National Center for Advancing Translational Sciences (NCATS) - TL1TR002000
Henry Alexander Kautz (1956 - ) - Thesis Advisorĭigital scribe Patient-centered communication Physician burnout These advantages may make the patient-centered digital scribe an effective tool for spending less time on medical documentation. In addition, the system may be affordable and cost-effective. It may also be lightweight enough to operate entirely within a healthcare organization’s onsite computing network. Another advantage is that it may minimize risks to patient privacy by avoiding the need to manually examine protected health information. One advantage is that it may allow providers to focus on talking to patients instead of the computer. The system may have several advantages over dictation, human scribes, and previous digital scribe efforts. They also suggest that providers may require minimal training to use the digital scribe, and that they may quickly improve at using the system to document history sections. Results suggest that editing notes generated by the digital scribe may be significantly faster than typing and dictation. A proof-of-concept study was conducted by simulating patient encounters with medical students. Another element was signposting, which involved the provider using transition questions and statements to guide the conversation. One element was summarizing, which involved the provider recapping information to confirm an accurate understanding of the patient. Two elements of patient-centered communication were utilized to develop a digital scribe for automatic medical documentation. Studies have shown that this style of communication improves patient satisfaction, reduces malpractice rates, and decreases diagnostic testing expenses. Patient-centered communication is an important aspect of medical encounters. of Translational Biomedical Sciences, 2021. If it works well, Lin said the goal is to develop a tool that can be used broadly.School of Medicine and Dentistry Theses > The pilot study will identify challenges and indicate whether a digital-scribe is feasible, he said. "This is really new and we're in the early stages of this technology," Lin said. Progress notes include everything from vital signs and symptoms to a diagnosis and treatment plan, he said. Team members will then use machine learning algorithms to detect patterns from the audio recordings that can be used to automatically complete a progress note, which is the primary EHR document that describes the office visit. The doctors will wear a microphone and record the visit. Researchers will take steps to ensure patient privacy is protected, by removing patients' protected health information (PHI) from data that is used in the study, Lin said. Their 9-month-long study will include all nine doctors at the family medicine clinic clinic patients will have the option of participating. "We're hoping this benefits everybody," he said.
#DIGITAL SCRIBE FULL#
It could also improve the visit for patients, who would again have the full attention of their physician, Lin pointed out. Lin and his Google collaborators are now launching a pilot study to investigate such as system, which they are calling a "digital-scribe." A digital-scribe could save physician time, lessening the need to enter data. But what if a device could interpret each office visit and - using speech recognition and machine learning tools - automatically enter the information into an EHR system? Some medical practices, including the Stanford family medicine clinic on campus, use human scribes to enter information into EHRs, allowing physicians to concentrate on patients, rather than the computer. Now, Stanford family medicine doctor Steven Lin, MD, working with Google Research, has an idea that could help. Electronic health records stand out as an oft-cited source of stress that contributes to the worrisome prevalence of burnout in physicians.
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