Notes: detail | “I put in important relevant negatives—the scribe might not pick this when I appear to be chatting” (C.2) |
“They record more history than I would” (C.5) |
Notes: editing | “I edit the interpretation and summary of issues the most” (C.3) |
“Omissions would be the number one thing I correct” (C.4) |
“If I edit, it is usually for the complex patients with multiple issues for their presenting complaints” (C.8) |
“Every time (I edit the notes), but it’s a lot less time consuming than writing them myself” (C.10) |
“In the beginning I had to edit quite a bit but that has significantly improved” (C.1) |
"I don’t make changes to the order or flow of the notes” (C.6) |
Transcription | “We get a real time transcription of our history and)examination at the bedside” (C.2) |
Gathering information | “They find medications, past medical history, go through paper notes, find investigations done elsewhere and consolidate that into one current history” (C.2) |
“They can chase things like ring GPs, pathology and radiology” (C.5) |
Clerical processes | “(Scribes give me) the ability to see a patient and process everything that needs to happen and then almost straight away go and see the next patient” (C.5) |
“Towards the end (of patient processing) they were more useful again—the disposition, bed requests, helping with referrals” (C.5) |
Value by phase of consultation | “I find the scribes mostly effective in the beginning, the patient encounter, when you’re doing a lot of documentation” (C.1) |
“For progress notes I would often just enter them myself because otherwise I’m just dictating to them.” (C.5) |