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All, Models of Care, Evidence, Patient Flow, Innovation, Patient Experience,

Innovation: Medical Scribes in Australian Emergency Departments

by Will DunlopOctober 15, 2018no comment
Scribe-Cabrini-e1524052457432

For every patient an Emergency Physician sees, there is at least half an hour of clerical data entry that follows. Medical Scribes take on the clerical workload of the Emergency Physician by documenting the history, examination findings and care plan in real time. They also source information from patients’ medical history and other hospitals, chase results and liaise with other members of the care team to facilitate communication. The Medical Scribe role is well established in the USA, but their use in Australia was not established until recently when a program was developed and introduced at Cabrini hospital in 2015. This has grown to involve a number of EDs in Victoria and has included a multi-centre trial studying their utility. How to set up a scribe program outside the USA has been described (Walker et al., AHR 2017, DOI: 10.1071/AH16188).

Benefits:

  • 85% of Emergency Physicians want to always work with a Medical Scribe (Cowan et al., EMJ 2017, DOI: 10.1136/emermed-2017-206637).
  • Patients have no concerns about privacy or crowding with Medical Scribes present (Dunlop et al., EMA 2017, DOI:1111/1742-6723.12818).
  • Pilot data indicates productivity gains with experienced Medical Scribes (Walker et al., EMA 2014, DOI: 10.1111/1742-6723.12314; Walker et al., EMA 2016; DOI: 10.1111/1742-6723.12562).
  • Training Medical Scribes in the ED comes at no additional cost in physician productivity (Walker et al., EMJ 2016, DOI: 10.1136/emermed-2016-205934).
  • No evidence that scribed notes are inferior to physician notes (Walker et al., ACI 2017, DOI: 10.4338/ACI2017050080).

Contact:

Adjunct Assoc Prof Katie Walker
Director of Emergency Medicine Research
Cabrini Hospital. Malvern, Victoria, Australia
http://cabrini.com.au/patients-and-families/services/new-redirectorpage-8/our-research-and-medical-scribe-program/

http://thebestofemergencymedicine.com/app/uploads/Scribe-Cabrini.m4v

Cabrini Emergency Department, Malvern is an urban private not for profit hospital with 25,000 ED attendances per annum and an admission rate of 50%

Article updated: 16 Oct 2018 Katie Walker, Keith Joe

medical scribescribe

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It’s hard to define exemplar or World Class Emergency Medicine because aspects exist in many departments, but are not all present in one. The Best of Emergency Medicine brings together the best of patent care, design, and technology. It draws from real world emergency medicine examples put forward by the people who live and breathe them; the people who really know what works and what doesn’t. In sharing that experience, the Emergency Medicine community as a whole can lift the standards of care.

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Most Popular

  • Evidence: ‘Between the Flags’ approach to recognising patient deterioration

    Evidence: ‘Between the Flags’ approach to recognising patient deterioration

    August 16, 2018
  • Diagnostic: In-house Ultrasound Training Program for EM Registrars

    Diagnostic: In-house Ultrasound Training Program for EM Registrars

    January 14, 2019
  • Evidence: Scribes increase medical productivity and shorten patient emergency stays

    Evidence: Scribes increase medical productivity and shorten patient emergency stays

    February 1, 2019
  • Innovation: Using Visual Analogue Scales to Measure Patient Experience

    Innovation: Using Visual Analogue Scales to Measure Patient Experience

    February 18, 2019
  • Perspective: Decontamination Isolation Resuscitation Room

    Perspective: Decontamination Isolation Resuscitation Room

    February 11, 2019
  • Innovation: Medical Scribes in Australian Emergency Departments

    Innovation: Medical Scribes in Australian Emergency Departments

    October 15, 2018

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