{"id":"https://openalex.org/W3134360343","doi":"https://doi.org/10.1055/s-0040-1722615","title":"Physician Workflow in Two Distinctive Emergency Departments: An Observational Study","display_name":"Physician Workflow in Two Distinctive Emergency Departments: An Observational Study","publication_year":2021,"publication_date":"2021-01-01","ids":{"openalex":"https://openalex.org/W3134360343","doi":"https://doi.org/10.1055/s-0040-1722615","mag":"3134360343","pmid":"https://pubmed.ncbi.nlm.nih.gov/33657633"},"language":"en","primary_location":{"id":"doi:10.1055/s-0040-1722615","is_oa":true,"landing_page_url":"https://doi.org/10.1055/s-0040-1722615","pdf_url":"http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0040-1722615.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,"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"},"type":"article","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-0040-1722615.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5105521386","display_name":"Vimla L. Patel","orcid":null},"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":true,"raw_author_name":"Vimla L. Patel","raw_affiliation_strings":["Cognitive Studies in Medicine and Public Health, The New York Academy of Medicine, New York, New York, United States"],"affiliations":[{"raw_affiliation_string":"Cognitive Studies in Medicine and Public Health, The New York Academy of Medicine, New York, New York, United States","institution_ids":["https://openalex.org/I1301626629"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5012489559","display_name":"Courtney A. Denton","orcid":null},"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 A. Denton","raw_affiliation_strings":["Cognitive Studies in Medicine and Public Health, The New York Academy of Medicine, New York, New York, United States"],"affiliations":[{"raw_affiliation_string":"Cognitive Studies in Medicine and Public Health, The New York Academy of Medicine, New York, New York, United States","institution_ids":["https://openalex.org/I1301626629"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5035985948","display_name":"Hiral Soni","orcid":"https://orcid.org/0000-0002-2054-3737"},"institutions":[{"id":"https://openalex.org/I55732556","display_name":"Arizona State University","ror":"https://ror.org/03efmqc40","country_code":"US","type":"education","lineage":["https://openalex.org/I55732556"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Hiral C. Soni","raw_affiliation_strings":["Biomedical Informatics, College of Health Solutions, Arizona State University, Phoenix, Arizona, United States"],"affiliations":[{"raw_affiliation_string":"Biomedical Informatics, College of Health Solutions, Arizona State University, Phoenix, Arizona, United States","institution_ids":["https://openalex.org/I55732556"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5070305373","display_name":"Thomas Kannampallil","orcid":"https://orcid.org/0000-0003-4119-4836"},"institutions":[{"id":"https://openalex.org/I204465549","display_name":"Washington University in St. Louis","ror":"https://ror.org/01yc7t268","country_code":"US","type":"education","lineage":["https://openalex.org/I204465549"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Thomas G. Kannampallil","raw_affiliation_strings":["Department of Anesthesiology and Institute for Informatics, Washington University School of Medicine, Saint Louis, Missouri, United States"],"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology and Institute for Informatics, Washington University School of Medicine, Saint Louis, Missouri, United States","institution_ids":["https://openalex.org/I204465549"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5026222041","display_name":"Stephen J. Traub","orcid":null},"institutions":[{"id":"https://openalex.org/I4210127938","display_name":"Mayo Clinic Hospital","ror":"https://ror.org/03660jn93","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723","https://openalex.org/I4210125099","https://openalex.org/I4210127938"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Stephen J. Traub","raw_affiliation_strings":["Department of Emergency Medicine, Mayo Clinic, Phoenix, Arizona, United States"],"affiliations":[{"raw_affiliation_string":"Department of Emergency Medicine, Mayo Clinic, Phoenix, Arizona, United States","institution_ids":["https://openalex.org/I4210127938"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5101434995","display_name":"Jason S. Shapiro","orcid":"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 S. Shapiro","raw_affiliation_strings":["Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, United States"],"affiliations":[{"raw_affiliation_string":"Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, United States","institution_ids":["https://openalex.org/I98704320"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":6,"corresponding_author_ids":["https://openalex.org/A5105521386"],"corresponding_institution_ids":["https://openalex.org/I1301626629"],"apc_list":null,"apc_paid":null,"fwci":1.9493,"has_fulltext":true,"cited_by_count":12,"citation_normalized_percentile":{"value":0.86780267,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":99},"biblio":{"volume":"12","issue":"01","first_page":"141","last_page":"152"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12918","display_name":"Healthcare