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I had not time to make it shorter: an exploratory analysis of how physicians reduce note length and time in notes
Nate C Apathy1,2, Allison J Hare3, Sarah Fendrich4
1National Center for Human Factors in Healthcare, MedStar Health Research Institute, Washington, District of Columbia, USA.
Objective:
We analyze observed reductions in physician note length and documentation time, 2 contributors to electronic health record (EHR) burden and burnout.
Materials And Methods:
We used EHR metadata from January to May, 2021 for 130 079 ambulatory physician Epic users. We identified cohorts of physicians who decreased note length and/or documentation time and analyzed changes in their note composition.
Results:
37 857 physicians decreased either note length (n = 15 647), time in notes (n = 15 417), or both (n = 6793). Note length decreases were primarily attributable to reductions in copy/paste text (average relative change of -18.9%) and templated text (-17.2%). Note time decreases were primarily attributable to reductions in manual text (-27.3%) and increases in note content from other care team members (+21.1%).
Discussion:
Organizations must consider priorities and tradeoffs in the distinct approaches needed to address different contributors to EHR burden.
Conclusion:
Future research should explore scalable burden-reduction initiatives responsive to both note bloat and documentation time.
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