IntroductionĮmergency department (ED) overcrowding, defined as “a situation in which the demand for emergency services exceeds the ability to provide quality care within a reasonable time,” was first described nearly 20 years ago and continues to pose a significant barrier to the current day delivery of timely emergency care. Scribe Program implementation led to improved ED throughput for discharged patients with further system-wide challenges needing to be addressed for admitted patients. Through evaluation of prescribe and postscribe implementation, the postscribe time period reflects many throughput improvements not present before scribes began. 90% of providers indicated scribes increase their workplace satisfaction and quality of life. 100% of providers indicated scribes are a valuable addition to the department and they enjoy working with scribes. A total of 30 providers responded to the survey. The left without being seen (LWBS) decrease was not statistically significant. Several throughput time measures were significantly lower in the postscribe group, compared to prescribe implementation, including time to disposition. An electronic survey was distributed to all emergency medicine residents and advanced practice providers to qualitatively assess the impact of the scribe program on providers. A retrospective analysis of emergency department (ED) data, prior to and after scribe program implementation, was used to quantitatively assess the impact of the scribe program on measures of ED throughput. To assess the impact of a scribe program on an academic, tertiary care facility.
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