{"id":"https://openalex.org/W4400905321","doi":"https://doi.org/10.23970/ahrqepctb47","title":"Measuring Documentation Burden in Healthcare","display_name":"Measuring Documentation Burden in Healthcare","publication_year":2024,"publication_date":"2024-05-21","ids":{"openalex":"https://openalex.org/W4400905321","doi":"https://doi.org/10.23970/ahrqepctb47"},"language":"en","primary_location":{"id":"doi:10.23970/ahrqepctb47","doi":"https://doi.org/10.23970/ahrqepctb47","is_oa":false,"landing_page_url":"https://doi.org/10.23970/ahrqepctb47","pdf_url":null,"source":null,"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Mayo Clinic Evidence-based Practice Center","raw_type":"report"},"volume":null,"type":"report","is_traditional":false,"indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5100670065","display_name":"Zhen Wang","orcid":"https://orcid.org/0000-0002-7821-2252","observed_orcids":["https://orcid.org/0000-0002-7821-2252"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Zhen Wang","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5065992780","display_name":"Colin P. West","orcid":"https://orcid.org/0000-0003-1628-5023","observed_orcids":["https://orcid.org/0000-0003-1628-5023"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Colin P. West","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5056081213","display_name":"Brianna E. Vaa Stelling","orcid":"https://orcid.org/0000-0002-3018-2517","observed_orcids":["https://orcid.org/0000-0002-3018-2517"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Brianna E. Vaa Stelling","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":null,"display_name":"Bashar Hasan","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Bashar Hasan","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5109751208","display_name":"Suvyaktha Simha","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Suvyaktha Simha","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5008023379","display_name":"Samer Mohir Saadi","orcid":"https://orcid.org/0000-0001-9225-1197","observed_orcids":["https://orcid.org/0000-0001-9225-1197"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Samer Saadi","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5017635401","display_name":"Mohammed Firwana","orcid":"https://orcid.org/0000-0003-4713-624X","observed_orcids":["https://orcid.org/0000-0003-4713-624X","https://orcid.org/0000-0002-4423-3653"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Mohammed Firwana","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5028031317","display_name":"Tarek Nayfeh","orcid":"https://orcid.org/0000-0001-9052-5537","observed_orcids":["https://orcid.org/0000-0001-9052-5537"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Tarek Nayfeh","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5090543738","display_name":"Kelly E. Viola","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Kelly E. Viola","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5073495332","display_name":"Larry J. Prokop","orcid":"https://orcid.org/0000-0002-7197-7260","observed_orcids":["https://orcid.org/0000-0002-7197-7260"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Larry J. Prokop","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5054802858","display_name":"Mohammad Hassan Murad","orcid":"https://orcid.org/0000-0001-5502-5975","observed_orcids":["https://orcid.org/0000-0001-5502-5975"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"M. Hassan Murad","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":24,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.9990000128746033,"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":0.9990000128746033,"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/T12790","display_name":"Nursing Diagnosis and Documentation","score":0.0003000000142492354,"subfield":{"id":"https://openalex.org/subfields/2922","display_name":"Research and Theory"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T14400","display_name":"Medical Coding and Health Information","score":0.00019999999494757503,"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"}}],"keywords":[{"id":"https://openalex.org/keywords/documentation-burden","display_name":"documentation burden","score":0.9890000224113464},{"id":"https://openalex.org/keywords/electronic-health-records","display_name":"electronic health records","score":0.8320000171661377},{"id":"https://openalex.org/keywords/ehr-usability","display_name":"EHR usability","score":0.5910000205039978},{"id":"https://openalex.org/keywords/burnout","display_name":"burnout","score":0.7570000290870667},{"id":"https://openalex.org/keywords/hitech-act","display_name":"HITECH Act","score":0.7070000171661377},{"id":"https://openalex.org/keywords/measurement-validity","display_name":"measurement validity","score":0.5809999704360962},{"id":"https://openalex.org/keywords/clinical-documentation","display_name":"clinical documentation","score":0.3659999966621399},{"id":"https://openalex.org/keywords/physician-workload","display_name":"physician workload","score":0.5690000057220459},{"id":"https://openalex.org/keywords/patient-and-caregiver-perspectives","display_name":"patient and caregiver perspectives","score":0.6299999952316284},{"id":"https://openalex.org/keywords/administrative-burden","display_name":"administrative burden","score":0.4300000071525574},{"id":"https://openalex.org/keywords/after-hours-work","display_name":"after-hours work","score":0.5619999766349792},{"id":"https://openalex.org/keywords/measurement-gaps","display_name":"measurement gaps","score":0.421999990940094}],"concepts":[{"id":"https://openalex.org/C56666940","wikidata":"https://www.wikidata.org/wiki/Q788790","display_name":"Documentation","level":2,"score":0.8931338787078857},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5955713391304016},{"id":"https://openalex.org/C2522767166","wikidata":"https://www.wikidata.org/wiki/Q2374463","display_name":"Data science","level":1,"score":0.3260597586631775},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.321897029876709},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.3208200931549072},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.14302480220794678},{"id":"https://openalex.org/C199360897","wikidata":"https://www.wikidata.org/wiki/Q9143","display_name":"Programming language","level":1,"score":0.0543065071105957},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.23970/ahrqepctb47","doi":"https://doi.org/10.23970/ahrqepctb47","is_oa":false,"landing_page_url":"https://doi.org/10.23970/ahrqepctb47","pdf_url":null,"source":null,"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Mayo Clinic Evidence-based Practice Center","raw_type":"report"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.6240000128746033,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/systematic-review","display_name":"Systematic Review"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W3120224639","https://openalex.org/W4416679974","https://openalex.org/W4401529187","https://openalex.org/W4412488713","https://openalex.org/W3031611456","https://openalex.org/W2984982467","https://openalex.org/W4404025179","https://openalex.org/W4323920636","https://openalex.org/W4306828804","https://openalex.org/W3023742756"],"abstract_inverted_index":{"Background.":[0],"The":[1,96,231,355],"2009":[2],"enactment":[3],"of":[4,20,42,59,64,76,79,85,99,125,131,138,151,157,184,221,224,235,267,287,289,301,305,366,383,392,398,414],"the":[5,17,39,74,132,277,281,299,321,326,404],"Health":[6,13],"Information":[7],"Technology":[8],"for":[9,186,237,389,406],"Economic":[10],"and":[11,16,45,68,82,110,123,161,217,229,261,270,274,294,331,336,345,350,385,409,411],"Clinical":[12],"(HITECH)":[14],"Act":[15],"wide":[18,364],"adoption":[19],"electronic":[21,111],"health":[22,112],"record":[23,113],"systems":[24],"(EHR)":[25,114],"have":[26,258],"ushered":[27],"an":[28],"increasing":[29],"documentation":[30,60,80,86,178,187,318,340,359,399,416],"burden,":[31,61,341],"frequently":[32,283],"cited":[33],"as":[34,247,403],"a":[35,46,128,264,363],"key":[36],"factor":[37],"affecting":[38],"work":[40,210],"experience":[41],"healthcare":[43,106],"professionals":[44],"contributor":[47],"to":[48,55,168,196,339,376],"burnout.":[49],"Purpose.":[50],"This":[51],"Technical":[52,101],"Brief":[53,102],"aims":[54],"identify:":[56],"(1)":[57],"measures":[58,78,185,223,239,257,291,302,361],"including":[62,94,134],"evaluation":[63],"validity":[65,288],"evidence,":[66],"strengths,":[67],"weaknesses;":[69],"(2)":[70],"different":[71,77,91],"perspectives":[72,386],"on":[73,298,317,333,352,358],"appropriateness":[75,300],"burden;":[81],"(3)":[83],"perceptions":[84],"burden":[87,319,360,400],"from":[88,127,165],"people":[89],"in":[90,192,203,208,276,303,325],"clinical":[92,197,204],"roles":[93],"patients/caregivers.":[95],"targeted":[97],"audiences":[98],"this":[100],"are":[103],"clinicians,":[104],"researchers,":[105],"system":[107],"leaders,":[108],"policymakers,":[109],"vendors.":[115],"Methods.":[116],"We":[117,172,180,254],"integrated":[118],"discussions":[119],"with":[120,272,343,369],"Key":[121],"Informants":[122],"synthesis":[124],"evidence":[126],"comprehensive":[129],"search":[130],"literature,":[133],"Embase\u00ae,":[135],"Epub":[136],"Ahead":[137],"Print,":[139],"In-Process":[140],"&":[141],"Other":[142],"Non-Indexed":[143],"Citations,":[144],"MEDLINE\u00ae":[145],"Daily,":[146],"MEDLINE\u00ae,":[147],"Cochrane":[148,155],"Central":[149],"Registrar":[150],"Controlled":[152],"Trials,":[153],"Ovid\u00ae":[154],"Database":[156],"Systematic":[158],"Reviews,":[159],"Scopus\u00ae,":[160],"select":[162],"gray":[163],"literature":[164,327,357],"January":[166],"2010":[167],"December":[169],"2023.":[170],"Findings.":[171],"identified":[173,181],"135":[174],"articles":[175],"about":[176],"measuring":[177],"burden.":[179,417],"11":[182],"categories":[183],"burden:":[188],"overall":[189],"time":[190,201,206],"spent":[191,202,207],"EHR,":[193],"activities":[194],"related":[195],"documentation,":[198],"inbox":[199],"management,":[200],"review,":[205],"orders,":[209],"outside":[211],"work/after":[212],"hours,":[213],"administrative":[214],"tasks":[215],"(billing":[216],"insurance":[218],"related),":[219],"fragmentation":[220],"workflow,":[222],"efficiency,":[225],"EHR":[226,241,344],"activity":[227],"rate,":[228],"usability.":[230],"most":[232,238,282,322],"common":[233],"source":[234],"data":[236],"was":[240,251,292,313,320],"usage":[242],"logs.":[243],"Direct":[244],"tracking":[245],"such":[246],"through":[248],"time\u2013motion":[249],"analysis":[250],"fairly":[252],"uncommon.":[253],"found":[255],"that":[256,372],"been":[259],"developed":[260],"applied":[262],"across":[263,310],"diverse":[265],"range":[266,365],"settings,":[268],"populations,":[269],"uses,":[271],"physicians":[273],"nurses":[275],"United":[278],"States":[279],"being":[280],"represented":[284],"groups.":[285],"Evidence":[286],"these":[290],"limited":[293],"incomplete.":[295],"Published":[296],"information":[297],"terms":[304],"scalability,":[306],"feasibility,":[307],"or":[308],"equity":[309],"various":[311],"contexts":[312],"limited.":[314],"Physician":[315],"perspective":[316],"robustly":[323],"captured":[324],"than":[328],"other":[329],"stakeholders":[330],"focused":[332],"increased":[334],"stress":[335],"burnout":[337],"due":[338],"satisfaction":[342],"its":[346],"usability,":[347],"EHR-associated":[348],"workload,":[349],"impact":[351],"teaching.":[353],"Conclusion.":[354],"current":[356],"offers":[362],"measures,":[367],"yet":[368],"serious":[370],"limitations":[371],"must":[373],"be":[374],"remedied":[375],"further":[377],"inform":[378],"practical":[379],"solutions.":[380],"Greater":[381],"diversity":[382],"settings":[384],"is":[387],"needed":[388],"future":[390],"development":[391],"valid":[393],"measures.":[394],"Identifying":[395],"measurement":[396],"gaps":[397],"should":[401],"serve":[402],"basis":[405],"developing":[407],"interventions":[408],"solutions,":[410],"benchmarking":[412],"progression":[413],"mitigating":[415]},"counts_by_year":[{"year":2026,"cited_by_count":12},{"year":2025,"cited_by_count":11},{"year":2024,"cited_by_count":1}],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2024-07-24T00:00:00"}