Woodcock Deborah V, Pranaat Robert, McGrath Karess, Ash Joan S
Oregon Health & Science University, Portland, Oregon, U.S.A.
Stud Health Technol Inform. 2017;234:382-388.
Increasing use of medical scribes is an unintended consequence of electronic health record adoption in the U.S. The role of scribe is not universally defined, leading to variations in scribe training and operations, as well as questions about scribe efficiency, effectiveness, and safety. Studies published since 2009 have primarily focused on the financial aspects of scribe use, but no published studies have taken an organizational view of this phenomenon. This paper describes stakeholder perspectives on scribes working in outpatient settings within an urban tertiary academic medical center. It places factors associated with of scribe systems within an eight-dimension sociotechnical framework for evaluating health information technology, and discusses key aspects of those perspectives.
在美国，医疗速记员使用的增加是采用电子健康记录产生的意外结果。速记员的角色并未得到普遍定义，这导致速记员培训和操作存在差异，以及关于速记员效率、有效性和安全性的问题。自2009年以来发表的研究主要集中在速记员使用的财务方面，但尚未有已发表的研究从组织角度看待这一现象。本文描述了利益相关者对城市三级学术医疗中心门诊环境中速记员工作的看法。它将与速记员系统相关的因素置于一个用于评估健康信息技术的八维社会技术框架内，并讨论这些看法的关键方面。
