured using the Copenhagen Burnout Inventory. Inclusion in the survey required that participants worked in our ED, all staff groups were eligible. The electronic survey was conducted between 22 January and 5 February 2018. Quantitative and qualitative data were analysed. Results: Two hundred and seventy (71.1%) of 380 potential participants participated. All staff groups were represented. About 72.4% agreed/ strongly agreed that Adult Emergency Department was an excellent place to work, 80.7% found their work meaningful. About 42.0% felt well informed regarding important decisions. One hundred and eightythree (48.2%) out of 380 completed the Copenhagen Burnout Inventory. Overall, personal burnout was 42.1% (n = 77), work-related burnout was 35% (n = 64) and clientrelated burnout was 27.9% (n = 51). Females were significantly (<0.05) more likely to have burnout in some or all domains. Four key themes were identified: supportive teamwork and relationships; providing high quality patient care; resourcing; and workload issues. Conclusions: Baseline indices of wellbeing of the frontline staff in a central city ED have been documented. These have informed wellbeing interventions. Future measures can be compared against these data.

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“…The network (six campuses and one ED) has 832 beds. The tertiary ED cares for mainly English‐speaking, older patients, who are likely to have comprehensive private health insurance and high health literacy . There are 24 000 ED attendances annually (admission rate 50%).…”

Section: Methodsmentioning

confidence: 99%

“…The tertiary ED cares for mainly English-speaking, older patients, who are likely to have comprehensive private health insurance and high health literacy. 20 There are 24 000 ED attendances annually (admission rate 50%). Consultants, experienced continuing medical officers or senior advanced trainee doctors provide direct patient care.…”

Section: Settingmentioning

confidence: 99%

Testing a new form to document ‘Goals‐of‐Care’ discussions regarding plans for end‐of‐life care for patients in an Australian emergency department

Mills

Levinson

Dunlop

et al. 2018

Emerg Medicine Australasia

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Medical scribes have no impact on the patient experience of an emergency department

Abstract: We found no evidence that scribes reduce patient satisfaction during emergency consultations, nor prompt discomfort that might cause a patient to withhold information.

Cited by 22 publications

References 27 publications

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

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

Workplace wellbeing in an urban emergency department in Aotearoa New Zealand

Testing a new form to document ‘Goals‐of‐Care’ discussions regarding plans for end‐of‐life care for patients in an Australian emergency department

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