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Impact of a Medical Scribe Program on Outpatient Pediatric Gastroenterology Clinic
- Source :
- Journal of Pediatric Gastroenterology & Nutrition. 72:220-225
- Publication Year :
- 2021
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2021.
-
Abstract
- OBJECTIVES Medical scribes may offer a route to improve physician productivity and workflow efficiency with reduced physician time for documentation. To our knowledge, there is no prior literature on medical scribe impact on outpatient pediatric gastroenterology clinic operations. The primary aim of our study was to address this knowledge gap. METHODS Data were collected on encounters conducted by pediatric gastroenterology physicians at a tertiary center, during a summer scribe program. Scribes were trained and attended clinics in a nonrandomized fashion. Clinic efficiency was assessed by patient flow, tracked via the electronic medical record system. Medical note complexity codes, associated work relative value units (wRVUs), and note delinquency were compared between encounters with and without scribes. Patient satisfaction survey scores were compared between groups. RESULTS One thousand nine hundred seventy encounters were included. Documented medical note complexity (and wRVUs), note delinquency, patient satisfaction, and perceived overall quality of service were similar between groups. Clinic time for established encounters was statistically shorter with scribes (median 18 vs 21 minutes, P = 0.01), a 14% reduction. No significant difference was noted in new encounter clinic time. The time to note completion was shorter for new encounters with scribes (2 vs 3 days, P = 0.048). More notes were finalized by the third day postencounter when a scribe was present (63% vs 57%, P = 0.02). CONCLUSIONS The presence of medical scribes was associated with significantly more efficient clinic flow for established encounters and modest improvements in note completion rate. There were no measurable negative effects on documented medical note complexity or patient satisfaction scores.
- Subjects :
- medicine.medical_specialty
MEDLINE
Documentation
Ambulatory Care Facilities
03 medical and health sciences
0302 clinical medicine
Patient satisfaction
030225 pediatrics
Completion rate
Outpatients
Juvenile delinquency
Electronic Health Records
Humans
Medicine
Medical scribe
Child
Pediatric gastroenterology
business.industry
Significant difference
Gastroenterology
Pediatric gastroenterology clinic
Patient Satisfaction
Family medicine
Pediatrics, Perinatology and Child Health
030211 gastroenterology & hepatology
business
Subjects
Details
- ISSN :
- 15364801 and 02772116
- Volume :
- 72
- Database :
- OpenAIRE
- Journal :
- Journal of Pediatric Gastroenterology & Nutrition
- Accession number :
- edsair.doi.dedup.....4a1a931ce5ff34cd1ebf33ab8d5e29af