Systems and Technology","score":0.9965999722480774,"subfield":{"id":"https://openalex.org/subfields/1407","display_name":"Organizational Behavior and Human Resource Management"},"field":{"id":"https://openalex.org/fields/14","display_name":"Business, Management and Accounting"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T12918","display_name":"Healthcare Systems and Technology","score":0.9965999722480774,"subfield":{"id":"https://openalex.org/subfields/1407","display_name":"Organizational Behavior and Human Resource Management"},"field":{"id":"https://openalex.org/fields/14","display_name":"Business, Management and Accounting"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.996399998664856,"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/T11773","display_name":"Healthcare Operations and Scheduling Optimization","score":0.9932000041007996,"subfield":{"id":"https://openalex.org/subfields/3604","display_name":"Emergency Medical Services"},"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/workflow","display_name":"Workflow","score":0.8558170795440674},{"id":"https://openalex.org/keywords/timeline","display_name":"Timeline","score":0.666823148727417},{"id":"https://openalex.org/keywords/documentation","display_name":"Documentation","score":0.6479761600494385},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.4942617416381836},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.48739391565322876},{"id":"https://openalex.org/keywords/health-informatics","display_name":"Health informatics","score":0.46722611784935},{"id":"https://openalex.org/keywords/patient-safety","display_name":"Patient safety","score":0.4604544937610626},{"id":"https://openalex.org/keywords/human-multitasking","display_name":"Human multitasking","score":0.4573177695274353},{"id":"https://openalex.org/keywords/emergency-department","display_name":"Emergency department","score":0.420423686504364},{"id":"https://openalex.org/keywords/context","display_name":"Context (archaeology)","score":0.4161296486854553},{"id":"https://openalex.org/keywords/medical-emergency","display_name":"Medical emergency","score":0.3820599615573883},{"id":"https://openalex.org/keywords/nursing","display_name":"Nursing","score":0.2944087088108063},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.28184011578559875},{"id":"https://openalex.org/keywords/psychology","display_name":"Psychology","score":0.19818201661109924},{"id":"https://openalex.org/keywords/public-health","display_name":"Public health","score":0.14197668433189392},{"id":"https://openalex.org/keywords/database","display_name":"Database","score":0.09281560778617859}],"concepts":[{"id":"https://openalex.org/C177212765","wikidata":"https://www.wikidata.org/wiki/Q627335","display_name":"Workflow","level":2,"score":0.8558170795440674},{"id":"https://openalex.org/C4438859","wikidata":"https://www.wikidata.org/wiki/Q186117","display_name":"Timeline","level":2,"score":0.666823148727417},{"id":"https://openalex.org/C56666940","wikidata":"https://www.wikidata.org/wiki/Q788790","display_name":"Documentation","level":2,"score":0.6479761600494385},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4942617416381836},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.48739391565322876},{"id":"https://openalex.org/C145642194","wikidata":"https://www.wikidata.org/wiki/Q870895","display_name":"Health informatics","level":3,"score":0.46722611784935},{"id":"https://openalex.org/C2779328685","wikidata":"https://www.wikidata.org/wiki/Q1475557","display_name":"Patient safety","level":3,"score":0.4604544937610626},{"id":"https://openalex.org/C107418235","wikidata":"https://www.wikidata.org/wiki/Q1520565","display_name":"Human multitasking","level":2,"score":0.4573177695274353},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.420423686504364},{"id":"https://openalex.org/C2779343474","wikidata":"https://www.wikidata.org/wiki/Q3109175","display_name":"Context (archaeology)","level":2,"score":0.4161296486854553},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.3820599615573883},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.2944087088108063},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.28184011578559875},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.19818201661109924},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.14197668433189392},{"id":"https://openalex.org/C77088390","wikidata":"https://www.wikidata.org/wiki/Q8513","display_name":"Database","level":1,"score":0.09281560778617859},{"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/C166957645","wikidata":"https://www.wikidata.org/wiki/Q23498","display_name":"Archaeology","level":1,"score":0.0},{"id":"https://openalex.org/C180747234","wikidata":"https://www.wikidata.org/wiki/Q23373","display_name":"Cognitive psychology","level":1,"score":0.0},{"id":"https://openalex.org/C151730666","wikidata":"https://www.wikidata.org/wiki/Q7205","display_name":"Paleontology","level":1,"score":0.0},{"id":"https://openalex.org/C95457728","wikidata":"https://www.wikidata.org/wiki/Q309","display_name":"History","level":0,"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/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"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":"D004282","descriptor_name":"Documentation","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":"D004282","descriptor_name":"Documentation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004636","descriptor_name":"Emergency