2023
DOI: 10.1093/jamia/ocad038
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Understanding the perceived role of electronic health records and workflow fragmentation on clinician documentation burden in emergency departments

Abstract: Objective Understand the perceived role of electronic health records (EHR) and workflow fragmentation on clinician documentation burden in the emergency department (ED). Methods From February to June 2022, we conducted semistructured interviews among a national sample of US prescribing providers and registered nurses who actively practice in the adult ED setting and use Epic Systems’ EHR. We recruited participants through pro… Show more

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Cited by 26 publications
(18 citation statements)
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“…A total of 158 surgeons were screened for eligibility, of which 133 (84.2%) met inclusion. Twenty-five surgeons were excluded for the following reasons: within the department of transplant surgery (9), not working full-time over the course of the Table 1 Description of Epic Signal outcome metrics 5 months (4), and holding the most senior administrative positions (12).…”
Section: Resultsmentioning
confidence: 99%
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“…A total of 158 surgeons were screened for eligibility, of which 133 (84.2%) met inclusion. Twenty-five surgeons were excluded for the following reasons: within the department of transplant surgery (9), not working full-time over the course of the Table 1 Description of Epic Signal outcome metrics 5 months (4), and holding the most senior administrative positions (12).…”
Section: Resultsmentioning
confidence: 99%
“…Several recent studies have associated EHR use with an increase in clinician frustration and burnout with many clinicians citing EHR use as a major contributor to their feelings of burnout. [3][4][5][6][7][8][9][10] Across general surgery and the surgical subspecialities, quantitative evidence demonstrating the struggles of EHR documentation is lacking. Few studies have described the time spent on the EHR in individual surgical specialties, such as general surgery, vascular surgery, orthopaedic surgery, and ophthalmology.…”
Section: Background and Significancementioning
confidence: 99%
“…Such enhancements require nurses to not only be informed but also direct what information should be collected. Another challenge is that there are numerous EHR programs that are unique, limiting transferability of information (Moy et al, 2023). Structured nursing documentation is not either universal and uniform, also limiting transferability.…”
Section: Challengesmentioning
confidence: 99%
“…There are differences in the data that are not so much due to the information systems (EHR), but to the way data are recorded in general, and to the fact that there have not always been common metrics. There are many different EHRs and from every EHR data can be not obtained automatically for non‐clinical purposes (Moy et al, 2023). Moreover, there are numerous measures to assess the same patient concerns such as pressure injury risk, quality of life or hospital infections.…”
Section: Case Example—finland As An Exemplarmentioning
confidence: 99%
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