Evidence map›Paper›PMID 29854142›Full record

ArticleAMIA ... Annual Symposium proceedings. AMIA Symposium2017

Quantifying the Impact of Trainee Providers on Outpatient Clinic Workflow using Secondary EHR Data.

Isaac H Goldstein, Michelle R Hribar, Read-Brown Sarah, Michael F Chiang

Abstract read
In one paragraph

Article in AMIA ... Annual Symposium proceedings. AMIA Symposium, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Inferring EHR Utilization Workflows through Audit Logs.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2022
    Article
  7. Article
  8. Article
  9. Secondary use of electronic health record data for clinical workflow analysis.Journal of the American Medical Informatics Association : JAMIA · 2018
    Article
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

4 authors.

Isaac H GoldsteinOphthalmology Oregon Health & Science University, Portland, OR.
Michelle R HribarMedical Informatics & Clinical Epidemiology, Portland, OR.
Read-Brown SarahOphthalmology Oregon Health & Science University, Portland, OR.
Michael F ChiangMedical Informatics & Clinical Epidemiology, Portland, OR.

Funding

TRAINING PROGRAM IN HEALTH INFORMATICST15LM007088 · NLM · OREGON HEALTH & SCIENCE UNIVERSITY · PI WILLIAM R HERSH, Vishnu Mohan · 1992 to 2026
$23.4M
Modeling and Optimization of Clinical Processes Using EHR DataR00LM012238 · NLM · OREGON HEALTH & SCIENCE UNIVERSITY · PI HRIBAR, MICHELLE · 2017 to 2019
$672k
Modeling and Optimization of Clinical Processes Using EHR DataK99LM012238 · NLM · OREGON HEALTH & SCIENCE UNIVERSITY · PI HRIBAR, MICHELLE · 2015 to 2016
$178k
NLM NIH HHS K99 LM012238NLM NIH HHS R00 LM012238NLM NIH HHS T15 LM007088
6 · The paper itself

Abstract

Providers today face productivity challenges including increased patient loads, increased clerical burdens from new government regulations and workflow impacts of electronic health records (EHR). Given these factors, methods to study and improve clinical workflow continue to grow in importance. Despite the ubiquitous presence of trainees in academic outpatient clinics, little is known about the impact of trainees on academic workflow. The purpose of this study is to demonstrate that secondary EHR data can be used to quantify that impact, with potentially important results for clinic efficiency and provider reimbursement models. Key findings from this study are that (1) Secondary EHR data can be used to reflect in clinic trainee activity, (2) presence of trainees, particularly in high-volume clinic sessions, is associated with longer session lengths, and (3) The timing of trainee appointments within clinic sessions impacts the session length.

Indexed as

Appointments and SchedulesEducation, Medical, GraduateElectronic Health RecordsWorkflowAcademic Medical CentersAdultEfficiency, OrganizationalFemaleHumansLinear ModelsMaleMiddle AgedOphthalmologyOregonOutpatient Clinics, HospitalTime Factors

Identifiers

PMID29854142
PMCPMC5977711

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.