Evidence map›Paper›PMID 36385408›Full record

ArticleJournal of general internal medicine2023

How Providers Can Optimize Effective and Safe Scribe Use: a Qualitative Study.

Sky Corby, Joan S Ash, Sarah T Florig, Vishnu Mohan, James Becton, Nicholas Solberg, Robby Bergstrom, Benjamin Orwoll, Christopher Hoekstra, Jeffrey A Gold

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of general internal medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

10 authors.

Sky CorbyDivision of Pulmonary and Critical Care Medicine, School of Medicine, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd, Portland, OR, 97239-3098, USA. corby@ohsu.edu.ORCID 0000-0001-6493-0774
Joan S AshDepartment of Medical Informatics and Clinical Epidemiology, School of Medicine, Oregon Health & Science University, Portland, OR, USA.
Sarah T FlorigDivision of Pulmonary and Critical Care Medicine, School of Medicine, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd, Portland, OR, 97239-3098, USA.
Vishnu MohanDepartment of Medical Informatics and Clinical Epidemiology, School of Medicine, Oregon Health & Science University, Portland, OR, USA.
James BectonDepartment of Medical Informatics and Clinical Epidemiology, School of Medicine, Oregon Health & Science University, Portland, OR, USA.
Nicholas SolbergDivision of Pulmonary and Critical Care Medicine, School of Medicine, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd, Portland, OR, 97239-3098, USA.
Robby BergstromDepartment of Medical Informatics and Clinical Epidemiology, School of Medicine, Oregon Health & Science University, Portland, OR, USA.
Benjamin OrwollDepartment of Medical Informatics and Clinical Epidemiology, School of Medicine, Oregon Health & Science University, Portland, OR, USA.
Christopher HoekstraDepartment of Medical Informatics and Clinical Epidemiology, School of Medicine, Oregon Health & Science University, Portland, OR, USA.
Jeffrey A GoldDivision of Pulmonary and Critical Care Medicine, School of Medicine, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd, Portland, OR, 97239-3098, USA.

Funding

Creation and validation of a training toolkit to ensure safe and proficient use of EHR by medical scribesR01HS025141 · AHRQ · OREGON HEALTH & SCIENCE UNIVERSITY · PI GOLD, JEFFREY A. · 2017 to 2021
$2.0M
AHRQ HHS R01 HS025141
6 · The paper itself

Abstract

backgroundThe use of electronic health records has generated an increase in after-hours and weekend work for providers. To alleviate this situation, the hiring of medical scribes has rapidly increased. Given the lack of scribe industry standards and the wide variance in how providers and scribes work together, it could potentially create new patient safety-related risks.

objectiveThe purpose of this paper was to identify how providers can optimize the effective and safe use of scribes.

designThe research team conducted a secondary analysis of qualitative data where we reanalyzed data from interview transcripts, field notes, and transcribed group discussions generated by four previous projects related to medical scribes.

participantsPurposively selected participants included subject matter experts, providers, informaticians, medical scribes, medical assistants, administrators, social scientists, medical students, and qualitative researchers. APPROACH: The team used NVivo12 to assist with the qualitative analysis. We used a template method followed by word queries to identify an optimum level of scribe utilization. We then used an inductive interpretive theme-generation process. KEY

resultsWe identified three themes: (1) communication aspects, (2) teamwork efforts, and (3) provider characteristics. Each theme contained specific practices so providers can use scribes safely and in a standardized way.

conclusionWe utilized a secondary qualitative data analysis methodology to develop themes describing how providers can optimize their use of scribes. This new knowledge could increase provider efficiency and safety and be incorporated into further and future training tools for them.

Indexed as

DocumentationElectronic Health RecordsAllied Health PersonnelHumansQualitative ResearchSurveys and QuestionnairesElectronic health recordsMedical scribesPatient safetyQualitative researchSociotechnical systemsTraining

Identifiers

PMID36385408
PMCPMC9668220

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.