“…The unpredictability of hour‐to‐hour ED census makes the efficiency status of an ED readily impressionable and responsive to changes such as the addition of a scribe program. Previous literature regarding the effect of scribe use in the ED has had conflicting results . Outside of the ED setting, scribes have been shown to have a similar impact.…”
Section: Discussionmentioning
confidence: 99%
“…This is an important shift, as direct patient contact is one of the principal predictors of positive patient outcomes and patient satisfaction . However, studies have shown conflicting results regarding a scribe program's effect on efficiency metrics, such as throughput times and number of patients seen per day . It is important to distinguish scribes’ effect on throughput times in EDs, as reduced ED crowding is associated with decreased patient mortality .…”
Medical scribes increased ED efficiency without decreasing patient satisfaction. Providers strongly favored the use of scribes, while nurses were indifferent. The next steps include a cost analysis of the scribe program.
“…The unpredictability of hour‐to‐hour ED census makes the efficiency status of an ED readily impressionable and responsive to changes such as the addition of a scribe program. Previous literature regarding the effect of scribe use in the ED has had conflicting results . Outside of the ED setting, scribes have been shown to have a similar impact.…”
Section: Discussionmentioning
confidence: 99%
“…This is an important shift, as direct patient contact is one of the principal predictors of positive patient outcomes and patient satisfaction . However, studies have shown conflicting results regarding a scribe program's effect on efficiency metrics, such as throughput times and number of patients seen per day . It is important to distinguish scribes’ effect on throughput times in EDs, as reduced ED crowding is associated with decreased patient mortality .…”
Medical scribes increased ED efficiency without decreasing patient satisfaction. Providers strongly favored the use of scribes, while nurses were indifferent. The next steps include a cost analysis of the scribe program.
“…7 Furthermore, productivity measures appear to be maintained for up to 1 year after implementation. 8 In contrast to these findings, a previous Canadian study did not find a significant increase in the number of patients seen per hour with a scribe, 9 although improved physician-nurse satisfaction and improved chart legibility were reported. This study took place in an academic hospital and did not indicate whether scribes received prestudy training.…”
In this pilot study, the use of scribes resulted in an increased number of patients seen per hour per physician. Because this was a small study at a single centre, further research on the effects of scribes in Canada is warranted.
“…The impact of scribes on patient flow was examined in one review that compared services with scribes with those without 22. The settings included six academic and two community EDs across the USA (six), Canada (one) and Australia (one).…”
Overall, the evidence supporting the interventions to improve patient flow is weak. Only the fast track intervention had moderate evidence to support its use but correlation/clustering was not taken into consideration in the RCTs examining the intervention. Failure to consider the correlation of the data in the primary studies could result in erroneous conclusions of effectiveness.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.