MARC details
| 000 -LEADER |
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| fixed length control field |
02822nam a22004097a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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| fixed length control field |
200826s20202020 xxu||||| |||| 00| 0 eng d |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
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| International Standard Serial Number |
0003-4819 |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
10.7326/M19-0871 [doi] |
| 040 ## - CATALOGING SOURCE |
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| Original cataloging agency |
Ovid MEDLINE(R) |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
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| PMID |
32479181 |
| 245 ## - TITLE STATEMENT |
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| Title |
Studying Workflow and Workarounds in Electronic Health Record-Supported Work to Improve Health System Performance. [Review] |
| 251 ## - Source |
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| Source |
Annals of Internal Medicine. 172(11 Suppl):S116-S122, 2020 06 02. |
| 252 ## - Abbreviated Source |
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| Abbreviated source |
Ann Intern Med. 172(11 Suppl):S116-S122, 2020 06 02. |
| 252 ## - Abbreviated Source |
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| Former abbreviated source |
Ann Intern Med. 172(11_Supplement):S116-S122, 2020 Jun 02. |
| 253 ## - Journal Name |
|---|
| Journal name |
Annals of internal medicine |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Year |
2020 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
|---|
| Manufacturer |
FY2020 |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
|---|
| Publication status |
ppublish |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
|---|
| Publication status |
ppublish |
| 266 ## - Date added to catalog |
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| Date added to catalog |
2020-08-26 |
| 268 ## - Previous citation |
|---|
| -- |
Annals of Internal Medicine. 172(11_Supplement):S116-S122, 2020 Jun 02. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
Clinical workflow is the enactment of a series of steps to perform a clinical activity. The transition from paper to electronic health records (EHRs) over the past decade has been characterized by profound challenges supporting clinical workflow, impeding frontline clinicians' ability to deliver safe, efficient, and effective care. In response, there has been substantial effort to study clinical workflow as well as workarounds-exceptions to routine workflow-in order to identify opportunities for improvement. This article describes predominant methods of studying workflow and workarounds and provides examples of the applications of these methods along with the resulting insights. Challenges to studying workflow and workarounds are described, and recommendations for how to approach such studies are given. Although there is not yet a set of standard approaches, this article helps advance workflow research that ultimately serves to inform how to coevolve the design of EHR systems and organizational decisions about processes, roles, and responsibilities in order to support clinical workflow that more consistently delivers on the potential benefits of a digitized health care system. |
| 546 ## - LANGUAGE NOTE |
|---|
| Language note |
English |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
*Delivery of Health Care/st [Standards] |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
*Electronic Health Records/og [Organization & Administration] |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
*Quality Improvement |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
*Workflow |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
Humans |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
|---|
| Institution |
MedStar Institute for Innovation |
| 656 ## - INDEX TERM--OCCUPATION |
|---|
| Department |
National Center for Human Factors in Healthcare |
| 657 ## - INDEX TERM--FUNCTION |
|---|
| Medline publication type |
Journal Article |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Ratwani, Raj M |
| 790 ## - Authors |
|---|
| All authors |
Adler-Milstein J, Ratwani RM, Zheng K |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
|---|
| DOI |
<a href="https://dx.doi.org/10.7326/M19-0871">https://dx.doi.org/10.7326/M19-0871</a> |
| Public note |
https://dx.doi.org/10.7326/M19-0871 |
| -- |
https://dx.doi.org/10.7326/M19-0871 |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
|---|
| DOI |
<a href="https://dx.doi.org/10.7326/M19-0871">https://dx.doi.org/10.7326/M19-0871</a> |
| Public note |
https://dx.doi.org/10.7326/M19-0871 |
| -- |
https://dx.doi.org/10.7326/M19-0871 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
|---|
| Koha item type |
Journal Article |
| Item type description |
Article |
