MARC details
| 000 -LEADER |
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| fixed length control field |
03657nam a22004817a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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| fixed length control field |
170707s20162016 xxu||||| |||| 00| 0 eng d |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
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| International Standard Serial Number |
0196-0644 |
| 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 |
26391355 |
| 245 ## - TITLE STATEMENT |
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| Title |
Emergency Physician Task Switching Increases With the Introduction of a Commercial Electronic Health Record. |
| 251 ## - Source |
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| Source |
Annals of Emergency Medicine. 67(6):741-6, 2016 Jun |
| 252 ## - Abbreviated Source |
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| Abbreviated source |
Ann Emerg Med. 67(6):741-6, 2016 Jun |
| 253 ## - Journal Name |
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| Journal name |
Annals of emergency medicine |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Year |
2016 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Manufacturer |
FY2016 |
| 266 ## - Date added to catalog |
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| Date added to catalog |
2017-07-07 |
| 501 ## - WITH NOTE |
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| Local holdings |
Available online from MWHC library: 1994 - present, Available in print through MWHC library: 1997 - 2006 |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
CONCLUSION: The increase in the number of tasks physicians engaged in per minute post-implementation indicates that physicians switched tasks more frequently. Frequent task switching behavior raises patient safety concerns. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
Copyright © 2015 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
METHODS: We completed a quasi-experimental study across 3 periods during the transition from a homegrown system to a commercially available electronic health record with computerized provider order entry. Observation periods consisted of pre-implementation, 1 month before the implementation of the commercial electronic health record; "go-live" 1 week after implementation; and post-implementation, 3 to 4 months after use began. Fourteen physicians were observed in each period (N=42) with a minute-by-minute observation template to record emergency physician time allocation across 5 task-based categories (computer, verbal communication, patient room, paper [chart/laboratory results], and other). The average number of tasks physicians engaged in per minute was also analyzed as an indicator of task switching. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
RESULTS: From pre- to post-implementation, there were no significant differences in the amount of time spent on the various task categories. There were changes in time allocation from pre-implementation to go-live and go-live to pre-implementation, characterized by a significant increase in time spent on computer tasks during go-live relative to the other periods. Critically, the number of tasks physicians engaged in per minute increased from 1.7 during pre-implementation to 1.9 during post-implementation (difference 0.19 tasks per minute; 95% confidence interval 0.039 to 0.35). |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
STUDY OBJECTIVE: We evaluate how the transition from a homegrown electronic health record to a commercial one affects emergency physician work activities from initial introduction to long-term use. |
| 546 ## - LANGUAGE NOTE |
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| Language note |
English |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
*Electronic Health Records/ut [Utilization] |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
*Emergency Service, Hospital/og [Organization & Administration] |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
*Outcome and Process Assessment (Health Care) |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
*Practice Patterns, Physicians' |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
*Workload/sn [Statistics & Numerical Data] |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Documentation/mt [Methods] |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Humans |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
United States |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
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| Institution |
MedStar Institute for Innovation |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
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| Institution |
MedStar Washington Hospital Center |
| 656 ## - INDEX TERM--OCCUPATION |
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| Department |
Emergency Medicine |
| 656 ## - INDEX TERM--OCCUPATION |
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| Department |
National Center for Human Factors in Healthcare |
| 657 ## - INDEX TERM--FUNCTION |
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| Medline publication type |
Journal Article |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Benda, Natalie |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Hettinger, Aaron Z |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Ratwani, Raj M |
| 790 ## - Authors |
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| All authors |
Benda NC, Hettinger AZ, Meadors ML, Ratwani RM |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
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| DOI |
<a href="https://dx.doi.org/10.1016/j.annemergmed.2015.07.514">https://dx.doi.org/10.1016/j.annemergmed.2015.07.514</a> |
| Public note |
https://dx.doi.org/10.1016/j.annemergmed.2015.07.514 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
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| Koha item type |
Journal Article |
| Item type description |
Article |
