ArticleAnnals of family medicine
Refining Vendor-Defined Measures to Accurately Quantify EHR Workload Outside Time Scheduled With Patients.
Article in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
What it found
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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.
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Who cites it
11 citing papers in PubMed.
- 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
- Unravelling the conceptualisation of unfinished care among physicians in acute care hospitals: a scoping review.BMJ open · 2025Article
- Implementing AI models in clinical workflows: a roadmap.BMJ evidence-based medicine · 2025Article
- Effect of a generative artificial intelligence digital scribe on pediatric provider documentation time, cognitive burden, and burnout.JAMIA open · 2025Article
- Patient Portal Message Volume and Time Spent on the EHR: an Observational Study of Primary Care Clinicians.Journal of general internal medicine · 2024Observational
- Guidance for reporting analyses of metadata on electronic health record use.Journal of the American Medical Informatics Association : JAMIA · 2024Article
- Identifying and Addressing Barriers to Implementing Core Electronic Health Record Use Metrics for Ambulatory Care: Virtual Consensus Conference Proceedings.Applied clinical informatics · 2023Article
- Who's Not Talking? Nonresponse Bias in Healthcare Employee Well-Being Surveys.Journal of healthcare management / American College of Healthcare ExecutivesArticle
- More Tethered to the EHR: EHR Workload Trends Among Academic Primary Care Physicians, 2019-2023.Annals of family medicineArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Accurately quantifying clinician time spent on electronic health record (EHR) activities outside the time scheduled with patients is critical for understanding occupational stress associated with ambulatory clinic environments. We make 3 recommendations regarding EHR workload measures that are intended to capture time working in the EHR outside time scheduled with patients, formally defined as work outside of work (WOW): (1) separate all time working in the EHR outside of time scheduled with patients from time working in the EHR during time scheduled with patients, (2) do not exclude any time before or after scheduled time with patients, and (3) encourage the EHR vendor and research communities to develop and standardize validated, vendor-agnostic methods for measuring active EHR use. Attributing all EHR work outside time scheduled with patients to WOW, regardless of when it occurs, will produce an objective and standardized measure better suited for use in efforts to reduce burnout, set policy, and facilitate research.
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