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Use of electronic health records increases time, documentation pressure for ophthalmology providers

30 May 2019
The PPI-ePR can give healthcare professionals a better picture of the patients’ medical history.

A decade after ophthalmologists adopted the use of electronic health records (EHRs), providers have been found to spend more time using EHR for an office visit, generate longer notes and close the chart faster, according to a study. Such changes may increase time and documentation pressure for providers.

This single-centre cohort study, which involved 685,361 office visits and 70 ophthalmology providers, examined how the amount of time spent using EHRs as well as related documentation behaviours changed a decade after EHR adoption.

The investigators calculated time spent using EHR associated with each individual office visit using EHR audit logs and determined chart closure times and progress note length from secondary EHR data. Linear mixed models were generated to track and model how these metrics changed from 2006–2016.

In 2006, median EHR time per office visit was 4.2 minutes (interquartile range [IQR], 3.5 minutes), and this increased to 6.4 minutes (IQR, 4.5 minutes) in 2016. Median chart closure time in 2006 was 2.8 hours (IQR, 21.3 hours), which decreased to 2.3 hours (IQR, 18.5 hours) in 2016. Median note length was 1,530 characters (IQR, 1,435 characters) in 2006 and increased to 3,838 characters (IQR, 2,668.3 characters) in 2016.

In linear mixed models, EHR time per office visit was 31.9±0.2-percent greater from 2014–2016 vs 2006–2010 (p<0.001), chart closure time was 6.7±0.3-hours shorter from 2014–2016 vs 2006–2010 (p<0.001), and note length was 1,807.4±6.5-characters longer from 2014–2016 vs 2006–2010 (p<0.001).

“EHR redesign and new documentation regulations may help to address these issues,” the investigators said.

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Most Read Articles
18 May 2020
Immobilization or disuse of the forearm leads to impairment in the ability of a protein-rich meal to promote positive muscle amino acid balance, which is aggravated by dietary lipid oversupply, suggests a study. Disuse also lowers postprandial forearm amino acid uptake, but this is not exacerbated under high-fat conditions.
18 May 2020
Glucagon-like peptide-1 receptor agonists (GLP-1RA) are more effective than basal insulin in the management of total (TC) and low-density lipoprotein cholesterol (LDL-C), reveals a recent study.
17 May 2020
Increased coffee consumption among regular drinkers is associated with higher estimated glomerular filtration rate and confers protection against the risk of chronic kidney disease stages G3–G5 and albuminuria, as shown in a study.
Jairia Dela Cruz, 16 May 2020
Excess weight, greater abdominal fat, inflammation and low physical performance can all contribute to insulin resistance in middle-age Singaporean women, and these variables explain why the condition is more common among women of Chinese than Malay and Indian ethnicities, a study has found.