Evidence map›Paper›PMID 35308917›Full record

ArticleAMIA ... Annual Symposium proceedings. AMIA Symposium2021

Characterization of Electronic Health Record Documentation Shortcuts: Does the use of dotphrases increase efficiency in the Emergency Department?

Rimma Perotte, Christina Hajicharalambous, Gregory Sugalski, Joseph P Underwood

Abstract read
In one paragraph

Article in AMIA ... Annual Symposium proceedings. AMIA Symposium, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Measuring Documentation Burden in Healthcare.Journal of general internal medicine · 2024
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. 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

4 authors.

Rimma PerotteHackensack University Medical Center, Hackensack, NJ.
Christina HajicharalambousHackensack University Medical Center, Hackensack, NJ.
Gregory SugalskiHackensack University Medical Center, Hackensack, NJ.
Joseph P UnderwoodHackensack University Medical Center, Hackensack, NJ.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The problem of clinical documentation burden is ever-growing. Electronic documentation tools such as "dotphrases" were invented to help with the documentation burden. Despite the ubiquity of these tools, they are understudied. We present work on the usage of dotphrases within the emergency department. We find that dotphrases are most often used by medical scribes, they significantly increase note length, and are completely unstandardized as to their naming conventions, content, and usage. We find that there is inconsistent usage across and within providers and that there is much duplication in the dotphrase content. We also show that dotphrases have no effect on the time to complete and cosign a note. Finally, we demonstrate that even when accounting for patient complexity upon presentation, note authorship, and note length - notes with higher dotphrase usage are billed at higher billing levels.

Indexed as

DocumentationElectronic Health RecordsEfficiencyEmergency Service, HospitalHumans

Identifiers

PMID35308917
PMCPMC8861771

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.