Literature DB >> 28824769

Implementation of Scribes in an Academic Emergency Department: The Resident Perspective.

Evan Ou, Mary Mulcare, Sunday Clark, Rahul Sharma.   

Abstract

BACKGROUND: Medical scribes have been shown to improve emergency department (ED) throughput, physician productivity metrics, and patient satisfaction by fulfilling primary documentation and nonclinical functions. Little research has been done to date to study the effect of implementing a scribe program in a residency setting.
OBJECTIVE: Our goal was to investigate emergency medicine residents' perception of their educational experience, including interactions with faculty, before and after the implementation of an ED scribe program.
METHODS: We used a pre-post design to assess residents' perceptions of their educational experience before and after implementation of the scribe program. Residents at a large, urban academic medical center with an Accreditation Council for Graduate Medical Education-accredited, 4-year emergency medicine residency program were surveyed during August 2015 (prior to the implementation of the scribe program) and April 2016 (6 months after implementation).
RESULTS: Residents reported improved educational experiences with statistically significant changes in the following areas: increased interaction with faculty due to fewer documentation requirements (P = .012); more face-to-face teaching with faculty (P < .001); increased faculty supervision for procedures (P = .016); and a decrease of delays in patient disposition due to incomplete documentation (P = .029).
CONCLUSIONS: Implementation of an ED scribe program in an urban 4-year emergency medicine residency program led to improvements in residents' perceptions of their education.

Entities:  

Mesh:

Year:  2017        PMID: 28824769      PMCID: PMC5559251          DOI: 10.4300/JGME-D-16-00807.1

Source DB:  PubMed          Journal:  J Grad Med Educ        ISSN: 1949-8357


  8 in total

1.  The impact of changes in HCFA documentation requirements on academic emergency medicine: results of a physician survey.

Authors:  S A McLean; J A Feldman
Journal:  Acad Emerg Med       Date:  2001-09       Impact factor: 3.451

2.  Impact of scribes on performance indicators in the emergency department.

Authors:  Rajiv Arya; Danielle M Salovich; Pamela Ohman-Strickland; Mark A Merlin
Journal:  Acad Emerg Med       Date:  2010-05       Impact factor: 3.451

3.  THE ECONOMIC IMPACT OF MEDICAL SCRIBES IN HOSPITALS.

Authors:  Jeff Kreamer; Barry Rosen; Debra Susie-Lattner; Richard Baker
Journal:  Physician Leadersh J       Date:  2015 May-Jun

4.  Redesigning physician compensation and improving ED performance.

Authors:  Jeff Finkelstein; James Lifton; Claudio Capone
Journal:  Healthc Financ Manage       Date:  2011-06

5.  Progress with electronic health record adoption among emergency and outpatient departments: United States, 2006-2011.

Authors:  Eric Jamoom; Esther Hing
Journal:  NCHS Data Brief       Date:  2015-02

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

Authors:  Aveh Bastani; Blerina Shaqiri; Kristen Palomba; Dominic Bananno; William Anderson
Journal:  Am J Emerg Med       Date:  2014-03-15       Impact factor: 2.469

Review 7.  Barriers to the acceptance of electronic medical records by physicians from systematic review to taxonomy and interventions.

Authors:  Albert Boonstra; Manda Broekhuis
Journal:  BMC Health Serv Res       Date:  2010-08-06       Impact factor: 2.655

8.  Scribe Impacts on Provider Experience, Operations, and Teaching in an Academic Emergency Medicine Practice.

Authors:  Jeremy J Hess; Joshua Wallenstein; Jeremy D Ackerman; Murtaza Akhter; Douglas Ander; Matthew T Keadey; James P Capes
Journal:  West J Emerg Med       Date:  2015-10-20
  8 in total
  3 in total

Review 1.  The Potential Impact of Scribes on Medical School Applicants and Medical Students with the New Clinical Documentation Guidelines.

Authors:  Dawn DeWitt; Leila E Harrison
Journal:  J Gen Intern Med       Date:  2018-07-31       Impact factor: 5.128

2.  How does medical scribes' work inform development of speech-based clinical documentation technologies? A systematic review.

Authors:  Brian D Tran; Yunan Chen; Songzi Liu; Kai Zheng
Journal:  J Am Med Inform Assoc       Date:  2020-05-01       Impact factor: 4.497

3.  Impact of scribes on emergency medicine doctors' productivity and patient throughput: multicentre randomised trial.

Authors:  Katherine Walker; Michael Ben-Meir; William Dunlop; Rachel Rosler; Adam West; Gabrielle O'Connor; Thomas Chan; Diana Badcock; Mark Putland; Kim Hansen; Carmel Crock; Danny Liew; David Taylor; Margaret Staples
Journal:  BMJ       Date:  2019-01-30
  3 in total

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