Evidence map›Paper›PMID 25456030›Full record

ArticleJournal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus2014

Electronic health record impact on productivity and efficiency in an academic pediatric ophthalmology practice.

Travis K Redd, Sarah Read-Brown, Dongseok Choi, Thomas R Yackel, Daniel C Tu, Michael F Chiang

Abstract read
In one paragraph

Article in Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
–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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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.

Travis K ReddDepartment of Ophthalmology, Portland, Oregon; Department of Public Health & Preventive Medicine, Portland, Oregon.
Sarah Read-BrownDepartment of Ophthalmology, Portland, Oregon.
Dongseok ChoiDepartment of Ophthalmology, Portland, Oregon; Department of Public Health & Preventive Medicine, Portland, Oregon; Community Dentistry, Oregon Health & Science University, Portland, Oregon.
Thomas R YackelDepartment of Medical Informatics & Clinical Epidemiology, Portland, Oregon.
Daniel C TuDepartment of Ophthalmology, Portland, Oregon; Operative Care Division, Portland Veterans Affairs Medical Center, Portland, Oregon.
Michael F ChiangDepartment of Ophthalmology, Portland, Oregon; Department of Medical Informatics & Clinical Epidemiology, Portland, Oregon. Electronic address: chiangm@ohsu.edu.

Funding

Proteomics CoreP30EY010572 · NEI · OREGON HEALTH & SCIENCE UNIVERSITY · PI TED S ACOTT · 1995 to 2026
$19.4M
NEI NIH HHS EY010572NEI NIH HHS P30 EY010572
6 · The paper itself

Abstract

purposeTo measure the effect of electronic health record (EHR) implementation on productivity and efficiency in the pediatric ophthalmology division at an academic medical center.

methodsFour established providers were selected from the pediatric ophthalmology division at the Oregon Health & Science University Casey Eye Institute. Clinical volume was compared before and after EHR implementation for each provider. Time elapsed from chart open to completion (OTC time) and the proportion of charts completed during business hours were monitored for 3 years following implementation.

resultsOverall there was an 11% decrease in clinical volume following EHR implementation, which was not statistically significant (P = 0.18). The mean OTC time ranged from 5.5 to 28.3 hours among providers in this study, and trends over time were variable among the four providers. Forty-four percent of all charts were closed outside normal business hours (30% on weekdays, 14% on weekends).

conclusionsEHR implementation was associated with a negative impact on productivity and efficiency in our pediatric ophthalmology division.

Indexed as

Health Plan ImplementationPediatricsAcademic Medical CentersChildEfficiency, OrganizationalElectronic Health RecordsFemaleHealth PersonnelHumansMaleOphthalmologyPractice Patterns, Physicians'United States

Identifiers

PMID25456030
PMCPMC4267903

What OpenQuestion holds

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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.