In emergency departments, medical scribes may improve efficiency (low certainty of evidence ) and financial productivity (low COE). Most of our findings are from studies conducted in emergency departments, much of them limited to 2 groups publishing multiple results of various measures of scribe related outcomes. No data are available on the effect of medical scribes on patient and provider satisfaction in cardiology clinics. In cardiology clinics the efficiency and financial productivity of scribe programs is uncertain, with findings based on a single, serious risk of bias study from a cardiology group in Minneapolis, MN that evaluated medical scribes provided by a vendor. No data were identified on medical scribes in orthopedic clinics. Studies did not report all outcomes of interest and rarely provided adequate information on resources required to hire, train, maintain, and supervise scribes. Studies typically recruited interested clinician participants and began data collection following scribe and clinician training run-in periods. Thus, findings across multiple reports from these groups are likely to be highly correlated even though they are not considered duplicate outcomes reporting. Much of the information from emergency departments is from 2 single-site centers (one from Australia and another from the US). There are no data in VA health care settings or among Veterans. Available information is based on studies mostly rated as having serious risk of bias and of limited applicability to widespread implementation. The physician or nurse do not document anything in the EMR, just review and sign.Findings from our systematic review on the effects of medical scribes in orthopedic, cardiology, and emergency departments are limited by the quantity, quality, completeness, and applicability of information. ![]() ![]()
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