ArticleJournal of the American Medical Informatics Association : JAMIA2020
Have you got the time? Challenges using vendor electronic health record metrics of provider efficiency.
Article in Journal of the American Medical Informatics Association : JAMIA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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
23 citing papers in PubMed, 27 citations in OpenAlex.
- Nested order panels for adult primary care modestly improves ordering efficiency among high utilizers.JAMIA open · 2026Article
- Identifying Electronic Health Record Tasks and Activity Using Computer Vision.Applied clinical informatics · 2025Article
- Electronic health record activity changes around new decision support implementation: monitoring using audit logs and topic modeling.JAMIA open · 2025Article
- Explaining Variability in Electronic Health Record Effort in Primary Care Ambulatory Encounters.Applied clinical informatics · 2024Article
- Back to Babies: Reducing Documentation Time in the NICU.ACI open · 2024Article
- 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
- Creating Conversion Factors from EHR Event Log Data: A Comparison of Investigator-Derived and Vendor-Derived Metrics for Primary Care Physicians.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2023Observational
- 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
- Predicting physician burnout using clinical activity logs: Model performance and lessons learned.Journal of biomedical 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
- An Analysis of Electronic Health Record Work to Manage Asynchronous Clinical Messages among Breast Cancer Care Teams.Applied clinical informatics · 2021Article
- Characterizing physician EHR use with vendor derived data: a feasibility study and cross-sectional analysis.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Improved Medical Student Engagement with EHR Documentation following the 2018 Centers for Medicare and Medicaid Billing Changes.Applied clinical informatics · 2021Article
- A Scoping Review of Health Information Technology in Clinician Burnout.Applied clinical informatics · 2021Article
- Novel Nonproprietary Measures of Ambulatory Electronic Health Record Use Associated with Physician Work Exhaustion.Applied clinical informatics · 2021Article
- Reducing electronic health record-related burnout in providers through a personalized efficiency improvement program.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Measures of electronic health record use in outpatient settings across vendors.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Electronic display of a patient treatment over time: a perspective on clinicians' burn-out.BMJ health & care informatics · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The rise of clinician burnout has been correlated with the increased adoption of electronic health records (EHRs). Some vendors have used data entry logs to measure the amount of time spent using the EHR and have developed metrics of provider efficiency. Initial attempts to utilize these data have proven difficult as it is not always apparent whether variations reflect provider behavior or simply the metric definitions. Metric definitions are also updated intermittently without warning, making longitudinal assessment problematic. Because the metrics are based on proprietary algorithms, they are impossible to validate without costly time-motion studies and are also difficult to compare across institutions and vendors. Clinical informaticians must partner with vendors in order to develop industry standards of EHR use, which could then be used to examine the impact of EHRs on clinician burnout.
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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.