Viterbi Family Department of Ophthalmology and Shiley Eye Institute, University of California San Diego, La Jolla, California, USA.
Health Sciences Department of Biomedical Informatics, University of California San Diego, La Jolla, California, USA.
J Am Med Inform Assoc. 2021 Apr 23;28(5):955-959. doi: 10.1093/jamia/ocaa266.
Electronic health record (EHR) log data capture clinical workflows and are a rich source of information to understand variation in practice patterns. Variation in how EHRs are used to document and support care delivery is associated with clinical and operational outcomes, including measures of provider well-being and burnout. Standardized measures that describe EHR use would facilitate generalizability and cross-institution, cross-vendor research. Here, we describe the current state of outpatient EHR use measures offered by various EHR vendors, guided by our prior conceptual work that proposed seven core measures to describe EHR use. We evaluate these measures and other reporting options provided by vendors for maturity and similarity to previously proposed standardized measures. Working toward improved standardization of EHR use measures can enable and accelerate high-impact research on physician burnout and job satisfaction as well as organizational efficiency and patient health.
电子健康记录 (EHR) 日志数据捕获临床工作流程，是了解实践模式差异的丰富信息来源。EHR 的使用方式在记录和支持护理提供方面的差异与临床和运营结果相关，包括提供者幸福感和倦怠感的衡量标准。描述 EHR 使用情况的标准化措施将有助于推广和跨机构、跨供应商的研究。在这里，我们根据我们之前的概念性工作，描述了各种 EHR 供应商提供的门诊 EHR 使用措施的现状，该工作提出了七个核心措施来描述 EHR 使用情况。我们评估了这些措施以及供应商提供的其他报告选项的成熟度和与先前提出的标准化措施的相似性。努力提高 EHR 使用措施的标准化程度，可以实现并加速关于医生倦怠和工作满意度以及组织效率和患者健康的高影响力研究。
