TY - GEN
T1 - The evolving role of medical scribe
T2 - Variation and implications for organizational effectiveness and safety
AU - Woodcock, Deborah V.
AU - Pranaat, Robert
AU - Mcgrath, Karess
AU - Ash, Joan
PY - 2017
Y1 - 2017
N2 - Increasing use of medical scribes is an unintended consequence of electronic health record adoption in the U.S. The role of scribe is not universally defined, leading to variations in scribe training and operations, as well as questions about scribe efficiency, effectiveness, and safety. Studies published since 2009 have primarily focused on the financial aspects of scribe use, but no published studies have taken an organizational view of this phenomenon. This paper describes stakeholder perspectives on scribes working in outpatient settings within an urban tertiary academic medical center. It places factors associated with of scribe systems within an eight-dimension sociotechnical framework for evaluating health information technology, and discusses key aspects of those perspectives.
AB - Increasing use of medical scribes is an unintended consequence of electronic health record adoption in the U.S. The role of scribe is not universally defined, leading to variations in scribe training and operations, as well as questions about scribe efficiency, effectiveness, and safety. Studies published since 2009 have primarily focused on the financial aspects of scribe use, but no published studies have taken an organizational view of this phenomenon. This paper describes stakeholder perspectives on scribes working in outpatient settings within an urban tertiary academic medical center. It places factors associated with of scribe systems within an eight-dimension sociotechnical framework for evaluating health information technology, and discusses key aspects of those perspectives.
KW - communication
KW - Electronic health record
KW - medical scribe
KW - patient safety
KW - sociotechnical systems
UR - http://www.scopus.com/inward/record.url?scp=85012283217&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85012283217&partnerID=8YFLogxK
U2 - 10.3233/978-1-61499-742-9-382
DO - 10.3233/978-1-61499-742-9-382
M3 - Conference contribution
C2 - 28186072
AN - SCOPUS:85012283217
VL - 234
T3 - Studies in Health Technology and Informatics
SP - 382
EP - 388
BT - Building Capacity for Health Informatics in the Future
PB - IOS Press
ER -