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Scribes in the emergency room

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
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
Heather A Heaton, David M Nestler, Christine M Lohse, Annie T Sadosty
OBJECTIVES: Assess the impact of scribes on an academic emergency department's (ED) throughput one year after implementation. METHODS: A prospective cohort design compared throughput metrics of patients managed when scribes were and were not a part of the treatment team during pre-defined study hours in a tertiary academic ED with both an adult and pediatric ED. An alternating-day pattern one year following scribe implementation ensured balance between the scribe and non-scribe groups in time of day, day of week, and patient complexity...
February 2017: American Journal of Emergency Medicine
Heather A Heaton, David M Nestler, Derick D Jones, Christine M Lohse, Deepi G Goyal, Jeffrey S Kallis, Annie T Sadosty
OBJECTIVES: Assess the impact of scribes on an academic emergency department's (ED) patient-specific throughput. METHODS: Study design, setting, participants: A prospective cohort design compared throughput metrics of patients managed when scribes were and were not a part of the treatment team during pre-defined study hours in a tertiary academic ED with both an adult and pediatric ED. INTERVENTION: Eight scribes were hired and trained on-site by a physician with experience in scribe implementation...
October 2016: American Journal of Emergency Medicine
Aveh Bastani, Blerina Shaqiri, Kristen Palomba, Dominic Bananno, William Anderson
INTRODUCTION: At our institution, we previously described the detrimental effect of computerized physician order entry (CPOE) on throughput time and patient satisfaction (Ann of Emer Med, Vol 56, P S83-S84). To address these quality metrics, we conducted a pilot program using scribes in the emergency department (ED). METHODS: We conducted a before-and-after study of ED throughput at our 320-bed suburban community hospital with a census of 70000 annual visits. Our primary outcome measure was the effect of scribes on ED throughput as measured by the effect on (1) door-to-room time; (2) room-to-doc time; (3) door-to-doc time; (4) doc-to-dispo time; and (5) length of stay for discharged/admitted patients, between pre-CPOE and post-CPOE cohorts...
May 2014: American Journal of Emergency Medicine
Rajiv Arya, Grant Wei, Jonathan V McCoy, Jody Crane, Pamela Ohman-Strickland, Robert M Eisenstein
OBJECTIVES: There has been a steady increase in emergency department (ED) patient volume and wait times. The desire to maintain or decrease costs while improving throughput requires novel approaches to patient flow. The break-out session "Interventions to Improve the Timeliness of Emergency Care" at the June 2011 Academic Emergency Medicine consensus conference "Interventions to Assure Quality in the Crowded Emergency Department" posed the challenge for more research of the split Emergency Severity Index (ESI) 3 patient flow model...
November 2013: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Ken Crocker, Benvon Cramer, James M Hutchinson
BACKGROUND: Antibiotics are widely believed to be overpre-scribed for pediatric respiratory infections, yet there are few data available on the effect of a sudden decrease in antibiotic availability on pediatric infectious disease. OBJECTIVE: To determine whether the prevalence of radiographically diagnosed pneumonia changed over a period of decreased physician access and decreased antibiotic availability. DESIGN: A retrospective study was performed which reviewed the number of pediatric respiratory antibiotic prescriptions over a period which included a physicians' strike...
May 2007: Canadian Journal of Infectious Diseases & Medical Microbiology
D A Bluemke, J Eng
SCRIBE is an automated radiology reporting system that uses the HyperCard environment on Macintosh computers. Radiologic findings and anatomic terms are presented in graphic form, and the appropriate terms are selected by using a trackball or touch-sensitive video screen. Additional lists of more specific terms and differential diagnoses can be requested by the user for abnormal findings. The system is suited to the reporting of plain films and is being used in the emergency room of a large academic radiology department...
January 1993: AJR. American Journal of Roentgenology
S Burns, J G Wiegenstein
A simple, inexpensive system for keeping track of charts, orders, and patients in a busy emergency department is described. All orders, except the most urgent, are communicated in writing. A secretary relieves the nurses of secretarial duties, and functions as coordinator of laboratory work and communications. A traffic board, using magnetic markers, allows instant visualization of the state of the department. Swift movement of patients from room to room can occur without losing track of the patient or his chart...
February 1980: Annals of Emergency Medicine
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