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

Autor:	Daniel C. Tu, Michael F. Chiang, Travis Redd, Thomas R. Yackel, Sarah Read-Brown, Dongseok Choi
Rok vydání:	2014
Předmět:	Pediatrics medicine.medical_specialty business.industry medicine.disease Ophthalmology Health personnel Business hours Chart Electronic health record Pediatrics Perinatology and Child Health Medicine Pediatric ophthalmology Medical emergency business Productivity
Zdroj:	Journal of American Association for Pediatric Ophthalmology and Strabismus. 18:584-589
ISSN:	1091-8531
DOI:	10.1016/j.jaapos.2014.08.002
Popis:	Purpose To measure the effect of electronic health record (EHR) implementation on productivity and efficiency in the pediatric ophthalmology division at an academic medical center. Methods Four established providers were selected from the pediatric ophthalmology division at the Oregon Health & Science University Casey Eye Institute. Clinical volume was compared before and after EHR implementation for each provider. Time elapsed from chart open to completion (OTC time) and the proportion of charts completed during business hours were monitored for 3 years following implementation. Results Overall there was an 11% decrease in clinical volume following EHR implementation, which was not statistically significant ( P = 0.18). The mean OTC time ranged from 5.5 to 28.3 hours among providers in this study, and trends over time were variable among the four providers. Forty-four percent of all charts were closed outside normal business hours (30% on weekdays, 14% on weekends). Conclusions EHR implementation was associated with a negative impact on productivity and efficiency in our pediatric ophthalmology division.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::2d99dc7935c597a6914c770446fe6cf2 https://doi.org/10.1016/j.jaapos.2014.08.002 Zobrazit plný text záznamu Full Text from ScienceDirect