Observational studyInternational journal of medical informatics2015
Impact of electronic health record technology on the work and workflow of physicians in the intensive care unit.
Observational study in International journal of medical informatics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 3 of them syntheses that pooled it.
What it found
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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
62 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- 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
- The use of Electronic Health Records to Support Population Health: A Systematic Review of the Literature.Journal of medical systems · 2018Pooled it
- Usability and satisfaction of electronic medical records Interface and its relationship with work design among healthcare professionals at universal health insurance settings in Port Said, Egypt.Health policy OPEN · 2026Article
- "Most of what I do is a workaround now": Clinician Use of Workarounds Following an EHR Transition.Journal of general internal medicine · 2026Article
- Exploring Acceptance of a Clinical Workflow Tool in the Swedish Prosthetics and Orthotics Sector: Qualitative Study.JMIR formative research · 2026Article
- Electronic Health Record Burnout in Surgery and Strategies to Improve Burnout: A Narrative Review.Cureus · 2025Review
- Implementation of a digital coordination centre in a hospital: a qualitative evaluation of enablers, barriers and strategies.BMC health services research · 2025Article
- Barriers and Facilitators of the Use of Computerized Critical Care Information Systems in the Intensive Care Unit: Qualitative Interview Study.Journal of medical Internet research · 2025Article
- Standardized Comparison of Voice-Based Information and Documentation Systems to Established Systems in Intensive Care: Crossover Study.JMIR medical informatics · 2023Article
- "Everything's so Role-Specific": VA Employee Perspectives' on Electronic Health Record (EHR) Transition Implications for Roles and Responsibilities.Journal of general internal medicine · 2023Article
- Impacts of an Electronic Health Record Transition on Veterans Health Administration Health Professions Trainee Experience.Journal of general internal medicine · 2023Article
- Artificial Intelligence in Emergency Medicine: Viewpoint of Current Applications and Foreseeable Opportunities and Challenges.Journal of medical Internet research · 2023Review
- Examining Pediatric Resident Electronic Health Records Use During Prerounding: Mixed Methods Observational Study.JMIR medical education · 2023Article
- Novel Note Templates to Enhance Signal and Reduce Noise in Medical Documentation: Prospective Improvement Study.JMIR formative research · 2023Article
- A mixed-methods study of quality differences between applied documentation approaches in nursing homes.BMC nursing · 2022Article
- Effect of clinician attention switching on workload and wrong-patient errors.British journal of anaesthesia · 2022Article
- Article
- Characterization of Electronic Health Record Use Outside Scheduled Clinic Hours Among Primary Care Pediatricians: Retrospective Descriptive Task Analysis of Electronic Health Record Access Log Data.JMIR medical informatics · 2022Article
- Design, Implementation, Utilization, and Sustainability of a Fast Healthcare Interoperability Resources-Based Inpatient Rounding List.Applied clinical informatics · 2022Article
2 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
13 authors.
Funding
Abstract
objectiveTo assess the impact of EHR technology on the work and workflow of ICU physicians and compare time spent by ICU resident and attending physicians on various tasks before and after EHR implementation.
designEHR technology with electronic order management (CPOE, medication administration and pharmacy system) and physician documentation was implemented in October 2007. MEASUREMENT: We collected a total of 289 h of observation pre- and post-EHR implementation. We directly observed the work of residents in three ICUs (adult medical/surgical ICU, pediatric ICU and neonatal ICU) and attending physicians in one ICU (adult medical/surgical ICU).
resultsEHR implementation had an impact on the time distribution of tasks as well as the temporal patterns of tasks. After EHR implementation, both residents and attending physicians spent more of their time on clinical review and documentation (40% and 55% increases, respectively). EHR implementation also affected the frequency of switching between tasks, which increased for residents (from 117 to 154 tasks per hour) but decreased for attendings (from 138 to 106 tasks per hour), and the temporal flow of tasks, in particular around what tasks occurred before and after clinical review and documentation. No changes in the time spent in conversational tasks or the physical care of the patient were observed.
conclusionsThe use of EHR technology has a major impact on ICU physician work (e.g., increased time spent on clinical review and documentation) and workflow (e.g., clinical review and documentation becoming the focal point of many other tasks). Further studies should evaluate the impact of changes in physician work on the quality of care provided.
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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.