{"id":"https://openalex.org/W4323920636","doi":"https://doi.org/10.1093/jamia/ocad038","title":"Understanding the perceived role of electronic health records and workflow fragmentation on clinician documentation burden in emergency departments","display_name":"Understanding the perceived role of electronic health records and workflow fragmentation on clinician documentation burden in emergency departments","publication_year":2023,"publication_date":"2023-03-11","ids":{"openalex":"https://openalex.org/W4323920636","doi":"https://doi.org/10.1093/jamia/ocad038","pmid":"https://pubmed.ncbi.nlm.nih.gov/36905604"},"language":"en","primary_location":{"id":"doi:10.1093/jamia/ocad038","is_oa":true,"landing_page_url":"https://doi.org/10.1093/jamia/ocad038","pdf_url":"https://academic.oup.com/jamia/advance-article-pdf/doi/10.1093/jamia/ocad038/49511992/ocad038.pdf","source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://academic.oup.com/jamia/advance-article-pdf/doi/10.1093/jamia/ocad038/49511992/ocad038.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5036212770","display_name":"Amanda J Moy","orcid":"https://orcid.org/0000-0003-2756-452X"},"institutions":[{"id":"https://openalex.org/I78577930","display_name":"Columbia University","ror":"https://ror.org/00hj8s172","country_code":"US","type":"education","lineage":["https://openalex.org/I78577930"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Amanda J Moy","raw_affiliation_strings":["Department of Biomedical Informatics, Columbia University , New York, New York, USA"],"raw_orcid":"https://orcid.org/0000-0003-2756-452X","affiliations":[{"raw_affiliation_string":"Department of Biomedical Informatics, Columbia University , New York, New York, USA","institution_ids":["https://openalex.org/I78577930"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5048487567","display_name":"Mollie Hobensack","orcid":"https://orcid.org/0000-0003-2852-4175"},"institutions":[{"id":"https://openalex.org/I78577930","display_name":"Columbia University","ror":"https://ror.org/00hj8s172","country_code":"US","type":"education","lineage":["https://openalex.org/I78577930"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Mollie Hobensack","raw_affiliation_strings":["Columbia University School of Nursing , New York, New York, USA"],"raw_orcid":"https://orcid.org/0000-0003-2852-4175","affiliations":[{"raw_affiliation_string":"Columbia University School of Nursing , New York, New York, USA","institution_ids":["https://openalex.org/I78577930"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5022956753","display_name":"Kyle Marshall","orcid":"https://orcid.org/0000-0003-2254-2727"},"institutions":[{"id":"https://openalex.org/I54713919","display_name":"Geisinger Health System","ror":"https://ror.org/02qdbgx97","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I54713919"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kyle Marshall","raw_affiliation_strings":["Geisinger Health Department of Emergency Medicine , Danville, Pennsylvania, USA","Geisinger Health Steele Institute for Health Innovation , Danville, Pennsylvania, USA"],"raw_orcid":"https://orcid.org/0000-0003-2254-2727","affiliations":[{"raw_affiliation_string":"Geisinger Health Department of Emergency Medicine , Danville, Pennsylvania, USA","institution_ids":["https://openalex.org/I54713919"]},{"raw_affiliation_string":"Geisinger Health Steele Institute for Health Innovation , Danville, Pennsylvania, USA","institution_ids":["https://openalex.org/I54713919"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5105937690","display_name":"David K. Vawdrey","orcid":null},"institutions":[{"id":"https://openalex.org/I54713919","display_name":"Geisinger Health System","ror":"https://ror.org/02qdbgx97","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I54713919"]},{"id":"https://openalex.org/I78577930","display_name":"Columbia University","ror":"https://ror.org/00hj8s172","country_code":"US","type":"education","lineage":["https://openalex.org/I78577930"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"David K Vawdrey","raw_affiliation_strings":["Department of Biomedical Informatics, Columbia University , New York, New York, USA","Geisinger Health Steele Institute for Health Innovation , Danville, Pennsylvania, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Biomedical Informatics, Columbia University , New York, New York, USA","institution_ids":["https://openalex.org/I78577930"]},{"raw_affiliation_string":"Geisinger Health Steele Institute for Health Innovation , Danville, Pennsylvania, USA","institution_ids":["https://openalex.org/I54713919"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5065895557","display_name":"Eugene Y Kim","orcid":null},"institutions":[{"id":"https://openalex.org/I2799503643","display_name":"Columbia University Irving