Evidence map›Paper›PMID 30815099›Full record

ArticleAMIA ... Annual Symposium proceedings. AMIA Symposium2018

Clinical Documentation in Electronic Health Record Systems: Analysis of Patient Record Review During Outpatient Ophthalmology Visits.

Michelle R Hribar, David Biermann, Isaac H Goldstein, Michael F Chiang

Abstract read
In one paragraph

Article in AMIA ... Annual Symposium proceedings. AMIA Symposium, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. 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.

Michelle R HribarDepartment of Medical Informatics and Clinical Epidemiology.
David BiermannSchool of Medicine.
Isaac H GoldsteinDepartment of Ophthalmology, Oregon Health & Science University.
Michael F ChiangDepartment of Medical Informatics and Clinical Epidemiology.

Funding

TRAINING PROGRAM IN HEALTH INFORMATICST15LM007088 · NLM · OREGON HEALTH & SCIENCE UNIVERSITY · PI WILLIAM R HERSH, Vishnu Mohan · 1992 to 2026
$23.4M
Pharmacology CoreU54AT008909 · NCCIH · WASHINGTON STATE UNIVERSITY · PI BOYCE, RICHARD DAVID · 2015 to 2024
$22.4M
Proteomics CoreP30EY010572 · NEI · OREGON HEALTH & SCIENCE UNIVERSITY · PI TED S ACOTT · 1995 to 2026
$19.4M
Modeling and Optimization of Clinical Processes Using EHR DataR00LM012238 · NLM · OREGON HEALTH & SCIENCE UNIVERSITY · PI HRIBAR, MICHELLE · 2017 to 2019
$672k
NEI NIH HHS P30 EY010572NLM NIH HHS R00 LM012238NLM NIH HHS T15 LM007088
6 · The paper itself

Abstract

Busy clinicians struggle with productivity and usability in electronic health record systems (EHRs). While previous studies have investigated documentation practices and strategies in the inpatient setting, outpatient documentation and review practices by clinicians using EHRs are relatively unknown. In this study, we look at clinicians' patterns of note review in the EHR during outpatient follow-up office visits in ophthalmology. Key findings from this study are that the number and percentage of notes reviewed is very low, there is variation between providers, specialties, and users, and staff access more notes than physicians. These findings suggest that the vast majority of content in the EHR is not being used by clinicians; improved EHR designs would better present this data and support the information needs of outpatient clinicians.

Indexed as

Ambulatory CareElectronic Health RecordsHealth PersonnelHumansMedical Records Systems, ComputerizedOphthalmology

Identifiers

PMID30815099
PMCPMC6371368

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.