ArticleMayo Clinic proceedings. Innovations, quality & outcomes2019
A Time-Driven Activity-Based Costing Analysis of Emergency Department Scribes.
Article in Mayo Clinic proceedings. Innovations, quality & outcomes, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
What it found
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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
10 citing papers in PubMed.
- Time-Driven Activity-Based Costing (TDABC) applied in a chemotherapy department of a public reference oncology hospital.Einstein (Sao Paulo, Brazil) · 2025Observational
- A Computational Framework to Evaluate Emergency Department Clinician Task Switching in the Electronic Health Record Using Event Logs.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2023Article
- Scribes with PGY-1 Residents on Inpatient Medicine Teams: Effect on Time Spent in Meaningful Work.Journal of community hospital internal medicine perspectives · 2023Article
- Micro-costing analysis of suspected lower respiratory tract infection care in a French emergency department.Frontiers in public health · 2023Article
- Adaptation of time-driven activity-based costing to the evaluation of the efficiency of ambulatory care provided in the emergency department.Journal of the American College of Emergency Physicians open · 2022Article
- A Mobile App for the Precise Measurement of Healthcare Provider Activity Times to Support Time-Driven Activity Based Costing Studies.Journal of medical systems · 2022Article
- Clinical Documentation During Scribed and Non-scribed Ophthalmology Office Visits.Ophthalmology science · 2021Article
- Emergency medicine residents spend over 7.5 months of their 3-year residency on the electronic health record.AEM education and training · 2021Article
- Methods for Large-Scale Quantitative Analysis of Scribe Impacts on Clinical Documentation.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2020Article
- Growing Up Fast!Mayo Clinic proceedings. Innovations, quality & outcomes · 2019Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo apply time-driven activity-based costing (TDABC) methodology to determine emergency medicine physician documentation costs with and without scribes.
methodsThis was a prospective observation cohort study in a large academic emergency department. Two research assistants with experience in physician-scribe interactions and ED workflow shadowed attending physicians for a total of 64 hours in the adult emergency department. A tablet-based time recorded was used to obtain estimates for physician documentation time on both control (no scribe) and intervention (scribe) shifts.
resultsControl shifts yielded approximately 3 hours of documentation time per 8 hours of clinical time (2 hours during the shift, 1 hour following the shift). When paired with a scribe, attending physician documentation decreased to 1 hour and 45 minutes during a shift and 15 minutes of postshift documentation. The physician cost estimate for documentation without and with a scribe is 644 and 488 dollars, respectively.
conclusionsWhen one looks at the time saved by the provider, scribes appear to be a financially sound decision. TDABC methodology demonstrated that scribes afford a cost-effective solution to ED clinical documentation and serves as a tool to develop an accurate costing system, based on actual resources and processes, and allowed for understanding of resource use at a more granular level.
Identifiers
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Registered trials
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