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Medical Scribes

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https://www.readbyqxmd.com/read/28589691/medical-scribes-have-no-impact-on-the-patient-experience-of-an-emergency-department
#1
William Dunlop, Lachlan Hegarty, Margaret Staples, Michele Levinson, Michael Ben-Meir, Katherine Walker
OBJECTIVE: We aimed to evaluate patient perceptions of medical scribes in the ED and to test for scribe impacts on ED Net Promoter Scores, Press Ganey Surveys and other patient-centred topics. METHODS: Exploratory semi-structured interviews were conducted in the ED during wait times after scribed consultations. Interview results were used to derive topics relating to scribes. Items addressing these topics from validated surveys were combined with items from widely used patient satisfaction questionnaires...
June 6, 2017: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/28488266/qt-interval-prolongation-in-opioid-agonist-treatment-analysis-of-continuous-12-lead-electrocardiogram-recordings
#2
Geoffrey K Isbister, Amanda L Brown, Anthony Gill, Alexander J Scott, Leonie Calver, Adrian J Dunlop
BACKGROUND: Methadone is a widely used opioid agonist treatment associated with QT prolongation and torsades des pointes. We investigated the QT interval in patients treated with methadone or buprenorphine using continuous 12-lead holter recordings. METHODS: We prospectively recorded 24 h holters in patients prescribed methadone or buprenorphine, compared to controls. After their normal dose a continuous 12-lead holter recorder was attached for 24 h. Digital electrocardiograms were extracted hourly from the holter recordings...
May 9, 2017: British Journal of Clinical Pharmacology
https://www.readbyqxmd.com/read/28438104/impact-of-a-scribe-program-on-patient-throughput-physician-productivity-and-patient-satisfaction-in-a-community-based-emergency-department
#3
Waqas Shuaib, John Hilmi, Joshua Caballero, Ijaz Rashid, Hashim Stanazai, Kerolos Tawfeek, Ahmed Amari, Alan Ajanovic, Alex Moshtaghi, Anjit Khurana, Hesham Hasabo, Abdulrehman Baqais, Arthur J Szczerba, Theodore J Gaeta
Previous literature on the impact of scribe programs varies and has mostly been reported from academic institutions or other clinics. We report the implementation of the scribe program in the emergency room of a community hospital and its impact on patient throughput, physician productivity, and patient satisfaction. We performed a quasi-experimental, before-and-after study measuring patient throughput metrics, physician productivity, and patient satisfaction. The intervention measuring the scribe implementation was divided into pre- and post-implementation periods...
April 1, 2017: Health Informatics Journal
https://www.readbyqxmd.com/read/28379818/building-a-sustainable-primary-care-workforce-where-do-we-go-from-here
#4
Mark Linzer, Sara Poplau
The article by Puffer et al in this month's JABFM confirms a high burnout rate (25%) among family physicians renewing their credentials, with a higher rate among young and female doctors. Recent reports confirm high burnout rates among general internists. Thus, mechanisms to monitor and improve worklife in primary care are urgently needed. We describe the Mini Z (for "zero burnout program") measure, designed for these purposes, and suggest interventions that might improve satisfaction and sustainability in primary care, including longer visits, clinician control of work schedules, scribe support for electronic medical record work, team-based care, and an explicit emphasis on work-home balance...
March 2017: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/28375393/can-scribes-boost-fps-efficiency-and-job-satisfaction
#5
Stephen T Earls, Judith A Savageau, Susan Begley, Barry G Saver, Kate Sullivan, Alan Chuman
Purpose: Research in other medical specialties has shown that the addition of medical scribes to the clinical team enhances physicians' practice experience and increases productivity. To date, literature on the implementation of scribes in primary care is limited. To determine the feasibility and benefits of implementing scribes in family medicine, we undertook a pilot mixed- method quality improvement (QI) study. Methods: In 2014, we incorporated 4 parttime scribes into an academic family medicine practice consisting of 7 physicians...
