I had not time to make it shorter : an exploratory analysis of how physicians reduce note length and time in notes
© The Author(s) 2022. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For permissions, please email: journals.permissionsoup.com..
OBJECTIVE: We analyze observed reductions in physician note length and documentation time, 2 contributors to electronic health record (EHR) burden and burnout.
MATERIALS AND METHODS: We used EHR metadata from January to May, 2021 for 130 079 ambulatory physician Epic users. We identified cohorts of physicians who decreased note length and/or documentation time and analyzed changes in their note composition.
RESULTS: 37 857 physicians decreased either note length (n = 15 647), time in notes (n = 15 417), or both (n = 6793). Note length decreases were primarily attributable to reductions in copy/paste text (average relative change of -18.9%) and templated text (-17.2%). Note time decreases were primarily attributable to reductions in manual text (-27.3%) and increases in note content from other care team members (+21.1%).
DISCUSSION: Organizations must consider priorities and tradeoffs in the distinct approaches needed to address different contributors to EHR burden.
CONCLUSION: Future research should explore scalable burden-reduction initiatives responsive to both note bloat and documentation time.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:30 |
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| Enthalten in: |
Journal of the American Medical Informatics Association : JAMIA - 30(2023), 2 vom: 18. Jan., Seite 355-360 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Apathy, Nate C [VerfasserIn] |
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| Links: |
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| Themen: |
Documentation |
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| Anmerkungen: |
Date Completed 19.01.2023 Date Revised 25.04.2024 published: Print Citation Status MEDLINE |
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| doi: |
10.1093/jamia/ocac211 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM348372558 |
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| 245 | 1 | 2 | |a I had not time to make it shorter |b an exploratory analysis of how physicians reduce note length and time in notes |
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| 500 | |a Date Revised 25.04.2024 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © The Author(s) 2022. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For permissions, please email: journals.permissionsoup.com. | ||
| 520 | |a OBJECTIVE: We analyze observed reductions in physician note length and documentation time, 2 contributors to electronic health record (EHR) burden and burnout | ||
| 520 | |a MATERIALS AND METHODS: We used EHR metadata from January to May, 2021 for 130 079 ambulatory physician Epic users. We identified cohorts of physicians who decreased note length and/or documentation time and analyzed changes in their note composition | ||
| 520 | |a RESULTS: 37 857 physicians decreased either note length (n = 15 647), time in notes (n = 15 417), or both (n = 6793). Note length decreases were primarily attributable to reductions in copy/paste text (average relative change of -18.9%) and templated text (-17.2%). Note time decreases were primarily attributable to reductions in manual text (-27.3%) and increases in note content from other care team members (+21.1%) | ||
| 520 | |a DISCUSSION: Organizations must consider priorities and tradeoffs in the distinct approaches needed to address different contributors to EHR burden | ||
| 520 | |a CONCLUSION: Future research should explore scalable burden-reduction initiatives responsive to both note bloat and documentation time | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, N.I.H., Extramural | |
| 650 | 4 | |a Research Support, U.S. Gov't, P.H.S. | |
| 650 | 4 | |a documentation | |
| 650 | 4 | |a electronic health records | |
| 650 | 4 | |a health policy | |
| 650 | 4 | |a physician burnout | |
| 700 | 1 | |a Hare, Allison J |e verfasserin |4 aut | |
| 700 | 1 | |a Fendrich, Sarah |e verfasserin |4 aut | |
| 700 | 1 | |a Cross, Dori A |e verfasserin |4 aut | |
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