Waqas Shuaib, John Hilmi, Joshua Caballero, Ijaz Rashid, Hashim Stanazai, Kerolos Tawfeek, Ahmed Amari, Alan Ajanovic, Alex Moshtaghi, Anjit Khurana, Hesham Hasabo, Abdulrehman Baqais, Arthur J Szczerba, Theodore J Gaeta
Previous literature on the impact of scribe programs varies and has mostly been reported from academic institutions or other clinics. We report the implementation of the scribe program in the emergency room of a community hospital and its impact on patient throughput, physician productivity, and patient satisfaction. We performed a quasi-experimental, before-and-after study measuring patient throughput metrics, physician productivity, and patient satisfaction. The intervention measuring the scribe implementation was divided into pre- and post-implementation periods...
April 1, 2017: Health Informatics Journal
Stephen T Earls, Judith A Savageau, Susan Begley, Barry G Saver, Kate Sullivan, Alan Chuman
Purpose: Research in other medical specialties has shown that the addition of medical scribes to the clinical team enhances physicians' practice experience and increases productivity. To date, literature on the implementation of scribes in primary care is limited. To determine the feasibility and benefits of implementing scribes in family medicine, we undertook a pilot mixed- method quality improvement (QI) study. Methods: In 2014, we incorporated 4 parttime scribes into an academic family medicine practice consisting of 7 physicians...
April 2017: Journal of Family Practice
Heather A Heaton, David M Nestler, Derick D Jones, Rachelen S Varghese, Christine M Lohse, Eric S Williamson, Annie T Sadosty
BACKGROUND: Scribe use throughout health care is becoming more common. There is limited peer-reviewed literature supporting this emerging role in health care despite rapid uptake of the role. OBJECTIVES: Our study assesses impact of scribes on relative value units (RVUs) in adult and pediatric emergency departments (EDs). METHODS: A prospective cohort study was developed in a tertiary academic ED. Charts were coded by an external billing and coding company, then returned and mapped by International Classification of Diseases, 9th revision diagnostic codes...
March 2017: Journal of Emergency Medicine
Brian H Imdieke, Marc L Martel
There are little published data on the use of medical scribes in the primary care setting. We assessed the feasibility of incorporating medical scribes in our ambulatory clinic to support provider documentation in the electronic medical record. In our convenience sampling of patient, provider, and staff perceptions of scribes, we found that patients were comfortable having scribes in the clinic. Overall indicators of patient satisfaction were slightly decreased. Providers found scribe support to be valuable and overall clinician documentation time was reduced by more than 50% using scribes...
January 2017: Journal of Ambulatory Care Management
Heather A Heaton, David M Nestler, Christine M Lohse, Annie T Sadosty
OBJECTIVES: Assess the impact of scribes on an academic emergency department's (ED) throughput one year after implementation. METHODS: A prospective cohort design compared throughput metrics of patients managed when scribes were and were not a part of the treatment team during pre-defined study hours in a tertiary academic ED with both an adult and pediatric ED. An alternating-day pattern one year following scribe implementation ensured balance between the scribe and non-scribe groups in time of day, day of week, and patient complexity...
February 2017: American Journal of Emergency Medicine
Heather A Heaton, Ana Castaneda-Guarderas, Elliott R Trotter, Patricia J Erwin, M Fernanda Bellolio
BACKGROUND: Scribes offer a potential solution to the clerical burden and time constraints felt by health care providers. OBJECTIVES: This is a systematic review and meta-analysis to evaluate scribe effect on patient throughput, revenue, and patient and provider satisfaction. METHODS: Six electronic databases were systematically searched from inception until May 2015. We included studies where clinicians used a scribe. We collected throughput metrics, billing data, and patient/provider satisfaction data...
October 2016: American Journal of Emergency Medicine
Heather A Heaton, David M Nestler, Derick D Jones, Christine M Lohse, Deepi G Goyal, Jeffrey S Kallis, Annie T Sadosty
OBJECTIVES: Assess the impact of scribes on an academic emergency department's (ED) patient-specific throughput. METHODS: Study design, setting, participants: A prospective cohort design compared throughput metrics of patients managed when scribes were and were not a part of the treatment team during pre-defined study hours in a tertiary academic ED with both an adult and pediatric ED. INTERVENTION: Eight scribes were hired and trained on-site by a physician with experience in scribe implementation...
October 2016: American Journal of Emergency Medicine
Cameron G Shultz, Heather L Holmstrom
No abstract text is available yet for this article.
