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Aveh Bastani, Blerina Shaqiri, Kristen Palomba, Dominic Bananno, William Anderson
INTRODUCTION: At our institution, we previously described the detrimental effect of computerized physician order entry (CPOE) on throughput time and patient satisfaction (Ann of Emer Med, Vol 56, P S83-S84). To address these quality metrics, we conducted a pilot program using scribes in the emergency department (ED). METHODS: We conducted a before-and-after study of ED throughput at our 320-bed suburban community hospital with a census of 70000 annual visits. Our primary outcome measure was the effect of scribes on ED throughput as measured by the effect on (1) door-to-room time; (2) room-to-doc time; (3) door-to-doc time; (4) doc-to-dispo time; and (5) length of stay for discharged/admitted patients, between pre-CPOE and post-CPOE cohorts...
May 2014: American Journal of Emergency Medicine
Joseph Conn, Harris Meyer
No abstract text is available yet for this article.
August 26, 2013: Modern Healthcare
Reginald Baugh, James E Jones, K Trott, Valerie E Takyi, Jihad T Abbas
Medical scribes and electronic health records (EHRs) are increasingly being introduced into ambulatory clinics with variable outcomes. Characteristics of a successful implementation of medical scribes are described. Tips for optimization of the composition and presentation of the EHR as well as medical processes associated with medical documentation are presented.
November 2012: Journal of Medical Practice Management: MPM
Rajiv Arya, Danielle M Salovich, Pamela Ohman-Strickland, Mark A Merlin
OBJECTIVES: The objective was to quantify the effect of scribes on three measures of emergency physician (EP) productivity in an adult emergency department (ED). METHODS: For this retrospective study, 243 clinical shifts (of either 10 or 12 hours) worked by 13 EPs during an 18-month period were selected for evaluation. Payroll data sheets were examined to determine whether these shifts were covered, uncovered, or partially covered (for less than 4 hours) by a scribe; partially covered shifts were grouped with uncovered shifts for analysis...
May 2010: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Simi Koshy, Paul J Feustel, Michael Hong, Barry A Kogan
PURPOSE: The increasing use of electronic medical records during the clinical encounter brings not only benefits but also barriers that may affect the doctor-patient relationship and increase the work burden of the physician. We evaluated whether the use of an electronic medical record scribe in an academic urology program would ameliorate these problems. MATERIALS AND METHODS: We randomly assigned electronic medical record scribes to the office hours of 5 academic urologists, and using surveys we evaluated patient and physician acceptance and satisfaction...
July 2010: Journal of Urology
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