Evidence map›Paper›PMID 33936431›Full record

ArticleAMIA ... Annual Symposium proceedings. AMIA Symposium2020

Methods for Large-Scale Quantitative Analysis of Scribe Impacts on Clinical Documentation.

Michelle R Hribar, Haley L Dusek, Isaac H Goldstein, Adam Rule, Michael F Chiang

Abstract read
In one paragraph

Article in AMIA ... Annual Symposium proceedings. AMIA Symposium, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Medical Scribes Have a Variable Impact on Documentation Workflows.Studies in health technology and informatics · 2022
    Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Michelle R HribarDepartment of Medical Informatics and Clinical Epidemiology.
Haley L DusekDepartment of Ophthalmology Oregon Health & Science University Portland, Oregon.
Isaac H GoldsteinDepartment of Ophthalmology Oregon Health & Science University Portland, Oregon.
Adam RuleDepartment of Medical Informatics and Clinical Epidemiology.
Michael F ChiangDepartment of Medical Informatics and Clinical Epidemiology.

Funding

TRAINING PROGRAM IN HEALTH INFORMATICST15LM007088 · NLM · OREGON HEALTH & SCIENCE UNIVERSITY · PI WILLIAM R HERSH, Vishnu Mohan · 1992 to 2026
$23.4M
Modeling and Optimization of Clinical Processes Using EHR DataR00LM012238 · NLM · OREGON HEALTH & SCIENCE UNIVERSITY · PI HRIBAR, MICHELLE · 2017 to 2019
$672k
NLM NIH HHS R00 LM012238NLM NIH HHS T15 LM007088
6 · The paper itself

Abstract

Many medical providers employ scribes to manage electronic health record (EHR) documentation. Prior studies have shown the benefits of scribes, but no large-scale study has quantitively assessed scribe impact on documentation workflows. We propose methods that leverage EHR data for identifying scribe presence during an office visit, measuring provider documentation time, and determining how notes are edited and composed. In a case study, we found scribe use was associated with less provider documentation time overall (averaging 2.4 minutes or 39% less time, p < 0.001), fewer note edits by providers (8.4% less added and 4.2% less deleted text, p < 0.001), but significantly more documentation time after the visit for four out of seven providers (p < 0.001) and no change in the amount of copied and imported note text. Our methods could validate prior study results, identify variability for determining best practices, and determine that scribes do not improve all aspects of documentation.

Indexed as

Electronic Health RecordsDocumentationHumansWorkflow

Identifiers

PMID33936431
PMCPMC8075531

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

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.