دورية أكاديمية
Effect of restricting electronic health records on clinician efficiency: substudy of a randomized clinical trial.
| العنوان: | Effect of restricting electronic health records on clinician efficiency: substudy of a randomized clinical trial. |
|---|---|
| المؤلفون: | Kneifati-Hayek JZ; Division of General Medicine, Department of Medicine, Columbia University Irving Medical Center, New York, New York, USA., Applebaum JR; Division of General Medicine, Department of Medicine, Columbia University Irving Medical Center, New York, New York, USA., Schechter CB; Department of Family and Social Medicine, Albert Einstein College of Medicine, Bronx, New York, USA., Dal Col A; Vagelos College of Physicians and Surgeons, Columbia University, New York, New York, USA., Salmasian H; Division of General Internal Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA., Southern WN; Division of Hospital Medicine, Department of Medicine, Albert Einstein College of Medicine, Montefiore Health System, Bronx, New York, USA., Adelman JS; Division of General Medicine, Department of Medicine, Columbia University Irving Medical Center, New York, New York, USA.; Department of Quality and Patient Safety, NewYork-Presbyterian Hospital, New York, New York, USA. |
| المصدر: | Journal of the American Medical Informatics Association : JAMIA [J Am Med Inform Assoc] 2023 Apr 19; Vol. 30 (5), pp. 953-957. |
| نوع المنشور: | Randomized Controlled Trial; Journal Article; Research Support, U.S. Gov't, P.H.S. |
| اللغة: | English |
| بيانات الدورية: | Publisher: Oxford University Press Country of Publication: England NLM ID: 9430800 Publication Model: Print Cited Medium: Internet ISSN: 1527-974X (Electronic) Linking ISSN: 10675027 NLM ISO Abbreviation: J Am Med Inform Assoc Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2015- : Oxford : Oxford University Press Original Publication: Philadelphia, PA : Hanley & Belfus, c1993- |
| مواضيع طبية MeSH: | Electronic Health Records* , Medical Errors*/prevention & control, Humans |
| مستخلص: | A prior randomized controlled trial (RCT) showed no significant difference in wrong-patient errors between clinicians assigned to a restricted electronic health record (EHR) configuration (limiting to 1 record open at a time) versus an unrestricted EHR configuration (allowing up to 4 records open concurrently). However, it is unknown whether an unrestricted EHR configuration is more efficient. This substudy of the RCT compared clinician efficiency between EHR configurations using objective measures. All clinicians who logged onto the EHR during the substudy period were included. The primary outcome measure of efficiency was total active minutes per day. Counts were extracted from audit log data, and mixed-effects negative binomial regression was performed to determine differences between randomized groups. Incidence rate ratios (IRRs) were calculated with 95% confidence intervals (CIs). Among a total of 2556 clinicians, there was no significant difference between unrestricted and restricted groups in total active minutes per day (115.1 vs 113.3 min, respectively; IRR, 0.99; 95% CI, 0.93-1.06), overall or by clinician type and practice area. (© The Author(s) 2023. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For permissions, please email: journals.permissions@oup.com.) |
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| معلومات مُعتمدة: | R21 HS023704 United States HS AHRQ HHS; T32 HS026121 United States HS AHRQ HHS |
| فهرسة مساهمة: | Keywords: audit log data; efficiency; electronic health record |
| تواريخ الأحداث: | Date Created: 20230403 Date Completed: 20230511 Latest Revision: 20240404 |
| رمز التحديث: | 20240404 |
| مُعرف محوري في PubMed: | PMC10114017 |
| DOI: | 10.1093/jamia/ocad025 |
| PMID: | 37011638 |
| قاعدة البيانات: | MEDLINE |
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