Device-Based Scribe Service (iScribes) on Patient Satisfaction

Study Overview
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Brief Summary
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This project involves the implementation of a device-based scribe service (iScribes) for patient encounters. The objective of the proposed study is to track and compare the allocation of physician time and associated quality metrics with and without the use of iScribes. We anticipate that the use of iScribes will reduce the amount of physician time spent away from the patient (e.g., charting, dictating).

Detailed Description
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This project involves the implementation of a device-based scribe service (iScribes) for patient encounters. Device based scribing services record the patient-physician encounter and securely transmit data to an off-site facility where trained professionals transcribe the dictations. The information is then sent back to the physician and stored in the providing institutions electronic medical records. The objective of the proposed study is to track and compare the allocation of physician time and associated quality metrics with and without the use of iScribes. We anticipate that the use of iScribes will reduce the amount of physician time spent away from the patient (e.g., charting, dictating).

Official Title
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Randomized Controlled Trial of a Device-Based Scribe Service (iScribes) on Patient Satisfaction

Conditions
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Foot & Ankle

Intervention / Treatment
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* Other: iScribes


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: ≥ 18 years of age Written informed consent is obtained New patient visit Exclusion Criteria: Patient refuses Patient is lacking decisional capability

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: iScribes<br>Device-based scribing service used for dictation and documentation. | Other: iScribes<br>* Device-based scribing service.<br>|
| No Intervention: Traditional Dictation<br>Standard dictation and documentation methods used. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Total physician time spent on the encounter but not with the patient. | The total physician time spent on the encounter, including medical documentation, but not including time spent directly interacting with the patient. | Duration of patient visit (up to 1 day). | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient satisfaction. | How satisfied the patient is with their care as rated on a scale of 0 to 10 post-visit questionnaire adapted from the Consumer Assessment of Healthcare Providers and Systems survey where 0 is poor and 10 is excellent. | Duration of patient visit (up to 1 day). | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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iScribes, patient satisfaction, device based scribe