Classifying Provider-EHR Screen Interactions During ICU Pre-Rounds.

Electronic health records (EHR) usability is paramount for high quality of care delivery, clinician productivity and effectiveness, and patient outcomes. This paper investigates clinicians EHR pathways during pre-rounds by characterizing the top EHR screens, duration per screen, and the path taken to complete a task. Structured observations were conducted of ICU providers interacting with the EHR in a real-time, real-world setting to better characterize the information retrieval process. Based on preliminary results of the observations, key areas of information needs have been identified and a preliminary model of EHR workflow has been established. The study highlights that there is a clear discrepancy in usage in EHR screens among ICU residents suggesting that there is a perceived clinician's pathology to finding patient information.