Main Outcomes and Measures Descriptive statistics for clinician EHR use included time spent on clinical activities, note documentation (as measured by the percentage of characters in the note generated by automated or manual data entry source), messages received, and time spent after hours. The sample included all clinicians with scheduled patient appointments, such as physicians and advanced practice practitioners.Įxposures Clinician EHR use was tracked by deidentified and aggregated metadata across a variety of clinical activities. All of these organizations used the EHR software from Epic Systems and represented most of Epic Systems’s ambulatory customer base. Objective To provide insights into which EHR activities clinicians spend their time doing, the EHR tools they use, the system messages they receive, and the amount of time they spend using the EHR after hours.ĭesign, Setting, and Participants This cross-sectional study analyzed the deidentified metadata of ambulatory care health systems in the US, Canada, Northern Europe, Western Europe, the Middle East, and Oceania from January 1, 2019, to August 31, 2019. Little is known regarding global variation in patterns of use. Importance Understanding how the electronic health record (EHR) system changes clinician work, productivity, and well-being is critical. Shared Decision Making and Communication.Scientific Discovery and the Future of Medicine.Health Care Economics, Insurance, Payment.Clinical Implications of Basic Neuroscience.Challenges in Clinical Electrocardiography.
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