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Does Adding Scribes Improve Emergency Department Efficiency?

By Ken Milne, MD | on July 21, 2019 | 2 Comments
Skeptics' Guide to EM
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Case Resolution

Your democratic group decides to conduct a trial period of using scribes. Their impact on physician satisfaction, cost-effectiveness, and throughput will be assessed after a few months. Whether scribe use decreases burnout has not been assessed.

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Explore This Issue
ACEP Now: Vol 38 – No 07 – July 2019

Remember to be skeptical of anything you learn, even if you heard it on the Skeptics’ Guide to Emergency Medicine.

References

  1. Hill RG Jr, Sears LM, Melanson SW. 4000 clicks: a productivity analysis of electronic medical records in a community hospital ED. Am J Emerg Med. 2013;31(11):1591-1594.
  2. Shanafelt TD, Dyrbye LN, Sinsky C, et al. Relationship between clerical burden and characteristics of the electronic environment with physician burnout and professional satisfaction. Mayo Clinic Proc. 2016;91(7):836-848.
  3. Salyers MP, Bonfils KA, Luther L, et al. The relationship between professional burnout and quality and safety in healthcare: a meta-analysis. J Gen Intern Med. 2017;32(4):475-482.
  4. Yan C, Rose S, Rothberg MB, et al. Physician, scribe, and patient perspectives on clinical scribes in primary care. J Gen Intern Med. 2016;31(9):990-995.
  5. Cowan TL, Dunlop WA, Ben-Meir M, et al. Emergency consultants value medical scribes and most prefer to work with them, a few would rather not: a qualitative Australian study. Emerg Med J. 2018;35(1):12-17.

Pages: 1 2 | Single Page

Topics: BurnoutCare TeamEfficiencyElectronic Medical RecordMedical ScribeScribe

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About the Author

Ken Milne, MD

Ken Milne, MD, is chief of emergency medicine and chief of staff at South Huron Hospital, Ontario, Canada. He is on the Best Evidence in Emergency Medicine faculty and is creator of the knowledge translation project the Skeptics Guide to Emergency Medicine.

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2 Responses to “Does Adding Scribes Improve Emergency Department Efficiency?”

  1. August 11, 2019

    Robert Mohr Reply

    Have there been any studies evaluating scribe written versus physician crafted notes in an adverse legal situation such as a lawsuit or peer review situation?

    My fear after working with a variety of scribes is sometimes their click box notes are fine for billing but lack a human touch.

    Trust me, I love not staying after work to write notes but haven’t been thrilled with some of the notes in retrospect.

  2. August 23, 2019

    Margaly Montilus Reply

    adding scribes do improve emergency department efficiently AND productivity.

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