scholarly journals The financial advantages of medical scribes extend beyond increased visits

2021 ◽  
Vol 70 (4) ◽  
Author(s):  
Zallman
Keyword(s):  
Medical Scribes

scholarly journals Do Medical Scribes Help Primary Care Providers Respond More Quickly to Out-of-Visit Tasks?

2021 ◽  
Vol 34 (1) ◽  
pp. 70-77
Author(s):  
Leah Zallman ◽  
Wayne Altman ◽  
Lendy Chu ◽  
Sharon Touw ◽  
Karissa Rajagopal ◽  
...  
Keyword(s):  
Primary Care ◽  
Primary Care Providers ◽  
Care Providers ◽  
Medical Scribes

scholarly journals MP86-05 IMPLEMENTATION OF MEDICAL SCRIBES IN AN ACADEMIC UROLOGY PRACTICE: AN ANALYSIS OF PRODUCTIVITY, REVENUE, AND SATISFACTION

2018 ◽  
Vol 199 (4S) ◽  
Author(s):  
Benjamin McCormick ◽  
Allison Deal ◽  
Kristy Borawski ◽  
Mathew Raynor ◽  
Davis Viprakasit ◽  
...  
Keyword(s):  
Medical Scribes

scholarly journals How does medical scribes’ work inform development of speech-based clinical documentation technologies? A systematic review

2020 ◽  
Vol 27 (5) ◽  
pp. 808-817 ◽  
Author(s):  
Brian D Tran ◽  
Yunan Chen ◽  
Songzi Liu ◽  
Kai Zheng
Keyword(s):  
Systematic Review ◽  
Significant Variation ◽  
Clinical Documentation ◽  
Healthcare Organizations ◽  
Screening Process ◽  
Patient Consent ◽  
Exam Room ◽  
Meta Analyses ◽  
Lab Test ◽  
Medical Scribes

Abstract Objective Use of medical scribes reduces clinician burnout by sharing the burden of clinical documentation. However, medical scribes are cost-prohibitive for most settings, prompting a growing interest in developing ambient, speech-based technologies capable of automatically generating clinical documentation based on patient–provider conversation. Through a systematic review, we aimed to develop a thorough understanding of the work performed by medical scribes in order to inform the design of such technologies. Materials and Methods Relevant articles retrieved by searching in multiple literature databases. We conducted the screening process following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) in guidelines, and then analyzed the data using qualitative methods to identify recurring themes. Results The literature search returned 854 results, 65 of which met the inclusion criteria. We found that there is significant variation in scribe expectations and responsibilities across healthcare organizations; scribes also frequently adapt their work based on the provider’s style and preferences. Further, scribes’ job extends far beyond capturing conversation in the exam room; they also actively interact with patients and the care team and integrate data from other sources such as prior charts and lab test results. Discussion The results of this study provide several implications for designing technologies that can generate clinical documentation based on naturalistic conversations taking place in the exam room. First, a one-size-fits-all solution will be unlikely to work because of the significant variation in scribe work. Second, technology designers need to be aware of the limited role that their solution can fulfill. Third, to produce comprehensive clinical documentation, such technologies will likely have to incorporate information beyond the exam room conversation. Finally, issues of patient consent and privacy have yet to be adequately addressed, which could become paramount barriers to implementing such technologies in realistic clinical settings. Conclusions Medical scribes perform complex and delicate work. Further research is needed to better understand their roles in a clinical setting in order to inform the development of speech-based clinical documentation technologies.

scholarly journals One Year of Family Physicians' Observations on Working with Medical Scribes

2018 ◽  
Vol 31 (1) ◽  
pp. 49-56 ◽  
Author(s):  
Amelia Sattler ◽  
Tracy Rydel ◽  
Cathina Nguyen ◽  
Steven Lin
Keyword(s):  
Family Physicians ◽  
One Year ◽  
Medical Scribes

scholarly journals Association of Medical Scribes in Primary Care With Physician Workflow and Patient Experience

2018 ◽  
Vol 178 (11) ◽  
pp. 1467 ◽  
Author(s):  
Pranita Mishra ◽  
Jacqueline C. Kiang ◽  
Richard W. Grant
Keyword(s):  
Primary Care ◽  
Patient Experience ◽  
Medical Scribes

Professional fission in medical routines: medical scribes and physicians in two US hospital departments

2020 ◽  
Author(s):  
Ann L Bryan ◽  
John C Lammers
Keyword(s):  
Electronic Health Records ◽  
Electronic Health Record ◽  
Community Hospital ◽  
Health Record ◽  
Health Departments ◽  
Health Records ◽  
The Us ◽  
Electronic Health ◽  
Medical Scribes ◽  
Digestive Health

Abstract In this study we argue that professionalism imposed from above can result in a type of fission, leading to the ambiguous emergence of new occupations. Our case focuses on the US’ federally mandated use of electronic health records and the increased use of medical scribes. Data include observations of 571 patient encounters across 48 scribe shifts, and 12 interviews with medical scribes and physicians in the ophthalmology and digestive health departments of a community hospital. We found substantial differences in scribes’ roles based on the pre-existing routines within each department, and that scribes developed agency in the interface between the electronic health record and the physicians’ work. Our study contributes to work on occupations as negotiated orders by drawing attention to external influences, the importance of considering differences across professional task routines, and the personal interactions between professional and technical workers.

scholarly journals Safe use of the EHR by medical scribes: a qualitative study

2020 ◽  
Author(s):  
Joan S Ash ◽  
Sky Corby ◽  
Vishnu Mohan ◽  
Nicholas Solberg ◽  
James Becton ◽  
...  
Keyword(s):  
Patient Safety ◽  
Best Practices ◽  
Clinical Training ◽  
Rapid Assessment ◽  
Data Gathering ◽  
Assessment Process ◽  
Healthcare Organizations ◽  
Safety Risks ◽  
The Us ◽  
Medical Scribes

Abstract Objective Hiring medical scribes to document in the electronic health record (EHR) on behalf of providers could pose patient safety risks because scribes often have no clinical training. The aim of this study was to investigate the effect of scribes on patient safety. This included identification of best practices to assure that scribe use of the EHR is not a patient safety risk. Materials and Methods Using a sociotechnical framework and the Rapid Assessment Process, we conducted ethnographic data gathering at 5 purposively selected sites. Data were analyzed using a grounded inductive/hermeneutic approach. Results We conducted site visits at 12 clinics and emergency departments within 5 organizations in the US between 2017 and 2019. We did 76 interviews with 81 people and spent 80 person-hours observing scribes working with providers. Interviewees believe and observations indicate that scribes decrease patient safety risks. Analysis of the data yielded 12 themes within a 4-dimension sociotechnical framework. Results about the “technical” dimension indicated that the EHR is not considered overly problematic by either scribes or providers. The “environmental” dimension included the changing scribe industry and need for standards. Within the “personal” dimension, themes included the need for provider diligence and training when using scribes. Finally, the “organizational” dimension highlighted the positive effect scribes have on documentation efficiency, quality, and safety. Conclusion Participants perceived risks related to the EHR can be less with scribes. If healthcare organizations and scribe companies follow best practices and if providers as well as scribes receive training, safety can actually improve.

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