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Published in: Journal of General Internal Medicine 7/2019

01-07-2019 | Care | Concise Research Reports

The Thrill Is Gone: Burdensome Electronic Documentation Takes Its Toll on Physicians’ Time and Attention

Authors: Mindy E. Flanagan, PhD, Laura G. Militello, MA, Nicholas A. Rattray, PhD, Ann H. Cottingham, MA, Richard M. Frankel, PhD

Published in: Journal of General Internal Medicine | Issue 7/2019

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Excerpt

Exam room computing has become ubiquitous in outpatient clinic visits as electronic health record (EHR) documentation requirements for “meaningful use” are adopted. Despite its initial promise, EHRs have created several unanticipated consequences, not the least of which is that physicians’ attention during patient visits being split between delivering care and completing EHR documentation tasks. Even with real-time documentation in the exam room, the majority of physicians spend additional time after hours completing EHR-related tasks.1 In a recent survey, physicians who reported inadequate time for documentation and “excessive” use of the EHR at home had higher rates of burnout.2
Literature
1.
go back to reference Sinsky C ; Colligan L ; Li L; et al. Allocation of physician time in ambulatory practice: a time and motion study in four specialties. Ann Intern Med. 2016; 165: 753–760CrossRefPubMed Sinsky C ; Colligan L ; Li L; et al. Allocation of physician time in ambulatory practice: a time and motion study in four specialties. Ann Intern Med. 2016; 165: 753–760CrossRefPubMed
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go back to reference Militello L, Hutton R. Applied cognitive task analysis (ACTA): a practitioner’s toolkit for understanding cognitive task demands. Ergonomics. 1998;41(11):1618–1641.CrossRefPubMed Militello L, Hutton R. Applied cognitive task analysis (ACTA): a practitioner’s toolkit for understanding cognitive task demands. Ergonomics. 1998;41(11):1618–1641.CrossRefPubMed
Metadata
Title
The Thrill Is Gone: Burdensome Electronic Documentation Takes Its Toll on Physicians’ Time and Attention
Authors
Mindy E. Flanagan, PhD
Laura G. Militello, MA
Nicholas A. Rattray, PhD
Ann H. Cottingham, MA
Richard M. Frankel, PhD
Publication date
01-07-2019
Publisher
Springer US
Keyword
Care
Published in
Journal of General Internal Medicine / Issue 7/2019
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-019-04898-8

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