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| http://dx.doi.org/10.1007/s11606-019-05055-x | DOI Listing |
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Virtual Scribes and Physician Time Spent on Electronic Health Records.
JAMA Netw Open
May 2024
Harvard Medical School, Boston, Massachusetts.
Importance: Time on the electronic health record (EHR) is associated with burnout among physicians. Newer virtual scribe models, which enable support from either a real-time or asynchronous scribe, have the potential to reduce the burden of the EHR and EHR-related documentation.
Objective: To characterize the association of use of virtual scribes with changes in physicians' EHR time and note and order composition and to identify the physician, scribe, and scribe response factors associated with changes in EHR time upon virtual scribe use.
Impact of the End PJ Paralysis interventions on patient health outcomes at the participating hospitals in Alberta, Canada.
Disabil Rehabil
December 2024
School of Rehabilitation Therapy, Queen's University, Kingston, Canada.
Purpose: Multiple hospitals in Alberta implemented the End PJ Paralysis - a multicomponent inpatient ambulation initiative aimed at preventing the adverse physical and psychological effects patients experience due to low mobility during admission. To inform a scale-up strategy, this study assessed the impact of the initiative based on select process and outcome measures.
Materials And Methods: Clinical and administrative data were obtained from the hospital Discharge Abstract Database, Research Electronic Data Capture (Redcaps), and Reporting and Learning System for Patient Safety.
Physicians spend a large amount of time with the electronic health record (EHR), which the majority believe contributes to their burnout. However, there are limitedstandardized measures of physician EHR time. Vendor-derived metrics are standardized but may underestimate real-world EHR experience.
View Article and Find Full Text PDFSystem-Level Factors and Time Spent on Electronic Health Records by Primary Care Physicians.
JAMA Netw Open
November 2023
Brigham and Women's Hospital, Boston, Massachusetts.
Importance: Primary care physicians (PCPs) spend the most time on the electronic health record (EHR) of any specialty. Thus, it is critical to understand what factors contribute to varying levels of PCP time spent on EHRs.
Objective: To characterize variation in EHR time across PCPs and primary care clinics, and to describe how specific PCP, patient panel, clinic, and team collaboration factors are associated with PCPs' time spent on EHRs.
Using K-Means Clustering to Identify Physician Clusters by Electronic Health Record Burden and Efficiency.
Telemed J E Health
February 2024
Division of Allergy and Immunology, Department of Medicine, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York, USA.
Electronic health records (EHRs) have transformed the way modern medicine is practiced, but they remain a major source of documentation burden among physicians. This study aims to use data from Signal, a tool provided by the Epic EHR, to analyze physician metadata in the Montefiore Health System via cluster analysis to assess EHR burden and efficiency. Data were obtained for a one-month period (July 2020) representing a return to normal operation post-telemedicine implementation.
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