ArticleJournal of the American Medical Informatics Association : JAMIA2020
Metrics for assessing physician activity using electronic health record log data.
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 109 papers, 1 of them a synthesis 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
109 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Clinical Implementation of Artificial Intelligence Scribes in Health Care: A Systematic Review.Applied clinical informatics · 2025Pooled it
- Effect of restricting electronic health records on clinician efficiency: substudy of a randomized clinical trial.Journal of the American Medical Informatics Association : JAMIA · 2023Trial
- Effects of electronic health records implementation on workflow and health care provider outcomes: a prospective, multi-professional cohort study.JAMIA open · 2026Article
- Quantitative Insights From Nursing Workload Measurement: An Artificial Intelligence-Driven Approach.Military medicine · 2026Article
- Article
- After-Hours Use of the Electronic Health Record Among Medical and Surgical Specialists After Implementation of a System-Wide Integrated Clinical Information System in Alberta, Canada: Longitudinal Descriptive Study.Journal of medical Internet research · 2026Article
- Hybrid Ambient Clinical Documentation and Physician Performance: Work Outside of Work, Documentation Delay, and Financial Productivity.Journal of general internal medicine · 2026Article
- Variation in Measures of Electronic Health Record Use Outside Scheduled Hours: A Cross-Sectional Study of Academic Primary Care Physicians.Applied clinical informatics · 2026Article
- Nested order panels for adult primary care modestly improves ordering efficiency among high utilizers.JAMIA open · 2026Article
- Organizational Psychology Theories in Graduate Medical Education: A Narrative Review.HCA healthcare journal of medicine · 2026Review
- Work outside of work: after-hours use of the electronic medical record among residents at an academic veterinary teaching hospital.Frontiers in veterinary science · 2026Article
- Toward a National Health Digital and Data Architecture: Laying the Foundation for Digital Transformation: Commission on Investment Imperatives for a Healthy Nation.NAM perspectives · 2026Review
- Higher electronic health record burden among women physicians in academic ambulatory medicine.JAMIA open · 2025Article
- A Pragmatic Randomized Controlled Trial of Ambient Artificial Intelligence to Improve Health Practitioner Well-Being.NEJM AI · 2025Article
- Protected Time for Electronic Health Record Work and Physician Productivity.JAMA network open · 2025Article
- Utilization of Generative AI-drafted Responses for Managing Patient-Provider Communication.NPJ digital medicine · 2025Article
- Identifying Electronic Health Record Tasks and Activity Using Computer Vision.Applied clinical informatics · 2025Article
- A Novel Playbook for Pragmatic Trial Operations to Monitor and Evaluate Ambient Artificial Intelligence in Clinical Practice.NEJM AI · 2025Article
- Differences in physician electronic health record use by telemedicine intensity: evidence from 2 academic medical centers.Journal of the American Medical Informatics Association : JAMIA · 2025Article
- Bridging Global Frameworks and Local Practice: Quantitative Evaluation of Electronic Health Record Safety in Kuwait's Public Hospitals.JMIR medical informatics · 2025Article
49 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors.
Funding
Abstract
Electronic health record (EHR) log data have shown promise in measuring physician time spent on clinical activities, contributing to deeper understanding and further optimization of the clinical environment. In this article, we propose 7 core measures of EHR use that reflect multiple dimensions of practice efficiency: total EHR time, work outside of work, time on documentation, time on prescriptions, inbox time, teamwork for orders, and an aspirational measure for the amount of undivided attention patients receive from their physicians during an encounter, undivided attention. We also illustrate sample use cases for these measures for multiple stakeholders. Finally, standardization of EHR log data measure specifications, as outlined here, will foster cross-study synthesis and comparative research.
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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.