Literature DB >> 29854253

Using EHR audit trail logs to analyze clinical workflow: A case study from community-based ambulatory clinics.

Danny T Y Wu1,2, Nikolas Smart1,3, Elizabeth L Ciemins4,5, Holly J Lanham6,7,8, Curt Lindberg5, Kai Zheng3,1,9.   

Abstract

To develop a workflow-supported clinical documentation system, it is a critical first step to understand clinical workflow. While Time and Motion studies has been regarded as the gold standard of workflow analysis, this method can be resource consuming and its data may be biased due to the cognitive limitation of human observers. In this study, we aimed to evaluate the feasibility and validity of using EHR audit trail logs to analyze clinical workflow. Specifically, we compared three known workflow changes from our previous study with the corresponding EHR audit trail logs of the study participants. The results showed that EHR audit trail logs can be a valid source for clinical workflow analysis, and can provide an objective view of clinicians' behaviors, multi-dimensional comparisons, and a highly extensible analysis framework.

Entities:  

Mesh：

Year:  2018        PMID： 29854253      PMCID： PMC5977693     

Source DB:  PubMed          Journal:  AMIA Annu Symp Proc        ISSN： 1559-4076


  10 in total

1.  Factors affecting and affected by user acceptance of computer-based nursing documentation: results of a two-year study.

Authors:  Elske Ammenwerth; Ulrich Mansmann; Carola Iller; Ronald Eichstädter
Journal:  J Am Med Inform Assoc       Date:  2003 Jan-Feb       Impact factor: 4.497

2.  Brainstorming about next-generation computer-based documentation: an AMIA clinical working group survey.

Authors:  Kevin B Johnson; William J Ravich; John A Cowan
Journal:  Int J Med Inform       Date:  2004-09       Impact factor: 4.046

3.  Impacts of computerized physician documentation in a teaching hospital: perceptions of faculty and resident physicians.

Authors:  Peter J Embi; Thomas R Yackel; Judith R Logan; Judith L Bowen; Thomas G Cooney; Paul N Gorman
Journal:  J Am Med Inform Assoc       Date:  2004-04-02       Impact factor: 4.497

4.  The "meaningful use" regulation for electronic health records.

Authors:  David Blumenthal; Marilyn Tavenner
Journal:  N Engl J Med       Date:  2010-07-13       Impact factor: 91.245

5.  Launching HITECH.

Authors:  David Blumenthal
Journal:  N Engl J Med       Date:  2009-12-30       Impact factor: 91.245

6.  Time Capture Tool (TimeCaT): development of a comprehensive application to support data capture for Time Motion Studies.

Authors:  Marcelo Lopetegui; Po-Yin Yen; Albert M Lai; Peter J Embi; Philip R O Payne
Journal:  AMIA Annu Symp Proc       Date:  2012-11-03

7.  Electronic health record impact on productivity and efficiency in an academic pediatric ophthalmology practice.

Authors:  Travis K Redd; Sarah Read-Brown; Dongseok Choi; Thomas R Yackel; Daniel C Tu; Michael F Chiang
Journal:  J AAPOS       Date:  2014-11-14       Impact factor: 1.220

8.  Characterizing workflow for pediatric asthma patients in emergency departments using electronic health records.

Authors:  Mustafa Ozkaynak; Oliwier Dziadkowiec; Rakesh Mistry; Tiffany Callahan; Ze He; Sara Deakyne; Eric Tham
Journal:  J Biomed Inform       Date:  2015-08-30       Impact factor: 6.317

9.  Analysis of electronic medication orders with large overdoses: opportunities for mitigating dosing errors.

Authors:  E S Kirkendall; M Kouril; T Minich; S A Spooner
Journal:  Appl Clin Inform       Date:  2014-01-08       Impact factor: 2.342

10.  The electronic health record audit file: the patient is waiting.

Authors:  Annemarie G Hirsch; J B Jones; Virginia R Lerch; Xiaoqin Tang; Andrea Berger; Deserae N Clark; Walter F Stewart
Journal:  J Am Med Inform Assoc       Date:  2017-04-01       Impact factor: 4.497
  10 in total
  11 in total

1.  Defining an Essential Clinical Dataset for Admission Patient History to Reduce Nursing Documentation Burden.

Authors:  Darinda E Sutton; Jennifer R Fogel; April S Giard; Lisa A Gulker; Catherine H Ivory; Amy M Rosa
Journal:  Appl Clin Inform       Date:  2020-07-08       Impact factor: 2.342

2.  Using electronic health record audit logs to study clinical activity: a systematic review of aims, measures, and methods.

Authors:  Adam Rule; Michael F Chiang; Michelle R Hribar
Journal:  J Am Med Inform Assoc       Date:  2020-03-01       Impact factor: 4.497

3.  The potential role of dashboard use and navigation in reducing medical errors of an electronic health record system: a mixed-method simulation handoff study.

Authors:  Danny T Y Wu; Smruti Deoghare; Zhe Shan; Karthikeyan Meganathan; Katherine Blondon
Journal:  Health Syst (Basingstoke)       Date:  2019-05-28

4.  Effects of Computer-Based Documentation Procedures on Health Care Workload Assessment and Resource Allocation: An Example From VA Sleep Medicine Programs.

Authors:  Kathleen F Sarmiento; Eilis A Boudreau; Connor J Smith; Bhavika Kaul; Nancy Johnson; Robert L Folmer
Journal:  Fed Pract       Date:  2020-08

5.  Predicting next-day discharge via electronic health record access logs.

Authors:  Xinmeng Zhang; Chao Yan; Bradley A Malin; Mayur B Patel; You Chen
Journal:  J Am Med Inform Assoc       Date:  2021-11-25       Impact factor: 7.942

6.  Provider Survey on Automated Clinical Decision Support for Cardiovascular Risk Assessment.

Authors:  Alisha P Chaudhry; Sujith Samudrala; Francisco Lopez-Jimenez; Jane L Shellum; Rick A Nishimura; Rajeev Chaudhry; Hongfang Liu; Adelaide M Arruda-Olson
Journal:  Mayo Clin Proc Innov Qual Outcomes       Date:  2019-02-26

7.  An electronic health record (EHR) log analysis shows limited clinician engagement with unsolicited genetic test results.

Authors:  Jordan G Nestor; Alexander Fedotov; David Fasel; Maddalena Marasa; Hila Milo-Rasouly; Julia Wynn; Wendy K Chung; Ali Gharavi; George Hripcsak; Suzanne Bakken; Soumitra Sengupta; Chunhua Weng
Journal:  JAMIA Open       Date:  2021-03-01

8.  Improving Care Delivery: Location Timestamps to Enhance Process Measurement of a Clinical Workflow.

Authors:  Lindsey Barrick; Danny T Y Wu; Theresa Frey; Derek Shu; Ruthvik Abbu; Stephen C Porter; Kevin M Overmann
Journal:  Pediatr Qual Saf       Date:  2021-09-24

9.  Otolaryngology resident clinic participation and attending electronic health record efficiency-A user activity logs study.

Authors:  Grace Michel Wandell; John Paul Giliberto
Journal:  Laryngoscope Investig Otolaryngol       Date:  2021-08-28

10.  Using a Clinical Workflow Analysis to Enhance eHealth Implementation Planning: Tutorial and Case Study.

Authors:  Stephanie Staras; Justin S Tauscher; Natalie Rich; Esaa Samarah; Lindsay A Thompson; Michelle M Vinson; Michael J Muszynski; Elizabeth A Shenkman
Journal:  JMIR Mhealth Uhealth       Date:  2021-03-31       Impact factor: 4.773
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