ArticleTransactions of the American Ophthalmological Society2013
Evaluation of electronic health record implementation in ophthalmology at an academic medical center (an American Ophthalmological Society thesis).
Article in Transactions of the American Ophthalmological Society, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 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
37 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The use of Electronic Health Records to Support Population Health: A Systematic Review of the Literature.Journal of medical systems · 2018Pooled it
- Benchmarking GPT-5, LLaMA, and Mistral for Clinical Named Entity Recognition in Ophthalmology Progress Notes.Translational vision science & technology · 2026Article
- Optimizing Documentation Integrity of Ophthalmic Diagnostic Test Interpretation through Electronic Health Record Clinical Decision Support.Applied clinical informatics · 2025Article
- Introducing a digital emergency obstetric and newborn care register for indoor obstetric patient management: An implementation research in selected public health care facilities of Bangladesh.Journal of global health · 2024Article
- Impacts of an Electronic Health Record Transition on Veterans Health Administration Health Professions Trainee Experience.Journal of general internal medicine · 2023Article
- The Value of Electronic Health Records Since the Health Information Technology for Economic and Clinical Health Act: Systematic Review.JMIR medical informatics · 2022Review
- Analysis on the completeness of case records of patients with penetrating ocular trauma following a multimodal intervention.Indian journal of ophthalmology · 2022Article
- Interests and needs of eye care providers in clinical decision support for glaucoma.BMJ open ophthalmology · 2021Article
- Electronic Health Records in Ophthalmology: Source and Method of Documentation.American journal of ophthalmology · 2020Article
- Promoting Quality Face-to-Face Communication during Ophthalmology Encounters in the Electronic Health Record Era.Applied clinical informatics · 2020Article
- Time Requirements of Paper-Based Clinical Workflows and After-Hours Documentation in a Multispecialty Academic Ophthalmology Practice.American journal of ophthalmology · 2019Article
- Impact of Electronic Health Record Implementation on Ophthalmology Trainee Time Expenditures.Journal of academic ophthalmology (2017) · 2019Article
- 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
- Comparing the Effects of Paper and Digital Checklists on Team Performance in Time-Critical Work.Proceedings of the SIGCHI conference on human factors in computing systems. CHI Conference · 2019Article
- Integrating Patient Education Into the Glaucoma Clinical Encounter: A Lean Analysis.Journal of glaucoma · 2019Observational
- Data-Driven Scheduling for Improving Patient Efficiency in Ophthalmology Clinics.Ophthalmology · 2019Article
- Response to Letter: Secondary use of electronic health record data for clinical workflow analysis.Journal of the American Medical Informatics Association : JAMIA · 2018Article
- Decreasing triage time: effects of implementing a step-wise ESI algorithm in an EHR.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2018Article
- Adoption of Electronic Health Records and Perceptions of Financial and Clinical Outcomes Among Ophthalmologists in the United States.JAMA ophthalmology · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors.
Funding
Abstract
purposeTo evaluate three measures related to electronic health record (EHR) implementation: clinical volume, time requirements, and nature of clinical documentation. Comparison is made to baseline paper documentation.
methodsAn academic ophthalmology department implemented an EHR in 2006. A study population was defined of faculty providers who worked the 5 months before and after implementation. Clinical volumes, as well as time length for each patient encounter, were collected from the EHR reporting system. To directly compare time requirements, two faculty providers who utilized both paper and EHR systems completed time-motion logs to record the number of patients, clinic time, and nonclinic time to complete documentation. Faculty providers and databases were queried to identify patient records containing both paper and EHR notes, from which three cases were identified to illustrate representative documentation differences.
resultsTwenty-three faculty providers completed 120,490 clinical encounters during a 3-year study period. Compared to baseline clinical volume from 3 months pre-implementation, the post-implementation volume was 88% in quarter 1, 93% in year 1, 97% in year 2, and 97% in year 3. Among all encounters, 75% were completed within 1.7 days after beginning documentation. The mean total time per patient was 6.8 minutes longer with EHR than paper (P<.01). EHR documentation involved greater reliance on textual interpretation of clinical findings, whereas paper notes used more graphical representations, and EHR notes were longer and included automatically generated text.
conclusionThis EHR implementation was associated with increased documentation time, little or no increase in clinical volume, and changes in the nature of ophthalmic documentation.
Indexed as
Identifiers
24167326PMC3797873What 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.