Service, Hospital","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D004636","descriptor_name":"Emergency Service, Hospital","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D004636","descriptor_name":"Emergency Service, Hospital","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","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":"D010820","descriptor_name":"Physicians","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D010820","descriptor_name":"Physicians","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D057188","descriptor_name":"Workflow","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D057188","descriptor_name":"Workflow","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D057188","descriptor_name":"Workflow","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","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":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.1055/s-0040-1722615","is_oa":true,"landing_page_url":"https://doi.org/10.1055/s-0040-1722615","pdf_url":"http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0040-1722615.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,"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":"pmid:33657633","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/33657633","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,"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":null},{"id":"pmh:oai:pubmedcentral.nih.gov:7929719","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/7929719","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"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":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Appl Clin Inform","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1055/s-0040-1722615","is_oa":true,"landing_page_url":"https://doi.org/10.1055/s-0040-1722615","pdf_url":"http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0040-1722615.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,"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":[{"score":0.6800000071525574,"display_name":"Sustainable cities and communities","id":"https://metadata.un.org/sdg/11"}],"awards":[{"id":"https://openalex.org/G2705922138","display_name":null,"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":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W3134360343.pdf","grobid_xml":"https://content.openalex.org/works/W3134360343.grobid-xml"},"referenced_works_count":35,"referenced_works":["https://openalex.org/W29479957","https://openalex.org/W233588880","https://openalex.org/W1960438578","https://openalex.org/W1964975183","https://openalex.org/W1979128545","https://openalex.org/W1985322877","https://openalex.org/W2005440935","https://openalex.org/W2032969269","https://openalex.org/W2035453046","https://openalex.org/W2066577800","https://openalex.org/W2090930494","https://openalex.org/W2097134296","https://openalex.org/W2108385423","https://openalex.org/W2111160950","https://openalex.org/W2119522137","https://openalex.org/W2129428238","https://openalex.org/W2138226178","https://openalex.org/W2143717233","https://openalex.org/W2145678224","https://openalex.org/W2146362181","https://openalex.org/W2150344954","https://openalex.org/W2164908905","https://openalex.org/W2189322231","https://openalex.org/W2195655668","https://openalex.org/W2270271828","https://openalex.org/W2528412354","https://openalex.org/W2752449276","https://openalex.org/W2810664371","https://openalex.org/W2889713618","https://openalex.org/W2911473783","https://openalex.org/W2999691881","https://openalex.org/W4238879677","https://openalex.org/W4247419361","https://openalex.org/W4319308414","https://openalex.org/W6601200537"],"related_works":["https://openalex.org/W1858249912","https://openalex.org/W2114034199","https://openalex.org/W2317428717","https://openalex.org/W2734259032","https://openalex.org/W4385261515","https://openalex.org/W3094038556","https://openalex.org/W4296345146","https://openalex.org/W2014772881","https://openalex.org/W4254228154","https://openalex.org/W3049477255"],"abstract_inverted_index":{"The":[0],"nature":[1],"of":[2,24],"the":[3,10,25],"clinical":[4],"practice":[5],"and":[6],"EHR-mediated":[7],"workflow":[8],"reflects":[9],"ED":[11],"work":[12],"practices.":[13],"Physicians":[14],"in":[15],"more":[16],"complex":[17],"organizations":[18],"may":[19],"be":[20,32],"less":[21],"efficient":[22],"because":[23],"fragmented":[26],"workflow.":[27],"However,":[28],"these":[29],"effects":[30],"can":[31],"mitigated":[33],"by":[34],"effort":[35],"distribution":[36],"through":[37],"team":[38],"communication,":[39],"which":[40],"affords":[41],"inherent":[42],"safety":[43],"checks.":[44]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":2},{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":4},{"year":2021,"cited_by_count":3}],"updated_date":"2025-11-06T03:46:38.306776","created_date":"2025-10-10T00:00:00"}
