Department of Otolaryngology - Head and Neck Surgery, University of Washington Medical Center, Seattle, Washington, U.S.A.
Department of Otolaryngology Head and Neck Surgery, University of Kanas School of Medicine, Kansas City, Kansas, U.S.A.
Laryngoscope. 2021 May;131(5):975-981. doi: 10.1002/lary.29073. Epub 2020 Sep 2.
Since their development in the 1970s electronic health records (EHRs) are now nearly ubiquitous. This study aims to characterize the daily interactions of otolaryngology providers with EHRs.
This study was a cross-sectional review of provider efficiency profile (PEP) data, as collected by a major EHR vendor. Participating institutions had 6 months of de-identified PEP data reviewed starting January 1, 2019. PEP data is generated for providers with scheduled patients, both attendings and advanced practice providers (APPs). Time metrics are recorded when a provider is interacting with the EHR including a 5-second time-out for inactivity.
Data on 269 otolaryngologists and 29 APPs from 10 institutions were evaluated. On scheduled ambulatory clinic days attendings spent 70 ± 36 (mean ± standard deviation) min interacting in the EHR versus 108 ± 46 min for APPs. Of the daily EHR time, mean time in notes, clinical review, in basket, orders, and schedule were 30.1 ± 19.4, 9.6 ± 6.1, 7.3 ± 5.8, and 5.8 ± 7.6 min, respectively. Per patient visit, median (interquartile range) time in notes, clinical review, and orders were 3.19 (2.2-4.9), 1.14 (0.63-1.8), and 0.70 (0.47-1.05) min, respectively. Mean progress note length was 4638 ± 2143 characters.
Otolaryngology providers spend a meaningful portion of their clinic day interacting with the EHR. PEP data may provide means to target interventions and a metric to measure the impact of those interventions on provider EHR efficiency.
3 Laryngoscope, 131:975-981, 2021.
自 20 世纪 70 年代电子健康记录（EHR）问世以来，它已近乎无处不在。本研究旨在描述耳鼻喉科医生与 EHR 的日常交互。
本研究是对主要 EHR 供应商收集的提供者效率档案（PEP）数据进行的横断面回顾。参与的机构从 2019 年 1 月 1 日开始审查了 6 个月的去识别 PEP 数据。PEP 数据是为有预约患者的医生（包括主治医生和高级实践提供者）生成的。当提供者与 EHR 交互时，会记录时间度量，包括 5 秒的无活动超时。
共评估了来自 10 家机构的 269 名耳鼻喉科医生和 29 名 APP 的数据。在门诊预约日，主治医生在 EHR 中的交互时间为 70±36 分钟（平均值±标准差），而 APP 则为 108±46 分钟。在日常 EHR 时间中，记录、临床审查、待处理医嘱、医嘱和日程安排的平均时间分别为 30.1±19.4、9.6±6.1、7.3±5.8 和 5.8±7.6 分钟。每位患者就诊时，记录、临床审查和医嘱的中位数（四分位距）时间分别为 3.19（2.2-4.9）、1.14（0.63-1.8）和 0.70（0.47-1.05）分钟。平均进度记录长度为 4638±2143 个字符。
耳鼻喉科医生在他们的临床日中花费了相当一部分时间与 EHR 进行交互。PEP 数据可能为针对干预措施提供了一种手段，并提供了一种衡量这些干预措施对提供者 EHR 效率影响的指标。
3 级喉镜，131：975-981，2021。
