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 …

Assessing the impact of the COVID-19 pandemic on clinician ambulatory electronic health record use

AJ Holmgren, NL Downing, M Tang… - Journal of the …, 2022 - academic.oup.com
Objective The COVID-19 pandemic changed clinician electronic health record (EHR) work in
a multitude of ways. To evaluate how, we measure ambulatory clinician EHR use in the …

Trends in electronic health record inbox messaging during the COVID-19 pandemic in an ambulatory practice network in New England

B Nath, B Williams, MM Jeffery, R O'Connell… - JAMA network …, 2021 - jamanetwork.com
COVID-19–related disruptions have changed how patients access routine care. Anecdotal
evidence indicates that, with the pandemic, ambulatory physicians experienced an increase …

Association of physician burnout with perceived EHR work stress and potentially actionable factors

M Tai-Seale, S Baxter, M Millen… - Journal of the …, 2023 - academic.oup.com
Objective Physicians of all specialties experienced unprecedented stressors during the
COVID-19 pandemic, exacerbating preexisting burnout. We examine burnout's 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 …

Gender differences in time spent on documentation and the electronic health record in a large ambulatory network

LS Rotenstein, AS Fong, MM Jeffery… - JAMA Network …, 2022 - jamanetwork.com
Electronic health records (EHRs) have transformed physician work and work experiences.
Although there are known positive effects of EHRs on clinical outcomes, 1 EHRs have also …

Minimizing Low-Value, Uncompensated Work in Academic Infectious Diseases: A 6-Step Program

G Bearman, P Nori - Clinical Infectious Diseases, 2024 - academic.oup.com
Uncompensated work in academic infectious diseases (ID) may be high value (eg, important
for academic promotion or necessary for advancement to leadership roles) or low value (eg …

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 …

Implementing measurement science for electronic health record use

ER Melnick, CA Sinsky, HM Krumholz - JAMA, 2021 - jamanetwork.com
How did it happen that the electronic health record (EHR) emerged as a concern regarding
clinicians' wellbeing, and what is the path forward? Increasingly, evidence indicates that the …