ArticleApplied clinical informatics2020
Promoting Quality Face-to-Face Communication during Ophthalmology Encounters in the Electronic Health Record Era.
Article in Applied clinical informatics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses 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
9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.
- 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
- Image-Quality-Aware Multimodal Artificial Intelligence for Automated Structured OCT Report Generation in Glaucoma Evaluation.Ophthalmology science · 2026Article
- Glaucoma Detection and Structured OCT Report Generation via a Fine-tuned Multimodal Large Language Model.ArXiv · 2025Article
- Toward Alleviating Clinician Documentation Burden: A Scoping Review of Burden Reduction Efforts.Applied clinical informatics · 2024Article
- 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
- Social Determinants of Health Data Availability for Patients with Eye Conditions.Ophthalmology science · 2022Article
- Applications of natural language processing in ophthalmology: present and future.Frontiers in medicine · 2022Review
- Analysis of ChatGPT Responses to Ophthalmic Cases: Can ChatGPT Think like an Ophthalmologist?Ophthalmology scienceArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
14 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveTo evaluate informatics-enabled quality improvement (QI) strategies for promoting time spent on face-to-face communication between ophthalmologists and patients.
methodsThis prospective study involved deploying QI strategies during implementation of an enterprise-wide vendor electronic health record (EHR) in an outpatient academic ophthalmology department. Strategies included developing single sign-on capabilities, activating mobile- and tablet-based applications, EHR personalization training, creating novel workflows for team-based orders, and promoting problem-based charting to reduce documentation burden. Timing data were collected during 648 outpatient encounters. Outcomes included total time spent by the attending ophthalmologist on the patient, time spent on documentation, time spent on examination, and time spent talking with the patient. Metrics related to documentation efficiency, use of personalization features, use of team-based orders, and note length were also measured from the EHR efficiency portal and compared with averages for ophthalmologists nationwide using the same EHR.
resultsTime spent on exclusive face-to-face communication with patients initially decreased with EHR implementation (2.9 to 2.3 minutes,
conclusionInformatics-enabled QI interventions can promote patient-centeredness and face-to-face communication in high-volume outpatient ophthalmology encounters. By employing an array of interventions, time spent exclusively talking with the patient returned to levels equivalent to paper charts by 6 months after EHR implementation. This was achieved without requiring EHR redesign, use of scribes, or excessive after-hours work. Documentation efficiency can be achieved using interventions promoting personalization and team-based workflows. Given their efficacy in preserving face-to-face physician-patient interactions, these strategies may help alleviate risk of physician 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.