Evidence map›Paper›PMID 27437058›Full record

ArticleApplied clinical informatics2016

Exploring Dental Providers' Workflow in an Electronic Dental Record Environment.

Kelsey M Schwei, Ryan Cooper, Andrea N Mahnke, Zhan Ye, Amit Acharya

Abstract read
In one paragraph

Article in Applied clinical informatics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
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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

5 authors.

Kelsey M SchweiInstitute for Oral and Systemic Health, Marshfield Clinic Research Foundation , Marshfield, Wisconsin, USA.
Ryan CooperMinneapolis , Minnesota USA.
Andrea N MahnkeBiomedical Informatics Research Center, Marshfield Clinic Research Foundation , Marshfield, Wisconsin USA.
Zhan YeBiomedical Informatics Research Center, Marshfield Clinic Research Foundation , Marshfield, Wisconsin USA.
Amit AcharyaInstitute for Oral and Systemic Health, Marshfield Clinic Research Foundation, Marshfield, Wisconsin, USA; Biomedical Informatics Research Center, Marshfield Clinic Research Foundation, Marshfield, Wisconsin USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA workflow is defined as a predefined set of work steps and partial ordering of these steps in any environment to achieve the expected outcome. Few studies have investigated the workflow of providers in a dental office. It is important to understand the interaction of dental providers with the existing technologies at point of care to assess breakdown in the workflow which could contribute to better technology designs.

objectiveThe study objective was to assess electronic dental record (EDR) workflows using time and motion methodology in order to identify breakdowns and opportunities for process improvement.

methodsA time and motion methodology was used to study the human-computer interaction and workflow of dental providers with an EDR in four dental centers at a large healthcare organization. A data collection tool was developed to capture the workflow of dental providers and staff while they interacted with an EDR during initial, planned, and emergency patient visits, and at the front desk. Qualitative and quantitative analysis was conducted on the observational data.

resultsBreakdowns in workflow were identified while posting charges, viewing radiographs, e-prescribing, and interacting with patient scheduler. EDR interaction time was significantly different between dentists and dental assistants (6:20 min vs. 10:57 min, p = 0.013) and between dentists and dental hygienists (6:20 min vs. 9:36 min, p = 0.003).

conclusionsOn average, a dentist spent far less time than dental assistants and dental hygienists in data recording within the EDR.

Indexed as

DentistsElectronic Health RecordsWorkflowAppointments and SchedulesHumansdental clinicsdental recordshealth information systemsprocess assessment (health care)Time and motion studiesworkflow

Identifiers

PMID27437058
PMCPMC4941857

What OpenQuestion holds

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Registered trials

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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.