AI Article Synopsis
- The study aimed to assess how implementing electronic health records (EHR) affected productivity and efficiency in the pediatric ophthalmology division at an academic medical center.
- Clinical volume before and after EHR implementation was compared among four providers, monitoring the time to complete charts and when these charts were finalized over three years.
- Results showed an 11% decrease in clinical volume post-EHR implementation, with significant variability in chart completion times, and a notable portion of chart closures occurring outside standard business hours, indicating a negative impact of EHR use on productivity.
Article Abstract
Purpose: To measure the effect of electronic health record (EHR) implementation on productivity and efficiency in the pediatric ophthalmology division at an academic medical center.
Methods: Four established providers were selected from the pediatric ophthalmology division at the Oregon Health & Science University Casey Eye Institute. Clinical volume was compared before and after EHR implementation for each provider. Time elapsed from chart open to completion (OTC time) and the proportion of charts completed during business hours were monitored for 3 years following implementation.
Results: Overall there was an 11% decrease in clinical volume following EHR implementation, which was not statistically significant (P = 0.18). The mean OTC time ranged from 5.5 to 28.3 hours among providers in this study, and trends over time were variable among the four providers. Forty-four percent of all charts were closed outside normal business hours (30% on weekdays, 14% on weekends).
Conclusions: EHR implementation was associated with a negative impact on productivity and efficiency in our pediatric ophthalmology division.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4267903 | PMC |
| http://dx.doi.org/10.1016/j.jaapos.2014.08.002 | DOI Listing |
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