Most Read Articles
Stephen Padilla, 6 days ago
Early administration of recombinant human B-type natriuretic peptide (rhBNP) can lower the incidence of reperfusion injury for patients with ST-elevation myocardial infarction (STEMI) who are receiving percutaneous coronary intervention (PCI) treatment, according to a China study.
11 Aug 2019
Intraoperative methylprednisolone does not appear to significantly prevent the incidence of death, cardiac arrest and other injuries in neonates undergoing cardiac surgery with cardiopulmonary bypass, according to a recent study.
2 days ago
Pulmonary function has potential predictive value for future increases in arterial stiffness and its progression, as reported in a recent study.
Yesterday
Systolic blood pressure appears to have a strong association with aneurysmal subarachnoid haemorrhage (aSAH) but not with unruptured intracranial aneurysm (UIA), whereas current smoking and female sex are risk factors for both conditions, a study has found.

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.

Digital Edition
Asia's trusted medical magazine for healthcare professionals. Get your MIMS Doctor - Malaysia digital copy today!
Sign In To Download
Editor's Recommendations
Most Read Articles
Stephen Padilla, 6 days ago
Early administration of recombinant human B-type natriuretic peptide (rhBNP) can lower the incidence of reperfusion injury for patients with ST-elevation myocardial infarction (STEMI) who are receiving percutaneous coronary intervention (PCI) treatment, according to a China study.
11 Aug 2019
Intraoperative methylprednisolone does not appear to significantly prevent the incidence of death, cardiac arrest and other injuries in neonates undergoing cardiac surgery with cardiopulmonary bypass, according to a recent study.
2 days ago
Pulmonary function has potential predictive value for future increases in arterial stiffness and its progression, as reported in a recent study.
Yesterday
Systolic blood pressure appears to have a strong association with aneurysmal subarachnoid haemorrhage (aSAH) but not with unruptured intracranial aneurysm (UIA), whereas current smoking and female sex are risk factors for both conditions, a study has found.