ArticleJournal of the American Medical Informatics Association : JAMIA2021
Measures of electronic health record use in outpatient settings across vendors.
Article in Journal of the American Medical Informatics Association : JAMIA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 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
41 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Measuring Documentation Burden in Healthcare.Journal of general internal medicine · 2024Pooled it
- 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
- Reducing Preventive-to-E/M Code Conversion Using a Diagnosis-Triggered Documentation Template.Advances in health information science and practice · 2026Observational
- Enhancing clinical documentation with voice processing and large language models: a study on the LAOS system.NPJ digital medicine · 2025Article
- The Digital Workload Divide: Investigating Gender Differences in Electronic Health Record Messaging among Primary Care Clinicians.Applied clinical informatics · 2025Article
- Gap Analysis of Standard Automated Perimetry Concept Representation in Medical Terminologies.Journal of glaucoma · 2025Article
- Trends in electronic health record metadata use for management purposes.Learning health systems · 2025Article
- Does autotext usage decrease documentation time among resident physicians? A retrospective analysis of electronic health record usage data.JAMIA open · 2025Article
- National trends in oncology specialists' EHR inbox work, 2019-2022.Journal of the National Cancer Institute · 2025Article
- Emerging Domains for Measuring Health Care Delivery With Electronic Health Record Metadata.Journal of medical Internet research · 2025Review
- The number of patient scheduled hours resulting in a 40-hour work week by physician specialty and setting: a cross-sectional study using electronic health record event log data.Journal of the American Medical Informatics Association : JAMIA · 2025Article
- Reimagining clinical AI: from clickstreams to clinical insights with EHR use metadata.npj health systems · 2025Review
- National Comparison of Ambulatory Physician Electronic Health Record Use Across Specialties.Journal of general internal medicine · 2024Article
- Impact of a Disease-Focused Electronic Health Record Dashboard on Clinical Staff Efficiency in Previsit Patient Review in an Ambulatory Pulmonary Hypertension Care Clinic.Applied clinical informatics · 2024Article
- Accounting for taste: preferences mediate the relationship between documentation time and ambulatory physician burnout.Journal of the American Medical Informatics Association : JAMIA · 2024Article
- Consistency is key: documentation distribution and efficiency in primary care.Journal of the American Medical Informatics Association : JAMIA · 2024Article
- Explaining Variability in Electronic Health Record Effort in Primary Care Ambulatory Encounters.Applied clinical informatics · 2024Article
- Guidance for reporting analyses of metadata on electronic health record use.Journal of the American Medical Informatics Association : JAMIA · 2024Article
- The role of organizations in shaping physician use of electronic health records.Health services research · 2024Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
Electronic health record (EHR) log data capture clinical workflows and are a rich source of information to understand variation in practice patterns. Variation in how EHRs are used to document and support care delivery is associated with clinical and operational outcomes, including measures of provider well-being and burnout. Standardized measures that describe EHR use would facilitate generalizability and cross-institution, cross-vendor research. Here, we describe the current state of outpatient EHR use measures offered by various EHR vendors, guided by our prior conceptual work that proposed seven core measures to describe EHR use. We evaluate these measures and other reporting options provided by vendors for maturity and similarity to previously proposed standardized measures. Working toward improved standardization of EHR use measures can enable and accelerate high-impact research on physician burnout and job satisfaction as well as organizational efficiency and patient health.
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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.