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Trial registered on ANZCTR
Registration number
ACTRN12616000223437
Ethics application status
Approved
Date submitted
15/02/2016
Date registered
18/02/2016
Date last updated
20/06/2017
Type of registration
Prospectively registered
Titles & IDs
Public title
Patient tolerance of medical scribes in the Emergency Department: a qualitative approach
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Scientific title
A qualitative study of patient tolerance towards the presence of medical scribes during emergency consultations in a private hospital.
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Secondary ID [1]
288544
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Any illness prompting a presentation to the Emergency Department
297647
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Condition category
Condition code
Other
297837
297837
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0
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Research that is not of generic health relevance and not applicable to specific health categories listed above
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Participants will be approached after consulting a doctor with a medical scribe. They will be informed that medical scribes are a new concept and that we would like to know how patients respond to a scribe being present during their emergency consultation. Participants then have the opportunity to discuss their experience either in person or by phone at a time convenient to them. The semi-structured interview will take approximately 15 minutes to complete.
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Intervention code [1]
293923
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Not applicable
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Comparator / control treatment
No control group.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Theme saturation of topics discussed during the semi-structured interviews.
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Assessment method [1]
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Timepoint [1]
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Data collection will be complete by mid-June.
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Secondary outcome [1]
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None.
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Assessment method [1]
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Timepoint [1]
320826
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.
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Eligibility
Key inclusion criteria
1. Recent emergency patients at Cabrini Private Hospital, Malvern
2. Primary care givers of recent emergency patients under 18 years of age
3. Primary care givers of recent emergency patients who are unable to attend due to disability. These primary care givers must have been present when the patient was consulted by a doctor with a scribe.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Deceased or critically ill
Those with difficulty communicating verbally in English
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Study design
Purpose
Psychosocial
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
Qualitative research:
Theme saturation is estimated after 6 to 8 interviews with each subgroup (patients, parents of patients and representatives of patients who are unable to communicate verbally).
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
10/04/2016
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Actual
10/04/2016
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Date of last participant enrolment
Anticipated
30/06/2016
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Actual
21/06/2016
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Date of last data collection
Anticipated
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Actual
21/06/2016
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Sample size
Target
20
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Accrual to date
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Final
7
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
5280
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Cabrini Hospital - Malvern - Malvern
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Recruitment postcode(s) [1]
12737
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3144 - Malvern
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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Cabrini Foundation
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Address [1]
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181-183 Wattletree Rd, Malvern VIC 3144
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Country [1]
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Australia
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Funding source category [2]
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Charities/Societies/Foundations
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Name [2]
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Equity Trustees
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Address [2]
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Suite 4, 677 High Street, Kew East VIC 3102
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Country [2]
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Australia
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Funding source category [3]
292910
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Self funded/Unfunded
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Name [3]
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William Dunlop
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Address [3]
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181-183 Wattletree Rd, Malvern VIC 3144
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Country [3]
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Australia
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Primary sponsor type
Hospital
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Name
Cabrini Hospital
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Address
181-183 Wattletree Rd, Malvern VIC 3144
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Country
Australia
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Secondary sponsor category [1]
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Charities/Societies/Foundations
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Name [1]
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Cabrini Institute
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Address [1]
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154 Wattletree Rd, Malvern VIC 3144
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Country [1]
291666
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Australia
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Other collaborator category [1]
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Individual
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Name [1]
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Professor Margaret Staples
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Address [1]
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154 Wattletree Rd, Malvern VIC 3144
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Country [1]
278837
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Cabrini Human Research Ethics Committee
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Ethics committee address [1]
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Patricia Peck Education and Research Precinct 154 Wattletree Road, Malvern VIC 3144
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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19/02/2016
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Approval date [1]
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07/04/2016
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Ethics approval number [1]
294393
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CHREC 03-02-05-16
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Summary
Brief summary
Emergency doctors are required to complete a range of administrative tasks including typing medical notes, ordering imaging and blood tests, following up on results and corresponding with external departments. These administrative tasks do not require advanced clinical training and so the medical skillset of the emergency physicians is being underutilised. The Emergency Department also loses money due to under-billing patients when at the end of the patients’ attendance by forgetting to include some billable items (e.g. an ECG). A medical scribe completes administrative tasks for the emergency physician so that more time can be spent on medical tasks. The scribe is also responsible for completing billing requirements and can bill for events as they happen, reducing the likelihood of under-billing. While it is important to improve the efficiency of the Emergency Department, it cannot be done at the detriment of patient comfort. However, there is no research in Australian patients’ perceptions of having a non-medically qualified staff member present while being examined by an emergency physician. The current study aims to identify patients’ views and thoughts on medical scribes and uncover any problems that might arise from having additional staff in the room while a consultation takes place.
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Trial website
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Trial related presentations / publications
Publication: Dunlop, W., Hegarty, L., Staples, M., Levinson, M., Ben-Meir, M. and Walker, K. (2017) Medical scribes have no impact on the patient experience of an emergency department. Emergency Medicine Australasia 10.1111/1742-6723.12818 Presentation: Dunlop, W., Hegarty, L. (2016) Medical scribes have no detrimental effect on patient comfort or satisfaction during emergency consultations. ACEM Annual Scientific Meeting, Queenstown
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Public notes
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Contacts
Principal investigator
Name
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Mr William Dunlop
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Address
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Emergency Department, Cabrini Hospital
181-183 Wattletree Rd, Malvern VIC 3144
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Country
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Australia
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Phone
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+61431096742
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Katherine Walker
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Address
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Emergency Department, Cabrini Hospital
181-183 Wattletree Rd, Malvern VIC 3144
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Country
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Australia
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Phone
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+61395081222
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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William Dunlop
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Address
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Emergency Department, Cabrini Hospital
181-183 Wattletree Rd, Malvern VIC 3144
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Country
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Australia
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Phone
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+61431096742
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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