ArticleApplied clinical informatics2015
Emergency medicine resident physicians' perceptions of electronic documentation and workflow: a mixed methods study.
Article in Applied clinical informatics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.
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Who cites it
28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 50 citations in OpenAlex.
- Interaction Time with Electronic Health Records: A Systematic Review.Applied clinical informatics · 2021Pooled it
- Strategies for improving physician documentation in the emergency department: a systematic review.BMC emergency medicine · 2018Pooled it
- Electronic Health Record Documentation Times among Emergency Medicine Trainees.Perspectives in health information managemen · 2019Trial
- Electronic decision support for treatment of hospitalized smokers: A qualitative analysis of physicians' knowledge, attitudes, and practices.Drug and alcohol dependence · 2019Trial
- Digital Transformation in Healthcare and Nephrology.Cureus · 2026Review
- Medical and nursing clinician perspectives on the usability of the hospital electronic medical record: A qualitative analysis.Health information management : journal of the Health Information Management Association of Australia · 2024Article
- Understanding the perceived role of electronic health records and workflow fragmentation on clinician documentation burden in emergency departments.Journal of the American Medical Informatics Association : JAMIA · 2023Article
- Human-centered design of clinical decision support for management of hypertension with chronic kidney disease.BMC medical informatics and decision making · 2022Article
- Comparing International Experiences With Electronic Health Records Among Emergency Medicine Physicians in the United States and Norway: Semistructured Interview Study.JMIR human factors · 2022Article
- A clinical prediction tool to predict urinary tract infection in pediatric febrile patients younger than 2 years old: a retrospective analysis of a fever registry.Clinical and experimental emergency medicine · 2021Article
- Characterizing Multitasking and Workflow Fragmentation in Electronic Health Records among Emergency Department Clinicians: Using Time-Motion Data to Understand Documentation Burden.Applied clinical informatics · 2021Article
- Emergency medicine residents spend over 7.5 months of their 3-year residency on the electronic health record.AEM education and training · 2021Article
- Doctors documenting: an ethnographic and informatics approach to understanding attending physician documentation in the pediatric emergency department.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Physician Workflow in Two Distinctive Emergency Departments: An Observational Study.Applied clinical informatics · 2021Observational
- A Practical Approach for Monitoring the Use of Copy-Paste in Clinical Notes.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2021Article
- Tackling Burnout With Team Science: Nursing and Physician Collaborations on Improving Psychological Well-Being Among Emergency Clinicians.Journal of emergency nursing · 2020Article
- Situation of labour room documentation at secondary level public health facilities of Cuttack district, Odisha, India - A SWOT analysis.Journal of family medicine and primary care · 2020Article
- Documentation Displaces Teaching in an Academic Emergency Department.The western journal of emergency medicine · 2020Article
- Physicians' gender and their use of electronic health records: findings from a mixed-methods usability study.Journal of the American Medical Informatics Association : JAMIA · 2019Article
- Neurological Dashboards and Consultation Turnaround Time at an Academic Medical Center.Applied clinical informatics · 2019Article
Corrections and comments
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo understand emergency department (ED) physicians' use of electronic documentation in order to identify usability and workflow considerations for the design of future ED information system (EDIS) physician documentation modules.
methodsWe invited emergency medicine resident physicians to participate in a mixed methods study using task analysis and qualitative interviews. Participants completed a simulated, standardized patient encounter in a medical simulation center while documenting in the test environment of a currently used EDIS. We recorded the time on task, type and sequence of tasks performed by the participants (including tasks performed in parallel). We then conducted semi-structured interviews with each participant. We analyzed these qualitative data using the constant comparative method to generate themes.
resultsEight resident physicians participated. The simulation session averaged 17 minutes and participants spent 11 minutes on average on tasks that included electronic documentation. Participants performed tasks in parallel, such as history taking and electronic documentation. Five of the 8 participants performed a similar workflow sequence during the first part of the session while the remaining three used different workflows. Three themes characterize electronic documentation: (1) physicians report that location and timing of documentation varies based on patient acuity and workload, (2) physicians report a need for features that support improved efficiency; and (3) physicians like viewing available patient data but struggle with integration of the EDIS with other information sources.
conclusionWe confirmed that physicians spend much of their time on documentation (65%) during an ED patient visit. Further, we found that resident physicians did not all use the same workflow and approach even when presented with an identical standardized patient scenario. Future EHR design should consider these varied workflows while trying to optimize efficiency, such as improving integration of clinical data. These findings should be tested quantitatively in a larger, representative study.
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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.