ArticleJAMA ophthalmology2014
Impact of an electronic health record operating room management system in ophthalmology on documentation time, surgical volume, and staffing.
Article in JAMA ophthalmology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 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
19 citing papers in PubMed.
- Article
- Measuring provider-level differences in perioperative workflow using computer vision-based artificial intelligence.BMJ health & care informatics · 2025Article
- Retinal Pigment Epithelium Curvature Can Predict Late Age-Related Macular Degeneration.Investigative ophthalmology & visual science · 2024Article
- Cost minimization analysis of indication-specific osteosynthesis material in oral and maxillofacial surgery.Oral and maxillofacial surgery · 2024Article
- Enhancing neurosurgical navigation operation flow management through personal digital assistant technology: a prospective cohort study.Frontiers in public health · 2024Article
- Impacts of an Electronic Health Record Transition on Veterans Health Administration Health Professions Trainee Experience.Journal of general internal medicine · 2023Article
- The Challenges of Nursing Presence at the Patient's Bedside from the Perspective of Nurses: A Qualitative Study.Ethiopian journal of health sciences · 2023Article
- Analysis on the completeness of case records of patients with penetrating ocular trauma following a multimodal intervention.Indian journal of ophthalmology · 2022Article
- Auditing service delivery in glaucoma clinics using visual field records: a feasibility study.BMJ open ophthalmology · 2019Article
- Nurses' Time Allocation and Multitasking of Nursing Activities: A Time Motion Study.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2018Article
- Time Requirements for Electronic Health Record Use in an Academic Ophthalmology Center.JAMA ophthalmology · 2017Article
- Introduction of a new electronic medical record system has mixed effects on first surgical case efficiency metrics.Journal of clinical monitoring and computing · 2017Article
- The effect of electronic health record software design on resident documentation and compliance with evidence-based medicine.PloS one · 2017Article
- A Survey of the Literature on Unintended Consequences Associated with Health Information Technology: 2014-2015.Yearbook of medical informatics · 2016Review
- A Two-Year Longitudinal Assessment of Ophthalmologists' Perceptions after Implementing an Electronic Health Record System.Applied clinical informatics · 2016Article
- The influence of a specific ophthalmological electronic health record on ICD-10 coding.BMC medical informatics and decision making · 2016Article
- [Development of an ophthalmological clinical information system for inpatient eye clinics].Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft · 2015Article
- Using High-Fidelity Simulation and Eye Tracking to Characterize EHR Workflow Patterns among Hospital Physicians.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2015Article
- eHealth 2015 Special Issue: Impact of Electronic Health Records on the Completeness of Clinical Documentation Generated during Diabetic Retinopathy Consultations.Applied clinical informatics · 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
9 authors.
Funding
Abstract
importanceAlthough electronic health record (EHR) systems have potential benefits, such as improved safety and quality of care, most ophthalmology practices in the United States have not adopted these systems. Concerns persist regarding potential negative impacts on clinical workflow. In particular, the impact of EHR operating room (OR) management systems on clinical efficiency in the ophthalmic surgery setting is unknown.
objectiveTo determine the impact of an EHR OR management system on intraoperative nursing documentation time, surgical volume, and staffing requirements. DESIGN, SETTING, AND
participantsFor documentation time and circulating nurses per procedure, a prospective cohort design was used between January 10, 2012, and January 10, 2013. For surgical volume and overall staffing requirements, a case series design was used between January 29, 2011, and January 28, 2013. This study involved ophthalmic OR nurses (n = 13) and surgeons (n = 25) at an academic medical center. EXPOSURES: Electronic health record OR management system implementation. MAIN OUTCOMES AND MEASURES: (1) Documentation time (percentage of operating time documenting [POTD], absolute documentation time in minutes), (2) surgical volume (procedures/time), and (3) staffing requirements (full-time equivalents, circulating nurses/procedure). Outcomes were measured during a baseline period when paper documentation was used and during the early (first 3 months) and late (4-12 months) periods after EHR implementation.
resultsThere was a worsening in total POTD in the early EHR period (83%) vs paper baseline (41%) (P < .001). This improved to baseline levels by the late EHR period (46%, P = .28), although POTD in the cataract group remained worse than at baseline (64%, P < .001). There was a worsening in absolute mean documentation time in the early EHR period (16.7 minutes) vs paper baseline (7.5 minutes) (P < .001). This improved in the late EHR period (9.2 minutes) but remained worse than in the paper baseline (P < .001). While cataract procedures required more circulating nurses in the early EHR (mean, 1.9 nurses/procedure) and late EHR (mean, 1.5 nurses/procedure) periods than in the paper baseline (mean, 1.0 nurses/procedure) (P < .001), overall staffing requirements and surgical volume were not significantly different between the periods. CONCLUSIONS AND RELEVANCE: Electronic health record OR management system implementation was associated with worsening of intraoperative nursing documentation time especially in shorter procedures. However, it is possible to implement an EHR OR management system without serious negative impacts on surgical volume and staffing requirements.
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.