Department of Family Medicine and Community Health, University of Wisconsin-Madison, Madison, Wisconsin
Department of Medicine, University of Wisconsin-Madison, Madison, Wisconsin.
Ann Fam Med. 2023 May-Jun;21(3):264-268. doi: 10.1370/afm.2960.
Accurately quantifying clinician time spent on electronic health record (EHR) activities outside the time scheduled with patients is critical for understanding occupational stress associated with ambulatory clinic environments. We make 3 recommendations regarding EHR workload measures that are intended to capture time working in the EHR outside time scheduled with patients, formally defined as work outside of work (WOW): (1) separate all time working in the EHR outside of time scheduled with patients from time working in the EHR during time scheduled with patients, (2) do not exclude any time before or after scheduled time with patients, and (3) encourage the EHR vendor and research communities to develop and standardize validated, vendor-agnostic methods for measuring active EHR use. Attributing all EHR work outside time scheduled with patients to WOW, regardless of when it occurs, will produce an objective and standardized measure better suited for use in efforts to reduce burnout, set policy, and facilitate research.
准确量化临床医生在 scheduled 患者时间之外花费在电子健康记录 (EHR) 活动上的时间，对于理解与门诊环境相关的职业压力至关重要。我们就 EHR 工作量衡量标准提出了 3 项建议，旨在捕捉 scheduled 患者时间之外在 EHR 中工作的时间，这一时间正式定义为工作时间之外（Work outside of work，WOW）：（1）将 scheduled 患者时间之外在 EHR 中的所有工作时间与 scheduled 患者时间内的 EHR 工作时间分开；（2）不排除 scheduled 患者时间前后的任何时间；（3）鼓励 EHR 供应商和研究界开发和标准化经验证的、与供应商无关的方法来衡量 EHR 的使用情况。将所有 scheduled 患者时间之外的 EHR 工作都归因于 WOW，无论何时发生，都会产生一个更适合用于减少倦怠、制定政策和促进研究的客观和标准化的衡量标准。
