ArticleApplied clinical informatics2018
Time Spent on Dedicated Patient Care and Documentation Tasks Before and After the Introduction of a Structured and Standardized Electronic Health Record.
Article in Applied clinical informatics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers, 2 of them syntheses that pooled it.
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Who cites it
71 citing papers in PubMed, 2 syntheses or guidelines pooled it, 145 citations in OpenAlex.
- Natural language processing in clinical neuroscience and psychiatry: A review.Frontiers in psychiatry · 2022Pooled it
- Interaction Time with Electronic Health Records: A Systematic Review.Applied clinical informatics · 2021Pooled it
- Digital informed consent for urological surgery - randomized controlled study comparing multimedia-supported vs. traditional paper-based informed consent concerning satisfaction, anxiety, information gain and time efficiency.Prostate cancer and prostatic diseases · 2024Trial
- Physicians' Complex Relationships With Health Information Technology and Burnout: Cross-Sectional Survey Study.JMIR human factors · 2026Article
- Evaluation of an AI Medical Scribe After 236,153 Notes Generated Across Care Levels in a European Health System: Mixed Methods Retrospective Observational Study.JMIR medical informatics · 2026Observational
- Open-source large language model-based on-premises pipeline for automated data extraction from unstructured electronic health records: a pilot study.BMJ health & care informatics · 2026Article
- Eliminating Nonvalue-Added Tasks in Health Care: Artificial Intelligence in the Orthopedic Office.Journal of hand surgery global online · 2026Article
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- Enhancing System Empathy Within a UK Emergency Department: A Feasibility Interprofessional Priority Setting Exercise.Journal of evaluation in clinical practice · 2026Article
- Artificial intelligence applications in automated dental report generation - a scoping review.Frontiers in oral health · 2026Review
- If you build it, they will stay! Sustaining evidence-based practices for the treatment of substance use disorders through investment in workforce retention.Frontiers in public health · 2026Article
- Billing and Coding Rounds: Turning Daily Encounters Into Dollars and Sense.MedEdPORTAL : the journal of teaching and learning resources · 2026Article
- Implementation of large language models in electronic health records.PLOS digital health · 2025Article
- Working time distribution and administrative burden in Austrian community health nursing: A cross-sectional survey.International journal of nursing studies advances · 2025Article
- Structured panendoscopy reports improve report completeness and documentation time.Scientific reports · 2025Article
- Review
- A software pipeline for medical information extraction with large language models, open source and suitable for oncology.NPJ precision oncology · 2025Review
- Effect of a generative artificial intelligence digital scribe on pediatric provider documentation time, cognitive burden, and burnout.JAMIA open · 2025Article
- Current Relative Value Scale Methodology Underestimates Perioperative Workload in Hip Arthroscopy.Arthroscopy, sports medicine, and rehabilitation · 2025Article
11 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
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPhysicians spend around 35% of their time documenting patient data. They are concerned that adopting a structured and standardized electronic health record (EHR) will lead to more time documenting and less time for patient care, especially during consultations.
objectiveThis study measures the effect of the introduction of a structured and standardized EHR on documentation time and time for dedicated patient care during outpatient consultations.
methodsWe measured physicians' time spent on four task categories during outpatient consultations: documentation, patient care, peer communication, and other activities. Physicians covered various specialties from two university hospitals that jointly implemented a structured and standardized EHR. Preimplementation, one hospital used a legacy-EHR, and one primarily paper-based records. The same physicians were observed 2 to 6 months before and 6 to 8 months after implementation.We analyzed consultation duration, and percentage of time spent on each task category. Differences in time distribution before and after implementation were tested using multilevel linear regression.
resultsWe observed 24 physicians (162 hours, 439 consultations). We found no significant difference in consultation duration or number of consultations per hour. In the legacy-EHR center, we found the implementation associated with a significant decrease in time spent on dedicated patient care (-8.5%). In contrast, in the previously paper-based center, we found a significant increase in dedicated time spent on documentation (8.3%) and decrease in time on combined patient care and documentation (-4.6%). The effect on dedicated documentation time significantly differed between centers.
conclusionImplementation of a structured and standardized EHR was associated with 8.5% decrease in time for dedicated patient care during consultations in one center and 8.3% increase in dedicated documentation time in another center. These results are in line with physicians' concerns that the introduction of a structured and standardized EHR might lead to more documentation burden and less time for dedicated patient care.
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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.