ArticleApplied clinical informatics2018
Efficiency of Emergency Physicians: Insights from an Observational Study using EHR Log Files.
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 20 papers, 4 of them syntheses 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
20 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Measuring Documentation Burden in Healthcare.Journal of general internal medicine · 2024Pooled it
- The role of information systems in emergency department decision-making-a literature review.Journal of the American Medical Informatics Association : JAMIA · 2024Pooled it
- Interaction Time with Electronic Health Records: A Systematic Review.Applied clinical informatics · 2021Pooled 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
- Electronic health record activity changes around new decision support implementation: monitoring using audit logs and topic modeling.JAMIA open · 2025Article
- Keeping medical information safe and confidential: a qualitative study on perceptions of Israeli physicians.Israel journal of health policy research · 2024Article
- Understanding the perceived role of electronic health records and workflow fragmentation on clinician documentation burden in emergency departments.Journal of the American Medical Informatics Association : JAMIA · 2023Article
- Team is brain: leveraging EHR audit log data for new insights into acute care processes.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- Accuracy of Physician Electronic Health Record Usage Analytics using Clinical Test Cases.Applied clinical informatics · 2022Article
- Opportunities to use electronic health record audit logs to improve cancer care.Cancer medicine · 2022Review
- Cluster Analysis of Primary Care Physician Phenotypes for Electronic Health Record Use: Retrospective Cohort Study.JMIR medical informatics · 2022Article
- Primary care physicians' electronic health record proficiency and efficiency behaviors and time interacting with electronic health records: a quantile regression analysis.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- Using Time Series Clustering to Segment and Infer Emergency Department Nursing Shifts from Electronic Health Record Log Files.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2022Article
- Characterizing Multitasking and Workflow Fragmentation in Electronic Health Records among Emergency Department Clinicians: Using Time-Motion Data to Understand Documentation Burden.Applied clinical informatics · 2021Article
- Modeling patient-related workload in the emergency department using electronic health record data.International journal of medical informatics · 2021Article
- Conceptual considerations for using EHR-based activity logs to measure clinician burnout and its effects.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Measurement of clinical documentation burden among physicians and nurses using electronic health records: a scoping review.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Effects of Electronic Health Record Implementation and Barriers to Adoption and Use: A Scoping Review and Qualitative Analysis of the Content.Life (Basel, Switzerland) · 2020Article
- Neurological Dashboards and Consultation Turnaround Time at an Academic Medical Center.Applied clinical informatics · 2019Article
- Emergency Physicians' Perceived Influence of EHR Use on Clinical Workflow and Performance Metrics.Applied clinical informatics · 2018Article
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.
Funding
Abstract
objectiveWith federal mandates and incentives since the turn of this decade, electronic health records (EHR) have been widely adopted and used for clinical care. Over the last several years, we have seen both positive and negative perspectives on its use. Using an analysis of log files of EHR use, we investigated the nature of EHR use and their effect on an emergency department's (ED) throughput and efficiency.
methodsEHR logs of time spent by attending physicians on EHR-based activities over a 6-week period (
resultsWe found positive correlations between physician review of patient charts, and door-to-disposition time (
conclusionThe results highlight that longer time spent on reviewing information on the EHR is potentially associated with decreased ED throughput efficiency. Balancing these competing goals is often a challenge of physicians, and its implications for patient safety is discussed.
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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.