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I had not time to make it shorter: an exploratory analysis of how physicians reduce note length and time in notes.

MedStar author(s):

Citation: Journal of the American Medical Informatics Association. 2022 Nov 02PMID: 36323282Institution: MedStar Institute for InnovationDepartment: National Center for Human Factors in HealthcareForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: IN PROCESS -- NOT YET INDEXEDYear: 2022 Local holdings: Available online through MWHC library: 2003 - present, Available in print through MWHC library: 1999 - presentISSN:

1067-5027

Name of journal: Journal of the American Medical Informatics Association : JAMIAAbstract: CONCLUSION: Future research should explore scalable burden-reduction initiatives responsive to both note bloat and documentation time. Copyright © The Author(s) 2022. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For permissions, please email: [email protected]: Organizations must consider priorities and tradeoffs in the distinct approaches needed to address different contributors to EHR burden.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.OBJECTIVE: We analyze observed reductions in physician note length and documentation time, 2 contributors to electronic health record (EHR) burden and burnout.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%).All authors: Apathy NC, Cross DA, Fendrich S, Hare AJFiscal year: FY2023 Digital Object Identifier:

https://dx.doi.org/10.1093/jamia/ocac211

ORCID:

https://orcid.org/0000-0002-7775-8544

Date added to catalog: 2022-12-13

Holdings ( 1 )
Title notes ( 7 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	36323282	Available		36323282

Available online through MWHC library: 2003 - present, Available in print through MWHC library: 1999 - present

CONCLUSION: Future research should explore scalable burden-reduction initiatives responsive to both note bloat and documentation time. Copyright © The Author(s) 2022. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For permissions, please email: [email protected].

DISCUSSION: Organizations must consider priorities and tradeoffs in the distinct approaches needed to address different contributors to EHR burden.

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.

OBJECTIVE: We analyze observed reductions in physician note length and documentation time, 2 contributors to electronic health record (EHR) burden and burnout.

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%).

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