ArticleJournal of the American Medical Informatics Association : JAMIA
Electronic medical record use in pediatric primary care.
Article in Journal of the American Medical Informatics Association : JAMIA. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Developing an evidence base of best practices for integrating computerized systems into the exam room: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2017Pooled it
- Impact of Electronic Medical Record Use on the Patient-Doctor Relationship and Communication: A Systematic Review.Journal of general internal medicine · 2016Pooled it
- The challenges of real-world implementation of web-based shared care software: the HopSCOTCH Shared-Care Obesity Trial in Children.BMC medical informatics and decision making · 2014Trial
- Frequency Distribution of Pediatric Primary Care Cases in a Rural Site in The Philippines: A Cross-Sectional Study.Acta medica Philippina · 2024Article
- Digital child health: opportunities and obstacles. A joint statement of European Academy of Paediatrics and European Confederation of Primary Care Paediatricians.Frontiers in pediatrics · 2023Review
- Electronic Health Record-Embedded, Behavioral Science-Informed System for Smoking Cessation for the Parents of Pediatric Patients.Applied clinical informatics · 2022Article
- Rethinking the electronic health record through the quadruple aim: time to align its value with the health system.BMC medical informatics and decision making · 2020Article
- Identified mental disorders in older adults in primary care: A cross-sectional database study.The European journal of general practice · 2018Article
- Natural Language Processing-Enabled and Conventional Data Capture Methods for Input to Electronic Health Records: A Comparative Usability Study.JMIR medical informatics · 2016Article
- Provider Use of a Novel EHR display in the Pediatric Intensive Care Unit. Large Customizable Interactive Monitor (LCIM).Applied clinical informatics · 2016Article
- Computers in the clinical encounter: a scoping review and thematic analysis.Journal of the American Medical Informatics Association : JAMIA · 2016Article
- Clinical Decision Support Tool for Parental Tobacco Treatment in Hospitalized Children.Applied clinical informatics · 2016Article
- Strategizing EHR use to achieve patient-centered care in exam rooms: a qualitative study on primary care providers.Journal of the American Medical Informatics Association : JAMIA · 2016Article
- Paper versus EHR: simplistic comparisons may not capture current reality.Journal of the American Medical Informatics Association : JAMIA · 2015Article
- Enhancing patient-doctor-computer communication in primary care: towards measurement construction.Israel journal of health policy research · 2015Article
- Factors affecting electronic medical record system adoption in small korean hospitals.Healthcare informatics research · 2014Article
- Using the computer in the clinical consultation; setting the stage, reviewing, recording, and taking actions: multi-channel video study.Journal of the American Medical Informatics Association : JAMIA · 2013Article
- Comparative effectiveness research using the electronic medical record: an emerging area of investigation in pediatric primary care.The Journal of pediatrics · 2012Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
objectivesTo characterize patterns of electronic medical record (EMR) use at pediatric primary care acute visits.
designDirect observational study of 529 acute visits with 27 experienced pediatric clinician users. MEASUREMENTS: For each 20 s interval and at each stage of the visit according to the Davis Observation Code, we recorded whether the physician was communicating with the family only, using the computer while communicating, or using the computer without communication. Regression models assessed the impact of clinician, patient and visit characteristics on overall visit length, time spent interacting with families, and time spent using the computer while interacting.
resultsThe mean overall visit length was 11:30 (min:sec) with 9:06 spent in the exam room. Clinicians used the EMR during 27% of exam room time and at all stages of the visit (interacting, chatting, and building rapport; history taking; formulation of the diagnosis and treatment plan; and discussing prevention) except the physical exam. Communication with the family accompanied 70% of EMR use. In regression models, computer documentation outside the exam room was associated with visits that were 11% longer (p=0.001), and female clinicians spent more time using the computer while communicating (p=0.003). LIMITATIONS: The 12 study practices shared one EMR.
conclusionsAmong pediatric clinicians with EMR experience, conversation accompanies most EMR use. Our results suggest that efforts to improve EMR usability and clinician EMR training should focus on use in the context of doctor-patient communication. Further study of the impact of documentation inside versus outside the exam room on productivity is warranted.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.