ArticleAMIA ... Annual Symposium proceedings. AMIA Symposium2017
Using EHR audit trail logs to analyze clinical workflow: A case study from community-based ambulatory clinics.
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 21 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Using electronic health record audit logs to study clinical activity: a systematic review of aims, measures, and methods.Journal of the American Medical Informatics Association : JAMIA · 2020Pooled it
- Article
- EHR-derived cognitive load is associated with guideline-concordant statin initiation in primary care.BMC medical informatics and decision making · 2026Article
- Evaluating Cognitive Load in Clinical Workflows Highlights Leverage Points for Guideline-Concordant Statin Initiation.Research square · 2025Article
- Reimagining clinical AI: from clickstreams to clinical insights with EHR use metadata.npj health systems · 2025Review
- Article
- Effect of Tailored Coaching on Physicians' Electronic Health Record Proficiency and User Experience: A Randomized Crossover Study.Mayo Clinic proceedings. Digital health · 2023Article
- A Modification of Time-Driven Activity-Based Costing for Comparing Cost of Telehealth and In-Person Visits.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2022Article
- Evaluating the Impact of a Point-of-Care Cardiometabolic Clinical Decision Support Tool on Clinical Efficiency Using Electronic Health Record Audit Log Data: Algorithm Development and Validation.JMIR medical informatics · 2022Article
- Predicting next-day discharge via electronic health record access logs.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Otolaryngology resident clinic participation and attending electronic health record efficiency-A user activity logs study.Laryngoscope investigative otolaryngology · 2021Article
- Using a Clinical Workflow Analysis to Enhance eHealth Implementation Planning: Tutorial and Case Study.JMIR mHealth and uHealth · 2021Article
- An electronic health record (EHR) log analysis shows limited clinician engagement with unsolicited genetic test results.JAMIA open · 2021Article
- Effects of Computer-Based Documentation Procedures on Health Care Workload Assessment and Resource Allocation: An Example From VA Sleep Medicine Programs.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2020Article
- Defining an Essential Clinical Dataset for Admission Patient History to Reduce Nursing Documentation Burden.Applied clinical informatics · 2020Article
- Using machine learning to selectively highlight patient information.Journal of biomedical informatics · 2019Article
- Provider Survey on Automated Clinical Decision Support for Cardiovascular Risk Assessment.Mayo Clinic proceedings. Innovations, quality & outcomes · 2019Article
- Automatic Detection of Front-Line Clinician Hospital Shifts: A Novel Use of Electronic Health Record Timestamp Data.Applied clinical informatics · 2019Article
- Burnout and EHR use among academic primary care physicians with varied clinical workloads.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2019Article
- The potential role of dashboard use and navigation in reducing medical errors of an electronic health record system: a mixed-method simulation handoff study.Health systems (Basingstoke, England) · 2019Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
To develop a workflow-supported clinical documentation system, it is a critical first step to understand clinical workflow. While Time and Motion studies has been regarded as the gold standard of workflow analysis, this method can be resource consuming and its data may be biased due to the cognitive limitation of human observers. In this study, we aimed to evaluate the feasibility and validity of using EHR audit trail logs to analyze clinical workflow. Specifically, we compared three known workflow changes from our previous study with the corresponding EHR audit trail logs of the study participants. The results showed that EHR audit trail logs can be a valid source for clinical workflow analysis, and can provide an objective view of clinicians' behaviors, multi-dimensional comparisons, and a highly extensible analysis framework.
Indexed as
Identifiers
29854253PMC5977693What 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.