Medical Center","ror":"https://ror.org/01esghr10","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799503643"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Eugene Y Kim","raw_affiliation_strings":["Department of Emergency Medicine, Columbia University Irving Medical Center , New York, New York, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Emergency Medicine, Columbia University Irving Medical Center , New York, New York, USA","institution_ids":["https://openalex.org/I2799503643"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5048937462","display_name":"Kenrick Cato","orcid":"https://orcid.org/0000-0002-0704-3826"},"institutions":[{"id":"https://openalex.org/I2799503643","display_name":"Columbia University Irving Medical Center","ror":"https://ror.org/01esghr10","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799503643"]},{"id":"https://openalex.org/I78577930","display_name":"Columbia University","ror":"https://ror.org/00hj8s172","country_code":"US","type":"education","lineage":["https://openalex.org/I78577930"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kenrick D Cato","raw_affiliation_strings":["Columbia University School of Nursing , New York, New York, USA","Department of Emergency Medicine, Columbia University Irving Medical Center , New York, New York, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Columbia University School of Nursing , New York, New York, USA","institution_ids":["https://openalex.org/I78577930"]},{"raw_affiliation_string":"Department of Emergency Medicine, Columbia University Irving Medical Center , New York, New York, USA","institution_ids":["https://openalex.org/I2799503643"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5053695863","display_name":"Sarah Collins Rossetti","orcid":"https://orcid.org/0000-0003-2632-8867"},"institutions":[{"id":"https://openalex.org/I78577930","display_name":"Columbia University","ror":"https://ror.org/00hj8s172","country_code":"US","type":"education","lineage":["https://openalex.org/I78577930"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sarah C Rossetti","raw_affiliation_strings":["Columbia University School of Nursing , New York, New York, USA","Department of Biomedical Informatics, Columbia University , New York, New York, USA"],"raw_orcid":"https://orcid.org/0000-0003-2632-8867","affiliations":[{"raw_affiliation_string":"Columbia University School of Nursing , New York, New York, USA","institution_ids":["https://openalex.org/I78577930"]},{"raw_affiliation_string":"Department of Biomedical Informatics, Columbia University , New York, New York, USA","institution_ids":["https://openalex.org/I78577930"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":7,"corresponding_author_ids":["https://openalex.org/A5036212770"],"corresponding_institution_ids":["https://openalex.org/I78577930"],"apc_list":{"value":3967,"currency":"USD","value_usd":3967},"apc_paid":{"value":3967,"currency":"USD","value_usd":3967},"fwci":23.0422,"has_fulltext":true,"cited_by_count":68,"citation_normalized_percentile":{"value":0.99472262,"is_in_top_1_percent":true,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":90,"max":100},"biblio":{"volume":"30","issue":"5","first_page":"797","last_page":"808"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.9049999713897705,"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":0.9049999713897705,"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":0.033399999141693115,"subfield":{"id":"https://openalex.org/subfields/2910","display_name":"Issues, ethics and legal aspects"},"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/T12174","display_name":"Hospital Admissions and Outcomes","score":0.01810000091791153,"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"}}],"keywords":[{"id":"https://openalex.org/keywords/documentation","display_name":"Documentation","score":0.8374439477920532},{"id":"https://openalex.org/keywords/workflow","display_name":"Workflow","score":0.8143162727355957},{"id":"https://openalex.org/keywords/thematic-analysis","display_name":"Thematic analysis","score":0.6432898640632629},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.5815625786781311},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.45947709679603577},{"id":"https://openalex.org/keywords/emergency-department","display_name":"Emergency department","score":0.4496746361255646},{"id":"https://openalex.org/keywords/checklist","display_name":"Checklist","score":0.4459097981452942},{"id":"https://openalex.org/keywords/nursing","display_name":"Nursing","score":0.4328426122665405},{"id":"https://openalex.org/keywords/qualitative-research","display_name":"Qualitative