Evidence map›Paper›PMID 34345803›Full record

ArticleJAMIA open2021

Electronic health record note review in an outpatient specialty clinic: who is looking?

Jimmy S Chen, Michelle R Hribar, Isaac H Goldstein, Adam Rule, Wei-Chun Lin, Haley Dusek, Michael F Chiang

Abstract read
In one paragraph

Article in JAMIA open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Jimmy S ChenDepartment of Ophthalmology, Casey Eye Institute, Oregon Health & Science University, Portland, Oregon, USA.ORCID https://orcid.org/0000-0002-2371-9574
Michelle R HribarDepartment of Ophthalmology, Casey Eye Institute, Oregon Health & Science University, Portland, Oregon, USA.
Isaac H GoldsteinDepartment of Ophthalmology, Casey Eye Institute, Oregon Health & Science University, Portland, Oregon, USA.
Adam RuleDepartment of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland, Oregon, USA.
Wei-Chun LinDepartment of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland, Oregon, USA.
Haley DusekDepartment of Ophthalmology, Casey Eye Institute, Oregon Health & Science University, Portland, Oregon, USA.
Michael F ChiangNational Eye Institute, National Institutes of Health, Bethesda, Maryland, USA.

Funding

TRAINING PROGRAM IN HEALTH INFORMATICST15LM007088 · NLM · OREGON HEALTH & SCIENCE UNIVERSITY · PI WILLIAM R HERSH, Vishnu Mohan · 1992 to 2026
$23.4M
Proteomics CoreP30EY010572 · NEI · OREGON HEALTH & SCIENCE UNIVERSITY · PI Kate E Keller · 1995 to 2026
$19.4M
Modeling and Optimization of Clinical Processes Using EHR DataR00LM012238 · NLM · OREGON HEALTH & SCIENCE UNIVERSITY · PI HRIBAR, MICHELLE · 2017 to 2019
$672k
NEI NIH HHS P30 EY010572NLM NIH HHS R00 LM012238NLM NIH HHS T15 LM007088
6 · The paper itself

Abstract

Note entry and review in electronic health records (EHRs) are time-consuming. While some clinics have adopted team-based models of note entry, how these models have impacted note review is unknown in outpatient specialty clinics such as ophthalmology. We hypothesized that ophthalmologists and ancillary staff review very few notes. Using audit log data from 9775 follow-up office visits in an academic ophthalmology clinic, we found ophthalmologists reviewed a median of 1 note per visit (2.6 ± 5.3% of available notes), while ancillary staff reviewed a median of 2 notes per visit (4.1 ± 6.2% of available notes). While prior ophthalmic office visit notes were the most frequently reviewed note type, ophthalmologists and staff reviewed no such notes in 51% and 31% of visits, respectively. These results highlight the collaborative nature of note review and raise concerns about how cumbersome EHR designs affect efficient note review and the utility of prior notes in ophthalmic clinical care.

Indexed as

ambulatory careelectronic health recordshospitalmedical record systems—computerizedoutpatient clinics

Identifiers

PMID34345803
PMCPMC8325486

What OpenQuestion holds

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Registered trials

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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.