May 2016: Journal of the American Board of Family Medicine: JABFM
James Jerzak
Misra-Hebert et al's study in this issue attests to the quality of scribes' notes. My personal experience is that charts are usually closed at the end of each half-day.
March 2016: Journal of Family Practice
Anita D Misra-Hebert, Linda Amah, Andrew Rabovsky, Shannon Morrison, Marven Cantave, Bo Hu, Christine A Sinsky, Michael B Rothberg
Their outpatient notes stack up well, according to this small, retrospective review. Scribes' notes were rated slightly higher in overall quality than physicians' notes-- at least for certain patient encounters.
March 2016: Journal of Family Practice
Chen Yan, Susannah Rose, Michael B Rothberg, Mary Beth Mercer, Kenneth Goodman, Anita D Misra-Hebert
BACKGROUND: Extending medical assistants and nursing roles to include in-visit documentation is a recent innovation in the age of electronic health records. Despite the use of these clinical scribes, little is known regarding interactions among and perspectives of the involved parties: physicians, clinical scribes, and patients. OBJECTIVE: The purpose of this project is to describe perspectives of physicians, clinical scribes, and patients regarding clinical scribes in primary care...
September 2016: Journal of General Internal Medicine
Katherine J Walker, Michael Ben-Meir, David Phillips, Margaret Staples
OBJECTIVE: The present study aims to determine if a scribe in an Australian ED can assist emergency physicians to work with increased productivity and to investigate when and where to allocate a scribe and to whom. METHODS: This was a prospective observational single-centre study conducted at a private ED in Melbourne. It evaluated one American scribe and five doctors over 6 months. A scribe is a trained assistant who performs non-clinical tasks usually performed by the doctor...
June 2016: Emergency Medicine Australasia: EMA
Nicola Hawkinson
This article discusses reasons to employ medical scribes and why scribes play a critical role in both hospitals and private practices. Scribes are able help physicians with documentation and increase productivity. Physicians are able to fully engage with patients while the scribe documents the encounter in real-time. Although scribes are unlicensed, they still need to be recruited and trained in the same manner as any other medical professional.
November 2015: Journal of Medical Practice Management: MPM
Jeremy J Hess, Joshua Wallenstein, Jeremy D Ackerman, Murtaza Akhter, Douglas Ander, Matthew T Keadey, James P Capes
INTRODUCTION: Physicians dedicate substantial time to documentation. Scribes are sometimes used to improve efficiency by performing documentation tasks, although their impacts have not been prospectively evaluated. Our objective was to assess a scribe program's impact on emergency department (ED) throughput, physician time utilization, and job satisfaction in a large academic emergency medicine practice. METHODS: We evaluated the intervention using pre- and post-intervention surveys and administrative data...
September 2015: Western Journal of Emergency Medicine
Smitha P Menon
The universal implementation of electronic health records has transformed the practice of medicine. However, there is a general perception that electronic health records impede effective communication with patients. Clinicians feel that they paradoxically spend more time doing nonclinical tasks like documentation and writing orders and less time interacting with their patients. This article evaluates the role of medical scribes in augmenting physician workflows and examines if employing a scribe can enhance physician-patient interactions...
December 2015: Current Oncology Reports
Alan J Bank, Ryan M Gage
OBJECTIVE: Scribes are increasingly being used in clinics to assist physicians with documentation during patient care. The annual effect of scribes in a real-world clinic on physician productivity and revenue has not been evaluated. METHODS: We performed a retrospective study comparing the productivity during routine clinic visits of ten cardiologists using scribes vs 15 cardiologists without scribes. We tracked patients per hour and patients per year seen per physician...
2015: ClinicoEconomics and Outcomes Research: CEOR
Cara J Cabilan, Robert M Eley
The increasing burden of documentation experienced by doctors threatens the efficiency in EDs and increases the likelihood of documentation errors. Medical scribes afford the opportunity to allay this burden by removing a large component of the doctors' documentation task. Scribes have been embedded successfully in US EDs, and the effects have been mostly advantageous. The present paper provides a brief overview of the function of scribes and their potential contribution to Australian EDs.
December 2015: Emergency Medicine Australasia: EMA
Jeff Kreamer, Barry Rosen, Debra Susie-Lattner, Richard Baker
No abstract text is available yet for this article.
May 2015: Physician Leadership Journal
Cameron G Shultz, Heather L Holmstrom
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...
May 2015: Journal of the American Board of Family Medicine: JABFM
George A Gellert, Ricardo Ramirez, S Luke Webster
No abstract text is available yet for this article.
April 7, 2015: JAMA: the Journal of the American Medical Association
2017-05-16 02:04:05
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