Device-Based Scribe Service (iScribes) on Patient Satisfaction

February 25, 2019 updated by: Kamran Hamid, Rush University Medical Center

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

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).

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

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).

Study Type

Interventional

Enrollment (Actual)

50

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • United States
    • Illinois
      • Chicago, Illinois, United States, 60612
        • Rush University Medical Center

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

14 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • ≥ 18 years of age
  • Written informed consent is obtained
  • New patient visit

Exclusion Criteria:

  • Patient refuses
  • Patient is lacking decisional capability

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

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

Arms and Interventions

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

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Total physician time spent on the encounter but not with the patient.
Time Frame: Duration of patient visit (up to 1 day).
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.
Time Frame: Duration of patient visit (up to 1 day).
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).

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Rush University Medical Center

Investigators

  • Principal Investigator: Kamran Hamid, MD,MPH, Rush University Medical Center

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

August 20, 2018

Primary Completion (Actual)

November 26, 2018

Study Completion (Actual)

November 26, 2018

Study Registration Dates

First Submitted

August 20, 2018

First Submitted That Met QC Criteria

February 25, 2019

First Posted (Actual)

February 26, 2019

Study Record Updates

Last Update Posted (Actual)

February 26, 2019

Last Update Submitted That Met QC Criteria

February 25, 2019

Last Verified

February 1, 2019

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • 18041305-IRB01

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

No

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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