April 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/28355527/feasibility-evaluation-of-a-pilot-scribe-training-program-in-an-australian-emergency-department
#6
Katherine Walker, Matthew Johnson, William Dunlop, Margaret Staples, Hamish Rodda, Ian Turner, Michael Ben-Meir
Objective Medical scribes have an emerging and expanding role in health, particularly in Emergency Medicine in the US. Scribes assist physicians with documentation and clerical tasks at the bedside while the physician consults with his or her patient. Scribes increase medical productivity. The aim of the present study was to examine the feasibility of a pilot hospital-administered scribe-training program in Australia and to evaluate the ability of an American training course (Medical Scribe Training Systems) to prepare trainee scribes for clinical training in an emergency department in Australia...
March 7, 2017: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/28186072/the-evolving-role-of-medical-scribe-variation-and-implications-for-organizational-effectiveness-and-safety
#7
Deborah V Woodcock, Robert Pranaat, Karess McGrath, Joan S Ash
Increasing use of medical scribes is an unintended consequence of electronic health record adoption in the U.S. The role of scribe is not universally defined, leading to variations in scribe training and operations, as well as questions about scribe efficiency, effectiveness, and safety. Studies published since 2009 have primarily focused on the financial aspects of scribe use, but no published studies have taken an organizational view of this phenomenon. This paper describes stakeholder perspectives on scribes working in outpatient settings within an urban tertiary academic medical center...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/27902549/integration-of-medical-scribes-in-the-primary-care-setting-improving-satisfaction
#8
Brian H Imdieke, Marc L Martel
There are little published data on the use of medical scribes in the primary care setting. We assessed the feasibility of incorporating medical scribes in our ambulatory clinic to support provider documentation in the electronic medical record. In our convenience sampling of patient, provider, and staff perceptions of scribes, we found that patients were comfortable having scribes in the clinic. Overall indicators of patient satisfaction were slightly decreased. Providers found scribe support to be valuable and overall clinician documentation time was reduced by more than 50% using scribes...
January 2017: Journal of Ambulatory Care Management
https://www.readbyqxmd.com/read/27859097/new-roles-for-medical-assistants-in-innovative-primary-care-practices
#9
Susan A Chapman, Lisel K Blash
OBJECTIVE: To identify and describe new roles for medical assistants (MAs) in innovative care models that improve care while providing training and career advancement opportunities for MAs. DATA SOURCES/STUDY SETTING: Primary data collected at 15 case study sites; 173 key informant interviews and de-identified secondary data on staffing, wages, patient satisfaction, and health outcomes. STUDY DESIGN: Researchers used snowball sampling and screening calls to identify 15 organizations using MAs in new roles...
February 2017: Health Services Research
https://www.readbyqxmd.com/read/27499802/the-single-case-reporting-guideline-in-behavioural-interventions-scribe-2016-statement
#10
Robyn L Tate, Michael Perdices, Ulrike Rosenkoetter, William Shadish, Sunita Vohra, David H Barlow, Robert Horner, Alan Kazdin, Thomas Kratochwill, Skye McDonald, Margaret Sampson, Larissa Shamseer, Leanne Togher, Richard Albin, Catherine Backman, Jacinta Douglas, Jonathan J Evans, David Gast, Rumen Manolov, Geoffrey Mitchell, Lyndsey Nickels, Jane Nikles, Tamara Ownsworth, Miranda Rose, Christopher H Schmid, Barbara Wilson
Reporting guidelines, such as the Consolidated Standards of Reporting Trials (CONSORT) Statement, improve the reporting of research in the medical literature (Turner et al., 2012). Many such guidelines exist and the CONSORT Extension to Nonpharmacological Trials (Boutron et al., 2008) provides suitable guidance for reporting between-groups intervention studies in the behavioral sciences. The CONSORT Extension for N-of-1 Trials (CENT 2015) was developed for multiple crossover trials with single individuals in the medical sciences (Shamseer et al...
