Awareness of the Care Team in Electronic Health Records.

Applied Clinical Informatics
David K VawdreyPeter D Stetson

Abstract

OBJECTIVE: To support collaboration and clinician-targeted decision support, electronic health records (EHRs) must contain accurate information about patients' care providers. The objective of this study was to evaluate two approaches for care provider identification employed within a commercial EHR at a large academic medical center. METHODS: We performed a retrospective review of EHR data for 121 patients in two cardiology wards during a four-week period. System audit logs of chart accesses were analyzed to identify the clinicians who were likely participating in the patients' hospital care. The audit log data were compared with two functions in the EHR for documenting care team membership: 1) a vendor-supplied module called "Care Providers", and 2) a custom "Designate Provider" order that was created primarily to improve accuracy of the attending physician of record documentation. RESULTS: For patients with a 3-5 day hospital stay, an average of 30.8 clinicians accessed the electronic chart, including 10.2 nurses, 1.4 attending physicians, 2.3 residents, and 5.4 physician assistants. The Care Providers module identified 2.7 clinicians/patient (1.8 attending physicians and 0.9 nurses). The Designate Provider order identifie...Continue Reading

Associated Clinical Trials

Apr 11, 2019·Sarah Collins Rossetti

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Citations

Jan 23, 2016·Contemporary Clinical Trials·Ruth Masterson CreberDavid Vawdrey
Jan 15, 2016·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Anuj K Dalal, Jeffrey L Schnipper
Apr 16, 2016·Applied Clinical Informatics·Simona FerranteSara Marceglia
Jul 5, 2016·Journal of the American Medical Informatics Association : JAMIA·Annemarie G HirschWalter F Stewart
Sep 4, 2016·Journal of the American Medical Informatics Association : JAMIA·Gayle Shier KrickeNicholas D Soulakis
Oct 6, 2016·PloS One·Matthew B CarsonNicholas D Soulakis
May 1, 2012·Journal of the American Medical Informatics Association : JAMIA·Chunhua WengJ Thomas Bigger
Apr 20, 2017·Applied Clinical Informatics·Donald W Rucker
Jan 5, 2017·Circulation. Cardiovascular Quality and Outcomes·Matthew B CarsonNicholas D Soulakis
Nov 22, 2019·Journal of the American Medical Informatics Association : JAMIA·Adam RuleMichelle R Hribar
Aug 23, 2019·Qualitative Health Research·Krystal M McGovernAmir A Ghaferi
May 24, 2017·BMC Health Services Research·Irene GabuttiAmerico Cicchetti
Mar 20, 2019·Journal of the American Medical Informatics Association : JAMIA·Ashimiyu B DurojaiyeAyse P Gurses
Feb 24, 2020·International Journal of Medical Informatics·Daniel J FellerLena Mamykina
Mar 4, 2021·Computers, Informatics, Nursing : CIN·Elizabeth A Johnson, Jane M Carrington

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