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Cabrini Scribe Trial 2014 - a study to investigate the relationship between emergency department scribes and emergency physician productivity - to compare physician productivity, billing and staff satisfaction with and without the assistance of a scribe during emergency medicine consultations

A study of the relationship between emergency department scribes and emergency physician productivity, billing and staff satisfaction

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12614000360617
Enrollment
108
Registered
2014-04-04
Start date
2014-06-27
Completion date
2014-12-19
Last updated
2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

There is a rising medical cost base in emergency medicine. There is a rising seniority of medical staff required to safely perform the role of physician in an emergency department. The currently accepted productivity of a FACEM is one patient per hour. Much of this time is spent writing and printing notes, faxing documents and contacting physicians. None of this work requires the skill set of an emergency physician and could be performed by a well-trained medical scribe or secretary. To date scribes have not been used in Australian Emergency Departments and offer a novel way of addressing emergency physician productivity without compromising the quality of emergency physician work. The degree that a medical scribe increases emergency physician productivity in emergency medicine in Australia has been investigated by this team in a pilot that lends itself to further investigation. This is a second trial to investigate whether a medical scribe would increase emergency physician efficiency

Interventions

A trained medical scribe will assist an emergency physician during emergency consultations. They will take notes as directed and will assist with clerical tasks as directed. The intervention will take place for six consecutive months commencing July 2014

Sponsors

Dr Katherine Walker
Lead SponsorIndividual

Study design

Allocation
Non-randomised trial
Intervention model
Single group
Primary purpose
Educational / counselling / training
Masking
Open (masking not used)

Eligibility

Sex/Gender
All
Age
0 to No maximum
Healthy volunteers
Yes

Inclusion criteria

All scribed shifts and scribed patient encounters during the trial period including any where the scribe was supposed to be present but wasn't. If the scribe was asked to leave an encounter by the patient or physician the encounter will be included in the analysis. The physicians enrolled to participate will be a convenience sample of physicians available during the specified time period. They will be voluntarily consenting to participate. The scribe used will be one trained scribe identified in advance. This scribe will work with all the physicians.

Exclusion criteria

unscribed shifts

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026