January 2, 2016: Evidence-based Communication Assessment and Intervention
https://www.readbyqxmd.com/read/27499422/the-single-case-reporting-guideline-in-behavioural-interventions-scribe-2016-statement
#11
Robyn L Tate, Michael Perdices, Ulrike Rosenkoetter, William Shadish, Sunita Vohra, David H Barlow, Robert Horner, Alan Kazdin, Thomas Kratochwill, Skye McDonald, Margaret Sampson, Larissa Shamseer, Leanne Togher, Richard Albin, Catherine Backman, Jacinta Douglas, Jonathan J Evans, David Gast, Rumen Manolov, Geoffrey Mitchell, Lyndsey Nickels, Jane Nikles, Tamara Ownsworth, Miranda Rose, Christopher H Schmid, Barbara Wilson
We developed a reporting guideline to provide authors with guidance about what should be reported when writing a paper for publication in a scientific journal using a particular type of research design: the single-case experimental design. This report describes the methods used to develop the Single-Case Reporting guideline In BEhavioural interventions (SCRIBE) 2016. As a result of 2 online surveys and a 2-day meeting of experts, the SCRIBE 2016 checklist was developed, which is a set of 26 items that authors need to address when writing about single-case research...
January 2017: Neuropsychological Rehabilitation
https://www.readbyqxmd.com/read/27412424/medical-scribes-salvation-for-primary-care-or-workaround-for-poor-emr-usability
#12
EDITORIAL
Gordon D Schiff, Laura Zucker
No abstract text is available yet for this article.
September 2016: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/27371692/the-single-case-reporting-guideline-in-behavioural-interventions-scribe-2016-statement
#13
Robyn L Tate, Michael Perdices, Ulrike Rosenkoetter, William Shadish, Sunita Vohra, David H Barlow, Robert Horner, Alan Kazdin, Thomas Kratochwill, Skye McDonald, Margaret Sampson, Larissa Shamseer, Leanne Togher, Richard Albin, Catherine Backman, Jacinta Douglas, Jonathan J Evans, David Gast, Rumen Manolov, Geoffrey Mitchell, Lyndsey Nickels, Jane Nikles, Tamara Ownsworth, Miranda Rose, Christopher H Schmid, Barbara Wilson
UNLABELLED: We developed a reporting guideline to provide authors with guidance about what should be reported when writing a paper for publication in a scientific journal using a particular type of research design: the single-case experimental design. This report describes the methods used to develop the Single-Case Reporting guideline In BEhavioural interventions (SCRIBE) 2016. As a result of 2 online surveys and a 2-day meeting of experts, the SCRIBE 2016 checklist was developed, which is a set of 26 items that authors need to address when writing about single-case research...
July 2016: Physical Therapy
https://www.readbyqxmd.com/read/27352788/an-economic-evaluation-of-the-costs-of-training-a-medical-scribe-to-work-in-emergency-medicine
#14
Katherine J Walker, Will Dunlop, Danny Liew, Margaret P Staples, Matt Johnson, Michael Ben-Meir, Hamish Gordon Rodda, Ian Turner, David Phillips
OBJECTIVE: To undertake a cost analysis of training medical scribes in an ED. METHODS: This was a pilot, observational, single-centre study at Cabrini ED, Melbourne, Australia, studying the costs of initiating a scribe programme from the perspective of the hospital and Australian Health sector. Recruitment and training occurred between August 2015 and February 2016 and comprised of a prework course (1 month), prework training sessions and clinical training shifts for scribe trainees (2-4 months, one shift per week) who were trained by emergency physicians...
December 2016: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/27294998/the-single-case-reporting-guideline-in-behavioural-interventions-scribe-2016-statement
#15
Robyn L Tate, Michael Perdices, Ulrike Rosenkoetter, William Shadish, Sunita Vohra, David H Barlow, Robert Horner, Alan Kazdin, Thomas Kratochwill, Skye McDonald, Margaret Sampson, Larissa Shamseer, Leanne Togher, Richard Albin, Catherine Backman, Jacinta Douglas, Jonathan J Evans, David Gast, Rumen Manolov, Geoffrey Mitchell, Lyndsey Nickels, Jane Nikles, Tamara Ownsworth, Miranda Rose, Christopher H Schmid, Barbara Wilson
Reporting guidelines, such as the Consolidated Standards of Reporting Trials (CONSORT) Statement, improve the reporting of research in the medical literature (Turner et al., 2012). Many such guidelines exist, and the CONSORT Extension to Nonpharmacological Trials (Boutron et al., 2008) provides suitable guidance for reporting between-groups intervention studies in the behavioral sciences. The CONSORT Extension for N-of-1 Trials (CENT 2015) was developed for multiple crossover trials with single individuals in the medical sciences (Shamseer et al...
