ArticleJournal of the American Medical Informatics Association : JAMIA
Chart biopsy: an emerging medical practice enabled by electronic health records and its impacts on emergency department-inpatient admission handoffs.
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 11 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Clinicians' reasoning as reflected in electronic clinical note-entry and reading/retrieval: a systematic review and qualitative synthesis.Journal of the American Medical Informatics Association : JAMIA · 2019Pooled it
- Analysing EHR navigation patterns and digital workflows among physicians during ICU pre-rounds.Health information management : journal of the Health Information Management Association of Australia · 2021Observational
- Accelerating the De-Personalization of Medicine: The Ethical Toxicities of COVID-19.Journal of bioethical inquiry · 2020Article
- A Markov Chain Model for Transient Analysis of Handoff Process in Emergency Departments.IEEE robotics and automation letters · 2020Article
- The potential role of dashboard use and navigation in reducing medical errors of an electronic health record system: a mixed-method simulation handoff study.Health systems (Basingstoke, England) · 2019Article
- Health IT Usability Focus Section: Data Use and Navigation Patterns among Medical ICU Clinicians during Electronic Chart Review.Applied clinical informatics · 2017Article
- A Multisite Survey Study of EMR Review Habits, Information Needs, and Display Preferences among Medical ICU Clinicians Evaluating New Patients.Applied clinical informatics · 2017Article
- A Pilot Study of the Chronology of Present Illness: Restructuring the HPI to Improve Physician Cognition and Communication.Journal of general internal medicine · 2017Article
- A Simulation Study on Handoffs and Cross-coverage: Results of an Error Analysis.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2017Article
- Emergency medicine resident physicians' perceptions of electronic documentation and workflow: a mixed methods study.Applied clinical informatics · 2015Article
- Use of simulated physician handoffs to study cross-cover chart biopsy in the electronic medical record.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2013Article
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
objectiveTo examine how clinicians on the receiving end of admission handoffs use electronic health records (EHRs) in preparation for those handoffs and to identify the kinds of impacts such usage may have. MATERIALS AND
methodsThis analysis is part of a two-year ethnographic study of emergency department (ED) to internal medicine admission handoffs at a tertiary teaching and referral hospital. Qualitative data were gathered and analyzed iteratively, following a grounded theory methodology. Data collection methods included semi-structured interviews (N = 48), observations (349 hours), and recording of handoff conversations (N = 48). Data analyses involved coding, memo writing, and member checking.
resultsThe use of EHRs has enabled an emerging practice that we refer to as pre-handoff "chart biopsy": the activity of selectively examining portions of a patient's health record to gather specific data or information about that patient or to get a broader sense of the patient and the care that patient has received. Three functions of chart biopsy are identified: getting an overview of the patient; preparing for handoff and subsequent care; and defending against potential biases. Chart biopsies appear to impact important clinical and organizational processes. Among these are the nature and quality of handoff interactions, and the quality of care, including the appropriateness of dispositioning of patients.
conclusionsChart biopsy has the potential to enrich collaboration and to enable the hospital to act safely, efficiently, and effectively. Implications for handoff research and for the design and evaluation of EHRs are also discussed.
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Registered trials
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