ArticleJournal of the American Medical Informatics Association : JAMIA2014
You and me and the computer makes three: variations in exam room use of the electronic health record.
Article in Journal of the American Medical Informatics Association : JAMIA, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis 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
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Impact of Electronic Medical Record Use on the Patient-Doctor Relationship and Communication: A Systematic Review.Journal of general internal medicine · 2016Pooled it
- Effects of electronic health record use on the exam room communication skills of resident physicians: a randomized within-subjects study.Journal of the American Medical Informatics Association : JAMIA · 2015Trial
- Promoting Quality Face-to-Face Communication during Ophthalmology Encounters in the Electronic Health Record Era.Applied clinical informatics · 2020Article
- Provider Preference in Exam Room Layout Design and Computing.Applied clinical informatics · 2019Article
- Role definition is key-Rapid qualitative ethnography findings from a team-based primary care transformation.Learning health systems · 2019Article
- Field Investigation of Ambulatory Clinic Exam Room Design with respect to Computing Devices: A Pilot Study.Proceedings of the Human Factors and Ergonomics Society ... Annual Meeting. Human Factors and Ergonomics Society. Annual meeting · 2018Article
- The electronic health record as a patient engagement tool: mirroring clinicians' screen to create a shared mental model.JAMIA open · 2018Article
- Ambulatory Clinic Exam Room Design with respect to Computing Devices: A Laboratory Simulation Study.IISE transactions on occupational ergonomics and human factors · 2018Article
- What factors influence the use of electronic health records during the first 10 minutes of the clinical encounter?International journal of general medicine · 2018Article
- Residents' Insights and Ideas about Screen-Sharing in Primary Care Clinics.Applied clinical informatics · 2017Article
- What Patients Value About Reading Visit Notes: A Qualitative Inquiry of Patient Experiences With Their Health Information.Journal of medical Internet research · 2017Article
- Measuring Practicing Clinicians' Information Literacy. An Exploratory Analysis in the Context of Panel Management.Applied clinical informatics · 2017Article
- 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
- Overcoming barriers to implementing patient-reported outcomes in an electronic health record: a case report.Journal of the American Medical Informatics Association : JAMIA · 2016Observational
- 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
- Exploring Residents' Interactions With Electronic Health Records in Primary Care Encounters.Family medicine · 2015Article
- Work system factors influencing physicians' screen sharing behaviors in primary care encounters.International journal of medical informatics · 2015Article
- Understanding barriers and facilitators to the use of Clinical Information Systems for intensive care units and Anesthesia Record Keeping: A rapid ethnography.International journal of medical informatics · 2015Article
- Paper versus EHR: simplistic comparisons may not capture current reality.Journal of the American Medical Informatics Association : JAMIA · 2015Article
- How physician electronic health record screen sharing affects patient and doctor non-verbal communication in primary care.Patient education and counseling · 2015Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
Abstract
Challenges persist on how to effectively integrate the electronic health record (EHR) into patient visits and clinical workflow, while maintaining patient-centered care. Our goal was to identify variations in, barriers to, and facilitators of the use of the US Department of Veterans Affairs (VA) EHR in ambulatory care workflow in order better to understand how to integrate the EHR into clinical work. We observed and interviewed 20 ambulatory care providers across three geographically distinct VA medical centers. Analysis revealed several variations in, associated barriers to, and facilitators of EHR use corresponding to different units of analysis: computer interface, team coordination/workflow, and organizational. We discuss our findings in the context of different units of analysis and connect variations in EHR use to various barriers and facilitators. Findings from this study may help inform the design of the next generation of EHRs for the VA and other healthcare systems.
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.