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Assessment of EHR Efficiency Tools and Resources Associated with Physician Time Spent on the Inbox.
Bundy, Richa; Moses, Adam; Stambaugh, Elisabeth; Stewart, Paschal; Witek, Lauren; Carlasare, Lindsey; Rosenthal, Gary; Sinsky, Christine; Dharod, Ajay.
Afiliación
  • Bundy R; Informatics and Analytics (I&A), Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, USA. rbundy@wakehealth.edu.
  • Moses A; Informatics and Analytics (I&A), Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, USA.
  • Stambaugh E; Wake Forest Health Network, Atrium Health Wake Forest Baptist, Winston-Salem, NC, USA.
  • Stewart P; Wake Forest Health Network, Atrium Health Wake Forest Baptist, Winston-Salem, NC, USA.
  • Witek L; Wake Forest Center for Biomedical Informatics (WFBMI), Wake Forest School of Medicine, Winston-Salem, USA.
  • Carlasare L; Informatics and Analytics (I&A), Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, USA.
  • Rosenthal G; Professional Satisfaction and Practice Sustainability, American Medical Association, Chicago, IL, USA.
  • Sinsky C; Informatics and Analytics (I&A), Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, USA.
  • Dharod A; General Internal Medicine (GIM), Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, USA.
J Gen Intern Med ; 2024 May 08.
Article en En | MEDLINE | ID: mdl-38717666
ABSTRACT

BACKGROUND:

Physicians are experiencing an increasing burden of messaging within the electronic health record (EHR) inbox. Studies have called for the implementation of tools and resources to mitigate this burden, but few studies have evaluated how these interventions impact time spent on inbox activities.

OBJECTIVE:

Explore the association between existing EHR efficiency tools and clinical resources on primary care physician (PCP) inbox time.

DESIGN:

Retrospective, cross-sectional study of inbox time among PCPs in network clinics affiliated with an academic health system.

PARTICIPANTS:

One hundred fifteen community-based PCPs. MAIN

MEASURES:

Inbox time, in hours, normalized to eight physician scheduled hours (IB-Time8). KEY

RESULTS:

Following adjustment for physician sex as well as panel size, age, and morbidity, we observed no significant differences in inbox time for physicians with and without message triage, custom inbox QuickActions, encounter specialists, and message pools. Moreover, IB-Time8 increased by 0.01 inbox hours per eight scheduled hours for each additional staff member resource in a physician's practice (p = 0.03).

CONCLUSIONS:

Physician inbox time was not associated with existing EHR efficiency tools evaluated in this study. Yet, there may be a slight increase in inbox time among physicians in practices with larger teams.
Palabras clave

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Gen Intern Med Asunto de la revista: MEDICINA INTERNA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Gen Intern Med Asunto de la revista: MEDICINA INTERNA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos