{"id":"https://openalex.org/W2786131978","doi":"https://doi.org/10.1055/s-0037-1621705","title":"Efficiency of Emergency Physicians: Insights from an Observational Study using EHR Log Files","display_name":"Efficiency of Emergency Physicians: Insights from an Observational Study using EHR Log Files","publication_year":2018,"publication_date":"2018-01-01","ids":{"openalex":"https://openalex.org/W2786131978","doi":"https://doi.org/10.1055/s-0037-1621705","mag":"2786131978","pmid":"https://pubmed.ncbi.nlm.nih.gov/30184241","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/5802998"},"language":"en","primary_location":{"id":"doi:10.1055/s-0037-1621705","doi":"https://doi.org/10.1055/s-0037-1621705","is_oa":true,"landing_page_url":"https://doi.org/10.1055/s-0037-1621705","pdf_url":"http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0037-1621705.pdf","source":{"id":"https://openalex.org/S187139995","display_name":"Applied Clinical Informatics","issn_l":"1869-0327","issn":["1869-0327"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320000","host_organization_name":"Thieme Medical Publishers (Germany)","host_organization_lineage":["https://openalex.org/P4310320000"],"host_organization_lineage_names":["Thieme Medical Publishers (Germany)"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Applied Clinical Informatics","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0037-1621705.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5070305373","display_name":"Thomas Kannampallil","orcid":"https://orcid.org/0000-0003-4119-4836","observed_orcids":["https://orcid.org/0000-0003-4119-4836"]},"institutions":[{"id":"https://openalex.org/I39422238","display_name":"University of Illinois Chicago","ror":"https://ror.org/02mpq6x41","country_code":"US","type":"education","lineage":["https://openalex.org/I39422238"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Thomas Kannampallil","raw_affiliation_strings":["Department of Family Medicine, College of Medicine, University of Illinois at Chicago, Chicago, Illinois, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Family Medicine, College of Medicine, University of Illinois at Chicago, Chicago, Illinois, United States","institution_ids":["https://openalex.org/I39422238"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5012489559","display_name":"Courtney A. Denton","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1301626629","display_name":"New York Academy of Medicine","ror":"https://ror.org/00mwdv335","country_code":"US","type":"education","lineage":["https://openalex.org/I1301626629"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Courtney Denton","raw_affiliation_strings":["Center for Cognitive Studies in Medicine and Public Health, The New York Academy of Medicine, New York, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Cognitive Studies in Medicine and Public Health, The New York Academy of Medicine, New York, United States","institution_ids":["https://openalex.org/I1301626629"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101434995","display_name":"Jason S. Shapiro","orcid":"https://orcid.org/0000-0002-4719-3730","observed_orcids":["https://orcid.org/0000-0002-4719-3730"]},"institutions":[{"id":"https://openalex.org/I98704320","display_name":"Icahn School of Medicine at Mount Sinai","ror":"https://ror.org/04a9tmd77","country_code":"US","type":"education","lineage":["https://openalex.org/I1320796813","https://openalex.org/I98704320"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jason Shapiro","raw_affiliation_strings":["Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, United States","institution_ids":["https://openalex.org/I98704320"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5105521386","display_name":"Vimla L. Patel","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1301626629","display_name":"New York Academy of Medicine","ror":"https://ror.org/00mwdv335","country_code":"US","type":"education","lineage":["https://openalex.org/I1301626629"]},{"id":"https://openalex.org/I39422238","display_name":"University of Illinois Chicago","ror":"https://ror.org/02mpq6x41","country_code":"US","type":"education","lineage":["https://openalex.org/I39422238"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Vimla Patel","raw_affiliation_strings":["Center for Cognitive Studies in Medicine and Public Health, The New York Academy of Medicine, New York, United States","Department of Family Medicine , College of Medicine , University of Illinois at Chicago , 1919 West Taylor Street Room 145 , Chicago , IL 60612 , United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Cognitive Studies in Medicine and Public Health, The New York Academy of Medicine, New York, United States","institution_ids":["https://openalex.org/I1301626629"]},{"raw_affiliation_string":"Department of Family Medicine , College of Medicine , University of Illinois at Chicago , 1919 West Taylor Street Room 145 , Chicago , IL 60612 , United States","institution_ids":["https://openalex.org/I39422238"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":3.2361,"has_fulltext":true,"cited_by_count":30,"citation_normalized_percentile":{"value":0.91283657,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":93,"max":98},"biblio":{"volume":"09","issue":"01","first_page":"099","last_page":"104"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.9976000189781189,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.9976000189781189,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11095","display_name":"Emergency and Acute Care Studies","score":0.0019000000320374966,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12174","display_name":"Hospital Admissions and Outcomes","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2911","display_name":"Leadership and Management"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/electronic-health-records","display_name":"electronic health records","score":0.9020000100135803},{"id":"https://openalex.org/keywords/emergency-department-throughput","display_name":"emergency department throughput","score":0.7839999794960022},{"id":"https://openalex.org/keywords/emergency-physicians","display_name":"emergency physicians","score":0.7179999947547913},{"id":"https://openalex.org/keywords/length-of-hospital-stay","display_name":"length of hospital stay","score":0.6880000233650208},{"id":"https://openalex.org/keywords/clinical-documentation","display_name":"clinical documentation","score":0.5630000233650208}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.66800457239151},{"id":"https://openalex.org/C56666940","wikidata":"https://www.wikidata.org/wiki/Q788790","display_name":"Documentation","level":2,"score":0.667538046836853},{"id":"https://openalex.org/C3020144179","wikidata":"https://www.wikidata.org/wiki/Q10871684","display_name":"Electronic health record","level":3,"score":0.6667019128799438},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.6242997646331787},{"id":"https://openalex.org/C3019659195","wikidata":"https://www.wikidata.org/wiki/Q5690566","display_name":"Meaningful use","level":3,"score":0.5910274982452393},{"id":"https://openalex.org/C23131810","wikidata":"https://www.wikidata.org/wiki/Q818574","display_name":"Observational study","level":2,"score":0.5697558522224426},{"id":"https://openalex.org/C29122968","wikidata":"https://www.wikidata.org/wiki/Q1414816","display_name":"Incentive","level":2,"score":0.4933246672153473},{"id":"https://openalex.org/C3019952477","wikidata":"https://www.wikidata.org/wiki/Q1324077","display_name":"Health records","level":3,"score":0.466174840927124},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.44507089257240295},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.4170379936695099},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.37703362107276917},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.36430835723876953},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.1938929259777069},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.16179898381233215},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.10231909155845642},{"id":"https://openalex.org/C175444787","wikidata":"https://www.wikidata.org/wiki/Q39072","display_name":"Microeconomics","level":1,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C199360897","wikidata":"https://www.wikidata.org/wiki/Q9143","display_name":"Programming language","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004282","descriptor_name":"Documentation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004636","descriptor_name":"Emergency Service, Hospital","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008136","descriptor_name":"Longevity","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010820","descriptor_name":"Physicians","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D013997","descriptor_name":"Time Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D064887","descriptor_name":"Observational Studies as Topic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":4,"locations":[{"id":"doi:10.1055/s-0037-1621705","doi":"https://doi.org/10.1055/s-0037-1621705","is_oa":true,"landing_page_url":"https://doi.org/10.1055/s-0037-1621705","pdf_url":"http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0037-1621705.pdf","source":{"id":"https://openalex.org/S187139995","display_name":"Applied Clinical Informatics","issn_l":"1869-0327","issn":["1869-0327"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320000","host_organization_name":"Thieme Medical Publishers (Germany)","host_organization_lineage":["https://openalex.org/P4310320000"],"host_organization_lineage_names":["Thieme Medical Publishers (Germany)"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Applied Clinical Informatics","raw_type":"journal-article"},{"id":"pmh:oai:europepmc.org:5284238","doi":null,"is_oa":true,"landing_page_url":"http://europepmc.org/pmc/articles/PMC5802998","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"","raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:5802998","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/5802998","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Appl Clin Inform","raw_type":"Text"},{"id":"pmid:30184241","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/30184241","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Applied clinical informatics","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1055/s-0037-1621705","doi":"https://doi.org/10.1055/s-0037-1621705","is_oa":true,"landing_page_url":"https://doi.org/10.1055/s-0037-1621705","pdf_url":"http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0037-1621705.pdf","source":{"id":"https://openalex.org/S187139995","display_name":"Applied Clinical Informatics","issn_l":"1869-0327","issn":["1869-0327"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320000","host_organization_name":"Thieme Medical Publishers (Germany)","host_organization_lineage":["https://openalex.org/P4310320000"],"host_organization_lineage_names":["Thieme Medical Publishers (Germany)"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Applied Clinical Informatics","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.8999999761581421,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[{"id":"https://openalex.org/G2705922138","display_name":"IMPACT OF MEANINGFUL USE ON CLINICAL WORKFLOW IN EMERGENCY DEPARTMENTS","funder_award_id":"R01HS022670","funder_id":"https://openalex.org/F4320332177","funder_display_name":"Agency for Healthcare Research and Quality"}],"funders":[{"id":"https://openalex.org/F4320332177","display_name":"Agency for Healthcare Research and Quality","ror":"https://ror.org/03jmfdf59"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2786131978.pdf","grobid_xml":"https://content.openalex.org/works/W2786131978.grobid-xml"},"referenced_works_count":33,"referenced_works":["https://openalex.org/W31914233","https://openalex.org/W190272129","https://openalex.org/W1509328462","https://openalex.org/W1608737606","https://openalex.org/W1787211267","https://openalex.org/W1800226305","https://openalex.org/W1827580104","https://openalex.org/W1966428565","https://openalex.org/W1983695848","https://openalex.org/W1986396378","https://openalex.org/W1999124985","https://openalex.org/W2028993630","https://openalex.org/W2054646376","https://openalex.org/W2058924226","https://openalex.org/W2066295411","https://openalex.org/W2066551695","https://openalex.org/W2079171222","https://openalex.org/W2079946332","https://openalex.org/W2097627512","https://openalex.org/W2102224244","https://openalex.org/W2113832486","https://openalex.org/W2117057030","https://openalex.org/W2125477920","https://openalex.org/W2131394928","https://openalex.org/W2134258571","https://openalex.org/W2145599180","https://openalex.org/W2150290401","https://openalex.org/W2164908905","https://openalex.org/W2315387518","https://openalex.org/W2342879151","https://openalex.org/W2515682654","https://openalex.org/W2554434394","https://openalex.org/W2597321460"],"related_works":["https://openalex.org/W3126728771","https://openalex.org/W1991223104","https://openalex.org/W3025121830","https://openalex.org/W2604339036","https://openalex.org/W1981682739","https://openalex.org/W3004652223","https://openalex.org/W3024888861","https://openalex.org/W2152560313","https://openalex.org/W4401542646","https://openalex.org/W2098443605"],"abstract_inverted_index":{"OBJECTIVE:":[0],"With":[1],"federal":[2],"mandates":[3],"and":[4,20,35,57,66,91,106,117,140,175],"incentives":[5],"since":[6],"the":[7,26,52,81,113,136,155],"turn":[8],"of":[9,44,47,54,108,135,173],"this":[10],"decade,":[11],"electronic":[12],"health":[13],"records":[14],"(EHR)":[15],"have":[16,31],"been":[17],"widely":[18],"adopted":[19],"used":[21],"for":[22,178],"clinical":[23],"care.":[24],"Over":[25],"last":[27],"several":[28],"years,":[29],"we":[30,50],"seen":[32],"both":[33],"positive":[34],"negative":[36],"perspectives":[37],"on":[38,60,151,154],"its":[39,176],"use.":[40],"Using":[41],"an":[42,61],"analysis":[43],"log":[45],"files":[46],"EHR":[48,55,82,141,156],"use,":[49],"investigated":[51],"nature":[53],"use":[56],"their":[58],"effect":[59],"emergency":[62],"department's":[63],"(ED)":[64],"throughput":[65,163],"efficiency.":[67,164],"METHODS:":[68],"=":[69],"2,304":[70],"patients)":[71],"were":[72,83,97,122,128],"collected.":[73],"For":[74],"each":[75],"patient":[76,179],"encounter,":[77],"physician":[78],"activities":[79,116],"in":[80],"categorized":[84],"into":[85],"four":[86,114],"activities:":[87],"documentation,":[88],"review,":[89],"orders,":[90],"navigation.":[92],"Four":[93],"ED-based":[94],"performance":[95,120,138],"metrics":[96,121,139],"also":[98],"captured:":[99],"door-to-provider":[100],"time,":[101,103,105],"door-to-doctor":[102],"door-to-disposition":[104],"length":[107],"stay":[109],"(LOS).":[110],"Association":[111],"between":[112,133],"EHR-based":[115],"corresponding":[118],"ED":[119,162],"evaluated.":[123],"RESULTS:":[124],"<":[125],"0.05).":[126],"There":[127],"no":[129],"statistically":[130],"significant":[131],"associations":[132],"any":[134],"other":[137],"activities.":[142],"CONCLUSION:":[143],"The":[144],"results":[145],"highlight":[146],"that":[147],"longer":[148],"time":[149],"spent":[150],"reviewing":[152],"information":[153],"is":[157,169,181],"potentially":[158],"associated":[159],"with":[160],"decreased":[161],"Balancing":[165],"these":[166],"competing":[167],"goals":[168],"often":[170],"a":[171],"challenge":[172],"physicians,":[174],"implications":[177],"safety":[180],"discussed.":[182]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":3},{"year":2023,"cited_by_count":4},{"year":2022,"cited_by_count":6},{"year":2021,"cited_by_count":5},{"year":2020,"cited_by_count":3},{"year":2019,"cited_by_count":3},{"year":2018,"cited_by_count":2}],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2018-02-23T00:00:00"}