ArticleApplied clinical informatics2017
The 9-Item Physician Documentation Quality Instrument (PDQI-9) score is not useful in evaluating EMR (scribe) note quality in Emergency Medicine.
Article in Applied clinical informatics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Artificial Intelligence (AI) - Powered Documentation Systems in Healthcare: A Systematic Review.Journal of medical systems · 2025Pooled it
- Impact of scribes on emergency medicine doctors' productivity and patient throughput: multicentre randomised trial.BMJ (Clinical research ed.) · 2019Trial
- The inter-rater reliability of the TEDNQ for evaluating emergency department note quality.CJEM · 2026Article
- Evaluating Hospital Course Summarization by an Electronic Health Record-Based Large Language Model.JAMA network open · 2025Article
- Development of a scoring tool for emergency department note quality: a modified Delphi approach.CJEM · 2025Article
- Assessing the quality of AI-generated clinical notes: validated evaluation of a large language model ambient scribe.Frontiers in artificial intelligence · 2025Article
- Article
- The Impact of Structured and Standardized Documentation on Documentation Quality; a Multicenter, Retrospective Study.Journal of medical systems · 2022Article
- Quality Improvement: Effect of Standardized Plastic Surgery Consultation Note Templates on Charge Capture.Plastic and reconstructive surgery. Global open · 2021Article
- The Evidence Base for Scribes and the Disruptions of COVID-19.Annals of emergency medicine · 2021Article
- Chart Completion Time of Attending Physicians While Using Medical Scribes.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2021Article
- Characterization of Electronic Health Record Documentation Shortcuts: Does the use of dotphrases increase efficiency in the Emergency Department?AMIA ... Annual Symposium proceedings. AMIA Symposium · 2021Article
- Comparing Scribed and Non-scribed Outpatient Progress Notes.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2021Article
- Do You Know What Your Scribe Did Last Spring? The Impact of COVID-19 on Medical Scribe Workflow.Applied clinical informatics · 2020Article
- Electronic Health Record Documentation Patterns of Recorded Primary Care Visits Focused on Complex Communication: A Qualitative Study.Applied clinical informatics · 2019Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundScribes are assisting Emergency Physicians by writing their electronic clinical notes at the bedside during consultations. They increase physician productivity and improve their working conditions. The quality of Emergency scribe notes is unevaluated and important to determine.
objectiveThe primary objective of the study was to determine if the quality of Emergency Department scribe notes was equivalent to physician only notes, using the Physician Documentation Quality Instrument, Nine-item tool (PDQI-9).
methodsThis was a retrospective, observational study comparing 110 scribed to 110 non-scribed Emergency Physician notes written at Cabrini Emergency Department, Australia. Consultations during a randomised controlled trial of scribe/doctor productivity in 2016 were used. Emergency physicians and nurses rated randomly selected, blinded and de-identified notes, 2 raters per note. Comparisons were made between paired scribed and unscribed notes and between raters of each note. Characteristics of individual raters were examined. The ability of the tool to discriminate between good and poor notes was tested.
resultsThe PDQI-9 tool has significant issues. Individual items had good internal consistency (Cronbach's alpha=0.93), but there was very poor agreement between raters (Pearson's r=0.07, p=0.270). There were substantial differences in PDQI-9 scores allocated by each rater, with some giving typically lower scores than others, F(25,206)=1.93, p=0.007. The tool was unable to distinguish good from poor notes, F(3,34)=1.15, p=0.342. There was no difference in PDQI-9 score between scribed and non-scribed notes.
conclusionsThe PDQI-9 documentation quality tool did not demonstrate reliability or validity in evaluating Emergency Medicine consultation notes. We found no evidence that scribed notes were of poorer quality than non-scribed notes, however Emergency scribe note quality has not yet been determined.
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