What question did this study set out to answer?

To assess how transitioning from a primarily paper-based record to a comprehensive electronic health record impacts physician task distribution and efficiency in an academic emergency department.

February 1, 2021Journal of the American College of Emergency Physicians OpenOpen Access

The impact of adoption of an electronic health record on emergency physician work: A time motion study

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Authors

SCSamantha Calder‐SprackmanQueen's University GCGlenda ClaphamUniversity of Ottawa TKTrisha KandiahMcGill University Health Centre

Discussion

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Implication

Time-motion study demonstrates reduced patient efficiency and increased charting time among emergency physicians following comprehensive EHR adoption, highlighting persistent workflow trade-offs.

Key Points

To assess how transitioning from a primarily paper-based record to a comprehensive electronic health record impacts physician task distribution and efficiency in an academic emergency department.
Conducted a time-motion study directly observing 15 emergency physicians for two 4-hour sessions across three phases: pre-implementation, go-live, and post-implementation.
Continuously tracked time spent across eight task categories, including direct patient care, chart review, and documentation, comparing phases with two-tailed t-tests.
Physician patient efficiency decreased significantly during go-live (0.51 patients/hour decrease, P < 0.01) and failed to return to baseline post-implementation (-0.31 patients/hour, P = 0.03).
From pre- to post-implementation, physician time trended upward for charting (+54 seconds/patient, P = 0.05) and documentation (+36 seconds/patient, P = 0.36), while direct patient care trended downward (-0.43 seconds/patient, P = 0.23).

Cite This Study

Calder‐Sprackman et al. (2021) studied this question.

synapsesocial.com/papers/6a71ac44febe604dd70a398b https://doi.org/10.1002/emp2.12362

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Implication

Time-motion study demonstrates reduced patient efficiency and increased charting time among emergency physicians following comprehensive EHR adoption, highlighting persistent workflow trade-offs.

The impact of adoption of an electronic health record on emergency physician work: A time motion study

Discussion

Member takes

Implication

Key Points

Cite This Study

The impact of adoption of an electronic health record on emergency physician work: A time motion study

Discussion

Member takes

Implication

Key Points

Cite This Study

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