TY - JOUR
T1 - Translating ethnographic data into knowledge, skills, and attitude statements for medical scribes
T2 - a modified Delphi approach
AU - Corby, Sky
AU - Ash, Joan
AU - Whittaker, Keaton
AU - Mohan, Vishnu
AU - Solberg, Nicholas
AU - Becton, James
AU - Bergstrom, Robby
AU - Orwoll, Benjamin
AU - Hoekstra, Christopher
AU - Gold, Jeffrey (Jeff)
N1 - Publisher Copyright:
© 2022 The Author(s). Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved.
PY - 2022/10/1
Y1 - 2022/10/1
N2 - Objective: While the use of medical scribes is rapidly increasing, there are not widely accepted standards for their training and duties. Because they use electronic health record systems to support providers, inadequately trained scribes can increase patient safety related risks. This paper describes the development of desired core knowledge, skills, and attitudes (KSAs) for scribes that provide the curricular framework for standardized scribe training. Materials and Methods: A research team used a sequential mixed qualitative methods approach. First, a rapid ethnographic study of scribe activities was performed at 5 varied health care organizations in the United States to gather qualitative data about knowledge, skills, and attitudes. The team's analysis generated preliminary KSA related themes, which were further refined during a consensus conference of subject-matter experts. This was followed by a modified Delphi study to finalize the KSA lists. Results: The team identified 90 descriptions of scribe-related KSAs and subsequently refined, categorized, and prioritized them for training development purposes. Three lists were ultimately defined as: (1) Hands-On Learning KSA list with 47 items amenable to simulation training, (2) Didactic KSA list consisting of 32 items appropriate for didactic lecture teaching, and (3) Prerequisite KSA list consisting of 11 items centered around items scribes should learn prior to being hired or soon after being hired. Conclusion: We utilized a sequential mixed qualitative methodology to successfully develop lists of core medical scribe KSAs, which can be incorporated into scribe training programs.
AB - Objective: While the use of medical scribes is rapidly increasing, there are not widely accepted standards for their training and duties. Because they use electronic health record systems to support providers, inadequately trained scribes can increase patient safety related risks. This paper describes the development of desired core knowledge, skills, and attitudes (KSAs) for scribes that provide the curricular framework for standardized scribe training. Materials and Methods: A research team used a sequential mixed qualitative methods approach. First, a rapid ethnographic study of scribe activities was performed at 5 varied health care organizations in the United States to gather qualitative data about knowledge, skills, and attitudes. The team's analysis generated preliminary KSA related themes, which were further refined during a consensus conference of subject-matter experts. This was followed by a modified Delphi study to finalize the KSA lists. Results: The team identified 90 descriptions of scribe-related KSAs and subsequently refined, categorized, and prioritized them for training development purposes. Three lists were ultimately defined as: (1) Hands-On Learning KSA list with 47 items amenable to simulation training, (2) Didactic KSA list consisting of 32 items appropriate for didactic lecture teaching, and (3) Prerequisite KSA list consisting of 11 items centered around items scribes should learn prior to being hired or soon after being hired. Conclusion: We utilized a sequential mixed qualitative methodology to successfully develop lists of core medical scribe KSAs, which can be incorporated into scribe training programs.
KW - Delphi method
KW - electronic health records
KW - medical scribes
KW - patient safety
KW - qualitative research
KW - sociotechnical systems
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U2 - 10.1093/jamia/ocac091
DO - 10.1093/jamia/ocac091
M3 - Article
C2 - 35689649
AN - SCOPUS:85138448805
SN - 1067-5027
VL - 29
SP - 1679
EP - 1687
JO - Journal of the American Medical Informatics Association
JF - Journal of the American Medical Informatics Association
IS - 10
ER -