• J Gen Intern Med · Jul 2023

    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, and Jeffrey A Gold.
    • Division 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.
    • J Gen Intern Med. 2023 Jul 1; 38 (9): 205220582052-2058.

    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.ApproachThe 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.© 2022. This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply.

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