ArticleBMJ quality & safety2012
Development of a primary care physician task list to evaluate clinic visit workflow.
Article in BMJ quality & safety, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
What it found
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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
15 citing papers in PubMed.
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- Automatic speech recognition performance for digital scribes: a performance comparison between general-purpose and specialized models tuned for patient-clinician conversations.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2022Article
- Automatic Classification of Screen Gaze and Dialogue in Doctor-Patient-Computer Interactions: Computational Ethnography Algorithm Development and Validation.Journal of medical Internet research · 2021Article
- A Markov chain model for analysis of physician workflow in primary care clinics.Health care management science · 2021Article
- Assessing Unwanted Variations in Rheumatology Clinic Previsit Rooming.Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases · 2019Article
- Computerization and the future of primary care: A survey of general practitioners in the UK.PloS one · 2018Article
- The myth of standardized workflow in primary care.Journal of the American Medical Informatics Association : JAMIA · 2016Observational
- Team Science Approach to Developing Consensus on Research Good Practices for Practice-Based Research Networks: A Case Study.Clinical and translational science · 2015Article
- Quantitative ethnographic study of physician workflow and interactions with electronic health record systems.International journal of industrial ergonomics · 2015Article
- Approaches and challenges to optimising primary care teams' electronic health record usage.Informatics in primary care · 2014Article
- Improving over-the-counter medication safety for older adults: A study protocol for a demonstration and dissemination study.Research in social & administrative pharmacy : RSAPArticle
- The work of adult and pediatric intensive care unit nurses.Nursing researchArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundInterventions designed to improve the delivery of primary care, including Patient-Centered Medical Homes and electronic health records, require an understanding of clinical workflow to be successfully implemented. However, there is a lack of tools to describe and study primary care physician workflow. We developed a comprehensive list of primary care physician tasks that occur during a face-to-face patient visit.
methodsA validated list of tasks performed by primary care physicians during patient clinic visits was developed from a secondary data analysis of observation data from two studies evaluating primary care workflow. Thirty primary care physicians participated from a convenience sample of 17 internal medicine and family medicine clinics in Wisconsin and Iowa across rural and urban settings and community and academic settings.
resultsThe final task list has 12 major tasks, 189 subtasks, and 191 total tasks. The major tasks are: Enter Room, Gather Information from Patient, Review Patient Information, Document Patient Information, Perform, Recommend / Discuss Treatment Options, Look Up, Order, Communicate, Print / Give Patient (advice, instructions), Appointment Wrap-up, and Leave Room. Additional subcodes note use of paper or EHR and the presence of a caregiver or medical student.
conclusionsThe task list presented here is a tool that will help clinics study their workflows so they can plan for changes that will take place because of EHR implementation and/or transformation to a patient centered medical home.
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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.