None listed
Conditions
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
Sponsors
Study design
Eligibility
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