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Quantified electronic health record (EHR) use by academic surgeons.
Morgan L Cox1, Thomas Risoli2, Sarah B Peskoe2
1Department of Surgery, Duke University, Durham, NC.
Surgery
|January 23, 2021
Summary
Surgeons spend an average of 13.8 hours weekly using electronic health records (EHRs), with clinic days demanding the most EHR time. This data aims to address physician burnout by improving EHR efficiency.
Area of Science:
- Medical Informatics
- Surgical Practice
- Physician Burnout Research
Background:
- Electronic health records (EHRs) enhance data sharing but are linked to physician burnout.
- Subjective reports highlight EHR inefficiencies impacting frontline caregivers.
- This study quantifies EHR utilization among surgeons.
Purpose of the Study:
- To quantify the time general surgery attendings spend using the EHR system.
- To provide objective data on EHR usage patterns in surgical practice.
- To inform strategies for mitigating EHR-related burnout.
Main Methods:
- Retrospective review of deidentified EHR data (September 2016 - June 2017).
- Creation of a binary time series to calculate EHR system login times.
- Primary outcome: Total surgeon login time during the study period.
Main Results:
- 51 general surgery attendings averaged 2.0 hours/day and 13.8 hours/week in the EHR.
- High-use surgeons logged an average of 4.6 hours/weekday.
- 65% of EHR use was on-site; 35% was remote, often during off-hours. Clinic days had the highest EHR time.
Conclusions:
- General surgery attendings dedicate significant time to EHR use.
- Quantitative data will be correlated with burnout and job satisfaction.
- Further research on high-use subgroups is needed to identify efficiency barriers.
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