Using event logs to observe interactions with electronic health records: an updated scoping review shows increasing use of vendor-derived measures

A Rule, ER Melnick, NC Apathy - Journal of the American …, 2023 - academic.oup.com
Objective The aim of this article is to compare the aims, measures, methods, limitations, and
scope of studies that employ vendor-derived and investigator-derived measures of …

Measuring Documentation Burden in Healthcare

MH Murad, BE Vaa Stelling, CP West, B Hasan… - Journal of general …, 2024 - Springer
Background The enactment of the Health Information Technology for Economic and Clinical
Health Act and the wide adoption of electronic health record (EHR) systems have ushered in …

Association between electronic health record time and quality of care metrics in primary care

LS Rotenstein, AJ Holmgren, MJ Healey… - JAMA Network …, 2022 - jamanetwork.com
Importance Physicians across the US spend substantial time working in the electronic health
record (EHR), with primary care physicians (PCPs) spending the most time. The association …

Documentation dynamics: note composition, burden, and physician efficiency

NC Apathy, L Rotenstein, DW Bates… - Health Services …, 2023 - Wiley Online Library
Objective To analyze how physician clinical note length and composition relate to electronic
health record (EHR)‐based measures of burden and efficiency that have been tied to …

Analysis of electronic health record use and clinical productivity and their association with physician turnover

ER Melnick, A Fong, B Nath, B Williams… - JAMA Network …, 2021 - jamanetwork.com
Importance Physician turnover takes a heavy toll on patients, physicians, and health care
organizations. Survey research has established associations of electronic health record …

Early changes in billing and notes after evaluation and management guideline change

NC Apathy, AJ Hare, S Fendrich… - Annals of internal …, 2022 - acpjournals.org
Background: The American Medical Association updated guidance in 2021 for frequently
used billing codes for outpatient evaluation and management (E/M) visits. The intent was to …

Temporal associations between EHR-derived workload, burnout, and errors: a prospective cohort study

SS Lou, D Lew, DR Harford, C Lu, BA Evanoff… - Journal of general …, 2022 - Springer
Background The temporal progression and workload-related causal contributors to
physician burnout are not well-understood. Objective To characterize burnout's time course …

Physician EHR time and visit volume following adoption of team-based documentation support

NC Apathy, AJ Holmgren, DA Cross - JAMA internal medicine, 2024 - jamanetwork.com
Importance Physicians spend the plurality of active electronic health record (EHR) time on
documentation. Excessive documentation limits time spent with patients and is associated …

Health information technology and clinician burnout: current understanding, emerging solutions, and future directions

EG Poon, S Trent Rosenbloom… - Journal of the American …, 2021 - academic.oup.com
Burnout among healthcare providers has been increasingly recognized as a significant
problem. 1 The National Academy of Medicine has defined burnout as “a syndrome …

[HTML][HTML] Predicting physician burnout using clinical activity logs: model performance and lessons learned

SS Lou, H Liu, BC Warner, D Harford, C Lu… - Journal of biomedical …, 2022 - Elsevier
Background Burnout is a significant public health concern affecting more than half of the
healthcare workforce; however, passive screening tools to detect burnout are lacking. We …