Evidence map›Paper›PMID 23304373›Full record

ArticleAMIA ... Annual Symposium proceedings. AMIA Symposium2012

The orderly and effective visit: impact of the electronic health record on modes of cognitive control.

Charlene Weir, Frank A Drews, Molly K Leecaster, Robyn J Barrus, James L Hellewell, Jonathan R Nebeker

Abstract read
In one paragraph

Article in AMIA ... Annual Symposium proceedings. AMIA Symposium, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. Observational
  3. Improving Continuity of Care via the Discharge Summary.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2015
    Article
  4. Article
  5. Article
  6. Article
  7. Rethinking the discharge summary: a focus on handoff communication.Academic medicine : journal of the Association of American Medical Colleges · 2014
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Charlene WeirDepartment of Veterans Affairs, Geriatrics Research and Clinical Setting, Salt Lake City, UT, USA.
Frank A Drews
Molly K Leecaster
Robyn J Barrus
James L Hellewell
Jonathan R Nebeker

Funding

AHRQ HHS R18 HS017186
6 · The paper itself

Abstract

The clinical Joint Cognitive System (JCS) includes the clinicians, electronic health record (EHR), and other infrastructure that maintain control in the system in the service of accomplishing clinical goals. The purpose of this study is to examine the relationship between levels of control using the COCOM model (scrambled, opportunistic, tactical, and strategic) and patterns of EHR use. Forty-five primary care visits were observed and audio-recorded. Each was coded for COCOM levels of control (IRR = 90%). Screen changes were recorded and time stamped (as either searching or entering). Levels of control were significantly related to preparation intensity (F (2,23) = 6.62; p=0.01), the number of screen changes involved in both searching (F (2,30) = 6.54; p=0.004), and entering information (F (2,22) = 9.26; p=0.001). Combined with the qualitative data, this pattern of EHR usage indicates that the system as designed may not provide effective cognitive support.

Indexed as

CognitionElectronic Health RecordsPrimary Health CareAmbulatory CareHospitals, VeteransHumansInterviews as TopicPractice Patterns, Physicians'United States

Identifiers

PMID23304373
PMCPMC3540572

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.