AI Article Synopsis
- Clinical documentation burden is a recognized issue in healthcare, but there are few ways to measure it across different professional roles.
- This study analyzed the workflows of 47 clinicians, focusing on how they interact with electronic health records (EHRs) in various healthcare settings like acute care and emergency departments.
- The findings showed an average of 1.4 task switches per minute, with data viewing and entry tasks causing significant workflow disruptions, suggesting that measuring task interruptions could help assess documentation burden.
Article Abstract
Clinical documentation burden has been broadly acknowledged, yet few interprofessional measures of burden exist. Using interprofessional time-motion study (TMS) data, we evaluated clinical workflows with a focus on electronic health record (EHR) utilization and fragmentation among 47 clinicians: 34 advanced practice providers (APPs) and 13 registered nurses (RNs) from: an acute care unit (n=15 observations [obs]), intensive care unit (n=14), ambulatory clinic (n=3), and emergency department (n=15). We examined workflow fragmentation, task-switch type, and task involvement. In our study, clinicians on average exhibited 1.4±0.6 switches per minute in their workflow. Eighty-four (19.6%) of the 429 task-switch types presented in the data accounted for 80.1% of all switches. Among those, data viewing- and data entry-related tasks were involved in 48.2% of all switches, indicating documentation burden may play a critical role in workflow disruptions. Therefore, interruption rate evaluated through task switches may serve as a proxy for measuring burden.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8075533 | PMC |
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