ArticleAmerican journal of ophthalmology2013
Accuracy and speed of electronic health record versus paper-based ophthalmic documentation strategies.
Article in American journal of ophthalmology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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
21 citing papers in PubMed.
- Article
- Impacts of an Electronic Health Record Transition on Veterans Health Administration Health Professions Trainee Experience.Journal of general internal medicine · 2023Article
- Electronic Health Records in Ophthalmology: Source and Method of Documentation.American journal of ophthalmology · 2020Article
- A Pilot Study on the Effects of Physician Gaze on Patient Satisfaction in the Setting of Electronic Health Records.Journal of academic ophthalmology (2017) · 2019Article
- Changes in Electronic Health Record Use Time and Documentation over the Course of a Decade.Ophthalmology · 2019Article
- Data-Driven Scheduling for Improving Patient Efficiency in Ophthalmology Clinics.Ophthalmology · 2019Article
- Effect of systemic antihypertensives on change in intraocular pressure after initiating topical prostaglandins for primary open-angle glaucoma.Clinical ophthalmology (Auckland, N.Z.) · 2019Article
- Why Residency Programs Should Not Ignore the Electronic Heath Record after Adoption.Perspectives in health information managemen · 2019Article
- Clinical Documentation in Electronic Health Record Systems: Analysis of Similarity in Progress Notes from Consecutive Outpatient Ophthalmology Encounters.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2018Article
- Analysis of Total Time Requirements of Electronic Health Record Use by Ophthalmologists Using Secondary EHR Data.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2018Article
- Time Requirements for Electronic Health Record Use in an Academic Ophthalmology Center.JAMA ophthalmology · 2017Article
- Article
- Agreement of Ocular Symptom Reporting Between Patient-Reported Outcomes and Medical Records.JAMA ophthalmology · 2017Observational
- Comparison of accuracy of physical examination findings in initial progress notes between paper charts and a newly implemented electronic health record.Journal of the American Medical Informatics Association : JAMIA · 2017Article
- Quantifying the Impact of Trainee Providers on Outpatient Clinic Workflow using Secondary EHR Data.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2017Article
- A Two-Year Longitudinal Assessment of Ophthalmologists' Perceptions after Implementing an Electronic Health Record System.Applied clinical informatics · 2016Article
- [Development of an ophthalmological clinical information system for inpatient eye clinics].Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft · 2015Article
- Experiences with developing and implementing a virtual clinic for glaucoma care in an NHS setting.Clinical ophthalmology (Auckland, N.Z.) · 2015Article
- Electronic health record impact on productivity and efficiency in an academic pediatric ophthalmology practice.Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus · 2014Article
- Impact of an electronic health record operating room management system in ophthalmology on documentation time, surgical volume, and staffing.JAMA ophthalmology · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
purposeTo compare accuracy and speed of keyboard and mouse electronic health record (EHR) documentation strategies with those of a paper documentation strategy.
designProspective cohort study.
methodsThree documentation strategies were developed: (1) keyboard EHR, (2) mouse EHR, and (3) paper. Ophthalmology trainees recruited for the study were presented with 5 clinical cases and documented findings using each strategy. For each case-strategy pair, findings and documentation time were recorded. Accuracy of each strategy was calculated based on sensitivity (fraction of findings in actual case that were documented by subject) and positive ratio (fraction of findings identified by subject that were present in the actual case).
resultsTwenty subjects were enrolled. A total of 258 findings were identified in the 5 cases, resulting in 300 case-strategy pairs and 77 400 possible total findings documented. Sensitivity was 89.1% for the keyboard EHR, 87.2% for mouse EHR, and 88.6% for the paper strategy (no statistically significant differences). The positive ratio was 99.4% for the keyboard EHR, 98.9% for mouse EHR, and 99.9% for the paper strategy (P < .001 for mouse EHR vs paper; no significant differences between other pairs). Mean ± standard deviation documentation speed was significantly slower for the keyboard (2.4 ± 1.1 seconds/finding) and mouse (2.2 ± 0.7 seconds/finding) EHR compared with the paper strategy (2.0 ± 0.8 seconds/finding). Documentation speed of the mouse EHR strategy worsened with repetition.
conclusionsNo documentation strategy was perfectly accurate in this study. Documentation speed for both EHR strategies was slower than with paper. Further studies involving total physician time requirements for ophthalmic EHRs are required.
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.