research","score":0.38758236169815063},{"id":"https://openalex.org/keywords/psychology","display_name":"Psychology","score":0.2648083567619324},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.1419946849346161},{"id":"https://openalex.org/keywords/database","display_name":"Database","score":0.0918155312538147}],"concepts":[{"id":"https://openalex.org/C56666940","wikidata":"https://www.wikidata.org/wiki/Q788790","display_name":"Documentation","level":2,"score":0.8374439477920532},{"id":"https://openalex.org/C177212765","wikidata":"https://www.wikidata.org/wiki/Q627335","display_name":"Workflow","level":2,"score":0.8143162727355957},{"id":"https://openalex.org/C74196892","wikidata":"https://www.wikidata.org/wiki/Q7781188","display_name":"Thematic analysis","level":3,"score":0.6432898640632629},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5815625786781311},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.45947709679603577},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.4496746361255646},{"id":"https://openalex.org/C2779356329","wikidata":"https://www.wikidata.org/wiki/Q922625","display_name":"Checklist","level":2,"score":0.4459097981452942},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.4328426122665405},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.38758236169815063},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.2648083567619324},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.1419946849346161},{"id":"https://openalex.org/C77088390","wikidata":"https://www.wikidata.org/wiki/Q8513","display_name":"Database","level":1,"score":0.0918155312538147},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C36289849","wikidata":"https://www.wikidata.org/wiki/Q34749","display_name":"Social science","level":1,"score":0.0},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"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/C180747234","wikidata":"https://www.wikidata.org/wiki/Q23373","display_name":"Cognitive psychology","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}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"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":"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":"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":false},{"descriptor_ui":"D004636","descriptor_name":"Emergency Service, Hospital","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":false},{"descriptor_ui":"D004636","descriptor_name":"Emergency Service, Hospital","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":false},{"descriptor_ui":"D004636","descriptor_name":"Emergency Service, Hospital","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":"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":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011787","descriptor_name":"Quality of Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D011787","descriptor_name":"Quality of Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D011787","descriptor_name":"Quality of Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D011787","descriptor_name":"Quality of Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D011787","descriptor_name":"Quality of Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D011787","descriptor_name":"Quality of Health Care","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":false},{"descriptor_ui":"D057188","descriptor_name":"Workflow","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057188","descriptor_name":"Workflow","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057188","descriptor_name":"Workflow","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057188","descriptor_name":"Workflow","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057188","descriptor_name":"Workflow","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":"D057286","descriptor_name":"Electronic Health Records","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":true},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","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":true},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.1093/jamia/ocad038","is_oa":true,"landing_page_url":"https://doi.org/10.1093/jamia/ocad038","pdf_url":"https://academic.oup.com/jamia/advance-article-pdf/doi/10.1093/jamia/ocad038/49511992/ocad038.pdf","source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},{"id":"pmid:36905604","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/36905604","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":"Journal of the American Medical Informatics Association : JAMIA","raw_type":null},{"id":"pmh:oai:pubmedcentral.nih.gov:10114050","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10114050","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10114050/pdf/ocad038.pdf","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,"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":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"J Am Med Inform