July 2016: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
https://www.readbyqxmd.com/read/27268573/the-single-case-reporting-guideline-in-behavioural-interventions-scribe-2016-statement
#16
Robyn L Tate, Michael Perdices, Ulrike Rosenkoetter, William Shadish, Sunita Vohra, David H Barlow, Robert Horner, Alan Kazdin, Thomas Kratochwill, Skye McDonald, Margaret Sampson, Larissa Shamseer, Leanne Togher, Richard Albin, Catherine Backman, Jacinta Douglas, Jonathan J Evans, David Gast, Rumen Manolov, Geoffrey Mitchell, Lyndsey Nickels, Jane Nikles, Tamara Ownsworth, Miranda Rose, Christopher H Schmid, Barbara Wilson
UNLABELLED: We developed a reporting guideline to provide authors with guidance about what should be reported when writing a paper for publication in a scientific journal using a particular type of research design: the single-case experimental design. This report describes the methods used to develop the Single-Case Reporting guideline In BEhavioural interventions (SCRIBE) 2016. As a result of 2 online surveys and a 2-day meeting of experts, the SCRIBE 2016 checklist was developed, which is a set of 26 items that authors need to address when writing about single-case research...
June 2016: Journal of School Psychology
https://www.readbyqxmd.com/read/27266001/fresh-policies-and-procedures-transparency-fuel-ed-turnaround
#17
(no author information available yet)
The ED at Banner Payson Medical Center in Payson, AZ, has charted dramatic improvements on key metrics through a range of staff and policy changes. In just a few months, the ED has halved wait times, patient satisfaction has improved, and daily volume is up. Administrators say the secret to the success of the effort is a move to be transparent by posting key metrics regarding patient flow, a tactic that has helped the team pull together and feel a sense of accomplishment when performance goals are achieved...
May 2016: ED Management: the Monthly Update on Emergency Department Management
https://www.readbyqxmd.com/read/27231387/the-single-case-reporting-guideline-in-behavioural-interventions-scribe-2016-statement-%C3%A3-nonc%C3%A3-concernant-la-single-case-reporting-guideline-in-behavioural-interventions-scribe-2016
#18
Robyn L Tate, Michael Perdices, Ulrike Rosenkoetter, William Shadish, Sunita Vohra, David H Barlow, Robert Horner, Alan Kazdin, Thomas Kratochwill, Skye McDonald, Margaret Sampson, Larissa Shamseer, Leanne Togher, Richard Albin, Catherine Backman, Jacinta Douglas, Jonathan J Evans, David Gast, Rumen Manolov, Geoffrey Mitchell, Lyndsey Nickels, Jane Nikles, Tamara Ownsworth, Miranda Rose, Christopher H Schmid, Barbara Wilson
We developed a reporting guideline to provide authors with guidance about what should be reported when writing a paper for publication in a scientific journal using a particular type of research design: the single-case experimental design. This report describes the methods used to develop the Single-Case Reporting guideline In BEhavioural interventions (SCRIBE) 2016. As a result of 2 online surveys and a 2-day meeting of experts, the SCRIBE 2016 checklist was developed, which is a set of 26 items that authors need to address when writing about single-case research...
June 2016: Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie
https://www.readbyqxmd.com/read/27170804/response-re-the-use-of-medical-scribes-in-health-care-settings-a-systematic-review-and-future-directions
#19
Cameron G Shultz, Heather L Holmstrom
No abstract text is available yet for this article.
May 2016: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/27158687/medical-scribes-how-do-their-notes-stack-up
#20
Anita D Misra-Hebert, Linda Amah, Andrew Rabovsky, Shannon Morrison, Marven Cantave, Bo Hu, Christine A Sinsky, Michael B Rothberg
Their outpatient notes stack up well, according to this small, retrospective review. Scribes' notes were rated slightly higher in overall quality than physicians' notes-- at least for certain patient encounters.
March 2016: Journal of Family Practice
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