ArticleJAMIA open2019
Electronic health record (EHR) training program identifies a new tool to quantify the EHR time burden and improves providers' perceived control over their workload in the EHR.
Article in JAMIA open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07742761 (Emergency Medicine Practitioners Overall Well-being Enhancement With Ambient AI Scribes), which is not on this map. Cited by 39 papers, 3 of them syntheses that pooled it.
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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.
Emergency Medicine Practitioners Overall Well-being Enhancement With Ambient AI Scribes
Who cites it
39 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Measuring Documentation Burden in Healthcare.Journal of general internal medicine · 2024Pooled it
- Interventions to Reduce Electronic Health Record-Related Burnout: A Systematic Review.Applied clinical informatics · 2024Pooled it
- Factors associated with nurse well-being in relation to electronic health record use: A systematic review.Journal of the American Medical Informatics Association : JAMIA · 2021Pooled it
- Quantifying and Visualizing Emergency Physician Workflow: Observational Time-Motion Study.JMIR medical informatics · 2026Observational
- Supervising Trainee Inter-Visit Care Using EHR Learning Analytics: Formative Training Tool or Threat to Well-Being?Journal of graduate medical education · 2025Article
- Secure messaging telehealth billing in the digital age: moving beyond time-based metrics.Journal of the American Medical Informatics Association : JAMIA · 2025Article
- Taking a Team Approach: Keep Up with the EHR with a Training and Optimization Program.Applied clinical informatics · 2025Article
- Measuring cognitive effort using tabular transformer-based language models of electronic health record-based audit log action sequences.Journal of the American Medical Informatics Association : JAMIA · 2024Article
- Health professionals' perceptions of electronic health records system: a mixed method study in Ghana.BMC medical informatics and decision making · 2024Article
- Sprint-inspired One-on-One Post-Go-Live Training Session (Mini-Sprint) Improves Provider Electronic Health Record Efficiency and Satisfaction.Applied clinical informatics · 2024Article
- The role of organizations in shaping physician use of electronic health records.Health services research · 2024Article
- Graph theoretic visualization of patient and health worker messaging in the EHR.Frontiers in artificial intelligence · 2024Article
- Documentation dynamics: Note composition, burden, and physician efficiency.Health services research · 2023Article
- The Impact of Training on Electronic Health Records Related Knowledge, Practical Competencies, and Staff Satisfaction: A Pre-Post Intervention Study Among Wellness Center Providers in a Primary Health-Care Facility.Journal of multidisciplinary healthcare · 2023Article
- Professional Competence and Its Effect on the Implementation of Healthcare 4.0 Technologies: Scoping Review and Future Research Directions.International journal of environmental research and public health · 2022Article
- Using event logs to observe interactions with electronic health records: an updated scoping review shows increasing use of vendor-derived measures.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- Using electronic health record audit log data for research: insights from early efforts.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- Temporal Associations Between EHR-Derived Workload, Burnout, and Errors: a Prospective Cohort Study.Journal of general internal medicine · 2022Article
- Cluster Analysis of Primary Care Physician Phenotypes for Electronic Health Record Use: Retrospective Cohort Study.JMIR medical informatics · 2022Article
- Predicting physician burnout using clinical activity logs: Model performance and lessons learned.Journal of biomedical informatics · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo understand if providers who had additional electronic health record (EHR) training improved their satisfaction, decreased personal EHR-use time, and decreased turnaround time on tasks. MATERIALS AND
methodsThis pre-post study with no controls evaluated the impact of a supplemental EHR training program on a group of academic and community practice clinicians that previously had go-live group EHR training and 20 months experience using this EHR on self-reported data, calculated EHR time, and vendor-reported metrics.
resultsProviders self-reported significant improvements in their knowledge of efficiency tools in the EHR after training and doubled (significant) their preference list entries (mean pre = 38.1 [65.88], post = 63.5 [90.47], DISCUSSION: Multiple sources of data provide a holistic view of the provider experience in the EHR. This study suggests that individualized EHR training can improve the knowledge of EHR tools and satisfaction with their perceived control of EHR workload, however this did not translate into less Clinician Logged-In Outside Clinic (CLOC) time, a calculated metric, nor quicker turnaround on in box tasks. CLOC time emerged as a potential less-costly surrogate metric for provider satisfaction in EHR work than surveying clinicians. Further study is required to understand the cost-benefit of various interventions to decrease CLOC time.
conclusionsThis supplemental EHR training session, 20 months post go-live, where most participants elected to receive 2 or fewer sessions did significantly improve provider satisfaction with perceived control over their workload in the EHR, but it was not effective in decreasing EHR-use time outside of clinic. CLOC time, a calculated metric, could be a practical trackable surrogate for provider satisfaction (inverse correlation) with after-hours time spent in the EHR. Further study into interventions that decrease CLOC time and improve turnaround time to respond to inbox tasks are suggested next steps.
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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.