ArticleJournal of the American Medical Informatics Association : JAMIA2021
Safe use of the EHR by medical scribes: a qualitative study.
Article in Journal of the American Medical Informatics Association : JAMIA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed.
- [Exploring the Core Influencing Factors in the Cultivation of Critical Thinking Skills Among Medical Students Using the Grounded Theory and the Decision-Making Trial and Evaluation Laboratory].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2025Article
- Exploring Provider Perceptions and Attitudes toward Copy-Paste and Copy-Forward in Clinical Documentation.Applied clinical informatics · 2025Article
- Accuracy, thoroughness, and quality of outpatient primary care documentation in the U.S. Department of Veterans Affairs.BMC primary care · 2024Observational
- Frontline Providers' and Patients' Perspectives on Improving Diagnostic Safety in the Emergency Department: A Qualitative Study.Joint Commission journal on quality and patient safety · 2024Article
- Utilization and efficacy of DotPhrases in the electronic medical record for improving physician documentation.Proceedings (Baylor University. Medical Center) · 2024Review
- How Providers Can Optimize Effective and Safe Scribe Use: a Qualitative Study.Journal of general internal medicine · 2023Article
- When Illegitimate Tasks Threaten Patient Safety Culture: A Cross-Sectional Survey in a Tertiary Hospital.International journal of public health · 2023Article
- Translating ethnographic data into knowledge, skills, and attitude statements for medical scribes: a modified Delphi approach.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- Medical Scribes Have a Variable Impact on Documentation Workflows.Studies in health technology and informatics · 2022Article
- Primary care physicians' electronic health record proficiency and efficiency behaviors and time interacting with electronic health records: a quantile regression analysis.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- Medical Scribe Impact on Provider Efficiency in Outpatient Radiation Oncology Clinics Before and During the COVID-19 Pandemic.Telemedicine reports · 2022Article
- Article
- The future of medical scribes documenting in the electronic health record: results of an expert consensus conference.BMC medical informatics and decision making · 2021Article
- Building on Diana Forsythe's legacy: the value of human experience and context in biomedical and health informatics.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Comparing Scribed and Non-scribed Outpatient Progress Notes.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2021Article
- Chart Completion Time of Attending Physicians While Using Medical Scribes.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
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
Abstract
objectiveHiring medical scribes to document in the electronic health record (EHR) on behalf of providers could pose patient safety risks because scribes often have no clinical training. The aim of this study was to investigate the effect of scribes on patient safety. This included identification of best practices to assure that scribe use of the EHR is not a patient safety risk. MATERIALS AND
methodsUsing a sociotechnical framework and the Rapid Assessment Process, we conducted ethnographic data gathering at 5 purposively selected sites. Data were analyzed using a grounded inductive/hermeneutic approach.
resultsWe conducted site visits at 12 clinics and emergency departments within 5 organizations in the US between 2017 and 2019. We did 76 interviews with 81 people and spent 80 person-hours observing scribes working with providers. Interviewees believe and observations indicate that scribes decrease patient safety risks. Analysis of the data yielded 12 themes within a 4-dimension sociotechnical framework. Results about the "technical" dimension indicated that the EHR is not considered overly problematic by either scribes or providers. The "environmental" dimension included the changing scribe industry and need for standards. Within the "personal" dimension, themes included the need for provider diligence and training when using scribes. Finally, the "organizational" dimension highlighted the positive effect scribes have on documentation efficiency, quality, and safety.
conclusionParticipants perceived risks related to the EHR can be less with scribes. If healthcare organizations and scribe companies follow best practices and if providers as well as scribes receive training, safety can actually improve.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.