ArticleApplied clinical informatics2019
Automatic Detection of Front-Line Clinician Hospital Shifts: A Novel Use of Electronic Health Record Timestamp Data.
Article in Applied clinical informatics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
What it found
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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.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 15 citations in OpenAlex.
- Uses of Electronic Health Record Data to Measure the Clinical Learning Environment of Graduate Medical Education Trainees: A Systematic Review.Academic medicine : journal of the Association of American Medical Colleges · 2023Pooled 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
- Algorithmic Identification of the Daily Primary Frontline Clinician during Inpatient Medicine Encounters Using EHR Audit Log Data.Applied clinical informatics · 2026Article
- Reimagining clinical AI: from clickstreams to clinical insights with EHR use metadata.npj health systems · 2025Review
- Characterizing the macrostructure of electronic health record work using raw audit logs: an unsupervised action embeddings approach.Journal of the American Medical Informatics Association : JAMIA · 2023Article
- Temporal Associations Between EHR-Derived Workload, Burnout, and Errors: a Prospective Cohort Study.Journal of general internal medicine · 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
- 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
- Electronic Health Record Use among Ophthalmology Residents while on Call.Journal of academic ophthalmology (2017) · 2020Article
- Attributing Patients to Pediatric Residents Using Electronic Health Record Features Augmented with Audit Logs.Applied clinical informatics · 2020Article
- Pediatric trainees systematically under-report duty hour violations compared to electronic health record defined shifts.PloS one · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveExcess physician work hours contribute to burnout and medical errors. Self-report of work hours is burdensome and often inaccurate. We aimed to validate a method that automatically determines provider shift duration based on electronic health record (EHR) timestamps across multiple inpatient settings within a single institution.
methodsWe developed an algorithm to calculate shift start and end times for inpatient providers based on EHR timestamps. We validated the algorithm based on overlap between calculated shifts and scheduled shifts. We then demonstrated a use case by calculating shifts for pediatric residents on inpatient rotations from July 1, 2015 through June 30, 2016, comparing hours worked and number of shifts by rotation and role.
resultsWe collected 6.3 × 10
conclusionAutomatic calculation of inpatient provider work hours is feasible using EHR timestamps. An algorithm to assess provider work hours demonstrated criterion validity via comparison with scheduled shifts. Differences between junior and senior residents in calculated mean hours worked and number of shifts per 4-week block were also consistent with differences in scheduled shifts and duty-hour restrictions.
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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.