Your browser doesn't support javascript.
loading
The implementation of a multidisciplinary, electronic health record embedded care pathway to improve structured data recording and decrease electronic health record burden.
Ebbers, Tom; Takes, Robert P; Smeele, Ludi E; Kool, Rudolf B; van den Broek, Guido B; Dirven, Richard.
Afiliación
  • Ebbers T; Department of Otorhinolaryngology and Head and Neck Surgery, Radboud University Medical Center, Nijmegen, The Netherlands. Electronic address: tom.ebbers@radboudumc.nl.
  • Takes RP; Department of Otorhinolaryngology and Head and Neck Surgery, Radboud University Medical Center, Nijmegen, The Netherlands. Electronic address: robert.takes@radboudumc.nl.
  • Smeele LE; Department of Head and Neck Oncology and Surgery, Antoni van Leeuwenhoek, Amsterdam, The Netherlands. Electronic address: l.smeele@nki.nl.
  • Kool RB; Radboud University Medical Centre, Radboud Institute for Health Sciences, IQ Healthcare, Nijmegen, The Netherlands. Electronic address: tijn.kool@radboudumc.nl.
  • van den Broek GB; Department of Otorhinolaryngology and Head and Neck Surgery, Radboud University Medical Center, Nijmegen, The Netherlands. Electronic address: guido.vandenbroek@radboudumc.nl.
  • Dirven R; Department of Head and Neck Oncology and Surgery, Antoni van Leeuwenhoek, Amsterdam, The Netherlands. Electronic address: r.dirven@nki.nl.
Int J Med Inform ; 184: 105344, 2024 Apr.
Article en En | MEDLINE | ID: mdl-38310755
ABSTRACT

INTRODUCTION:

Theoretically, the added value of electronic health records (EHRs) is extensive. Reusable data capture in EHRs could lead to major improvements in quality measurement, scientific research, and decision support. To achieve these goals, structured and standardized recording of healthcare data is a prerequisite. However, time spent on EHRs by physicians is already high. This study evaluated the effect of implementing an EHR embedded care pathway with structured data recording on the EHR burden of physicians. MATERIALS AND

METHODS:

Before and six months after implementation, consultations were recorded and analyzed with video-analytic software. Main outcome measures were time spent on specific tasks within the EHR, total consultation duration, and usability indicators such as required mouse clicks and keystrokes. Additionally, a validated questionnaire was completed twice to evaluate changes in physician perception of EHR system factors and documentation process factors.

RESULTS:

Total EHR time in initial oncology consultations was significantly reduced by 3.7 min, a 27 % decrease. In contrast, although a decrease of 13 % in consultation duration was observed, no significant effect on EHR time was found in follow-up consultations. Additionally, perceptions of physicians regarding the EHR and documentation improved significantly.

DISCUSSION:

Our results have shown that it is possible to achieve structured data capture while simultaneously reducing the EHR burden, which is a decisive factor in end-user acceptance of documentation systems. Proper alignment of structured documentation with workflows is critical for success.

CONCLUSION:

Implementing an EHR embedded care pathway with structured documentation led to decreased EHR burden.
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Médicos / Registros Electrónicos de Salud Tipo de estudio: Guideline / Prognostic_studies / Qualitative_research Límite: Humans Idioma: En Revista: Int J Med Inform Asunto de la revista: INFORMATICA MEDICA Año: 2024 Tipo del documento: Article Pais de publicación: Irlanda
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Médicos / Registros Electrónicos de Salud Tipo de estudio: Guideline / Prognostic_studies / Qualitative_research Límite: Humans Idioma: En Revista: Int J Med Inform Asunto de la revista: INFORMATICA MEDICA Año: 2024 Tipo del documento: Article Pais de publicación: Irlanda