SynthesisJournal of the American Medical Informatics Association : JAMIA2017
Developing an evidence base of best practices for integrating computerized systems into the exam room: a systematic review.
Synthesis in Journal of the American Medical Informatics Association : JAMIA, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled 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.
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
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- How does medical scribes' work inform development of speech-based clinical documentation technologies? A systematic review.Journal of the American Medical Informatics Association : JAMIA · 2020Pooled it
- Improving Patient-Provider Communication and Therapeutic Practice Through Better Integration of Electronic Health Records in the Exam Room: A Pilot Study.Health education & behavior : the official publication of the Society for Public Health Education · 2019Trial
- Observer: creation of a novel multimodal dataset for outpatient care research.Journal of the American Medical Informatics Association : JAMIA · 2026Article
- Observer: Creation of a Novel Multimodal Dataset for Outpatient Care Research.medRxiv : the preprint server for health sciences · 2025Article
- The impact of eHealth on relationships and trust in primary care: a review of reviews.BMC primary care · 2023Review
- Evaluation of Eye Gaze Dynamics During Physician-Patient-Computer Interaction in Federally Qualified Health Centers: Systematic Analysis.JMIR human factors · 2023Article
- How Do Patients Want Us to Use the Computer During Medical Encounters?-A Discrete Choice Experiment Study.Journal of general internal medicine · 2021Article
- An interview study with medical scribes on how their work may alleviate clinician burnout through delegated health IT tasks.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- The elephant in the room: a postphenomenological view on the electronic health record and its impact on the clinical encounter.Medicine, health care, and philosophy · 2020Article
- Strategies to enhance communication with telemental health measurement-based care (tMBC).Practice innovations (Washington, D.C.) · 2020Article
- Whose System is it Anyway? How Clients and Providers Evaluate the Impact of Session EHR Use on Communication in Mental Health Treatment.Community mental health journal · 2020Article
- Article
- Provider Preference in Exam Room Layout Design and Computing.Applied clinical informatics · 2019Article
- The Thrill Is Gone: Burdensome Electronic Documentation Takes Its Toll on Physicians' Time and Attention.Journal of general internal medicine · 2019Article
- Field Investigation of Ambulatory Clinic Exam Room Design with respect to Computing Devices: A Pilot Study.Proceedings of the Human Factors and Ergonomics Society ... Annual Meeting. Human Factors and Ergonomics Society. Annual meeting · 2018Article
- The electronic health record as a patient engagement tool: mirroring clinicians' screen to create a shared mental model.JAMIA open · 2018Article
- Ambulatory Clinic Exam Room Design with respect to Computing Devices: A Laboratory Simulation Study.IISE transactions on occupational ergonomics and human factors · 2018Article
- Use of the Electronic Health Record During Clinical Encounters: An Experience Survey.Annals of family medicineArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
objectiveThe introduction of health information technology systems, electronic health records in particular, is changing the nature of how clinicians interact with patients. Lack of knowledge remains on how best to integrate such systems in the exam room. The purpose of this systematic review was to (1) distill "best" behavioral and communication practices recommended in the literature for clinicians when interacting with patients in the presence of computerized systems during a clinical encounter, (2) weigh the evidence of each recommendation, and (3) rank evidence-based recommendations for electronic health record communication training initiatives for clinicians.
methodsWe conducted a literature search of 6 databases, resulting in 52 articles included in the analysis. We extracted information such as study setting, research design, sample, findings, and implications. Recommendations were distilled based on consistent support for behavioral and communication practices across studies.
resultsEight behavioral and communication practices received strong support of evidence in the literature and included specific aspects of using computerized systems to facilitate conversation and transparency in the exam room, such as spatial (re)organization of the exam room, maintaining nonverbal communication, and specific techniques that integrate the computerized system into the visit and engage the patient. Four practices, although patient-centered, have received insufficient evidence to date. DISCUSSION AND
conclusionWe developed an evidence base of best practices for clinicians to maintain patient-centered communications in the presence of computerized systems in the exam room. Further work includes development and empirical evaluation of evidence-based guidelines to better integrate computerized systems into clinical care.
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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.