Assoc","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1093/jamia/ocad038","is_oa":true,"landing_page_url":"https://doi.org/10.1093/jamia/ocad038","pdf_url":"https://academic.oup.com/jamia/advance-article-pdf/doi/10.1093/jamia/ocad038/49511992/ocad038.pdf","source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.5299999713897705,"display_name":"No poverty","id":"https://metadata.un.org/sdg/1"}],"awards":[{"id":"https://openalex.org/G5153562915","display_name":null,"funder_award_id":"5T15LM007079","funder_id":"https://openalex.org/F4320337372","funder_display_name":"U.S. National Library of Medicine"},{"id":"https://openalex.org/G5426717609","display_name":null,"funder_award_id":"5T32NR007969","funder_id":"https://openalex.org/F4320337353","funder_display_name":"National Institute of Nursing Research"},{"id":"https://openalex.org/G6772948275","display_name":null,"funder_award_id":"1R01NR016941-01","funder_id":"https://openalex.org/F4320337353","funder_display_name":"National Institute of Nursing Research"},{"id":"https://openalex.org/G8563450868","display_name":null,"funder_award_id":"R01HS028454","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"},{"id":"https://openalex.org/F4320337353","display_name":"National Institute of Nursing Research","ror":"https://ror.org/01y3zfr79"},{"id":"https://openalex.org/F4320337372","display_name":"U.S. National Library of Medicine","ror":"https://ror.org/0060t0j89"}],"has_content":{"pdf":true,"grobid_xml":false},"content_urls":{"pdf":"https://content.openalex.org/works/W4323920636.pdf"},"referenced_works_count":61,"referenced_works":["https://openalex.org/W134320260","https://openalex.org/W1541255863","https://openalex.org/W1960438578","https://openalex.org/W1964975183","https://openalex.org/W1976770755","https://openalex.org/W1979053643","https://openalex.org/W2005440935","https://openalex.org/W2024024483","https://openalex.org/W2032688717","https://openalex.org/W2079023601","https://openalex.org/W2079171222","https://openalex.org/W2097747157","https://openalex.org/W2098625228","https://openalex.org/W2100484445","https://openalex.org/W2142120967","https://openalex.org/W2179341107","https://openalex.org/W2621214218","https://openalex.org/W2624064968","https://openalex.org/W2754090876","https://openalex.org/W2754799758","https://openalex.org/W2771402750","https://openalex.org/W2783278280","https://openalex.org/W2786131978","https://openalex.org/W2804394016","https://openalex.org/W2810283546","https://openalex.org/W2889713618","https://openalex.org/W2912917028","https://openalex.org/W2913652056","https://openalex.org/W2929139003","https://openalex.org/W2941760028","https://openalex.org/W2951624651","https://openalex.org/W2971342871","https://openalex.org/W2983006701","https://openalex.org/W2996237436","https://openalex.org/W3012030742","https://openalex.org/W3027635297","https://openalex.org/W3028609544","https://openalex.org/W3031010490","https://openalex.org/W3046327779","https://openalex.org/W3080188951","https://openalex.org/W3085825343","https://openalex.org/W3090649337","https://openalex.org/W3120224639","https://openalex.org/W3134360343","https://openalex.org/W3138692432","https://openalex.org/W3153126098","https://openalex.org/W3153178631","https://openalex.org/W3155044909","https://openalex.org/W3158096493","https://openalex.org/W3206130355","https://openalex.org/W3211204911","https://openalex.org/W4200482799","https://openalex.org/W4220756522","https://openalex.org/W4225845990","https://openalex.org/W4229018892","https://openalex.org/W4281625848","https://openalex.org/W4281778194","https://openalex.org/W4287946196","https://openalex.org/W4313705948","https://openalex.org/W6745088396","https://openalex.org/W6783754300"],"related_works":["https://openalex.org/W4234875088","https://openalex.org/W2013796470","https://openalex.org/W2420514274","https://openalex.org/W2001467811","https://openalex.org/W4362687946","https://openalex.org/W1971633942","https://openalex.org/W2902805979","https://openalex.org/W2969972828","https://openalex.org/W2987114614","https://openalex.org/W2808458916"],"abstract_inverted_index":{"OBJECTIVE:":[0],"Understand":[1],"the":[2,18,47,156,207,219,232,247],"perceived":[3,114,183,217],"role":[4],"of":[5,36,122,127,206,234],"electronic":[6],"health":[7],"records":[8],"(EHR)":[9],"and":[10,40,51,64,79,102,141,145,161,167,175,193,210,226],"workflow":[11,143,159],"fragmentation":[12,160],"on":[13],"clinician":[14,248],"documentation":[15,118,163,249],"burden":[16,119],"in":[17,46,155,239],"emergency":[19],"department":[20],"(ED).":[21],"METHODS:":[22],"From":[23],"February":[24],"to":[25,68,111,115,117,179,190,223,245],"June":[26],"2022,":[27],"we":[28,83],"conducted":[29,96],"semistructured":[30],"interviews":[31,97],"among":[32],"a":[33,91,203],"national":[34],"sample":[35],"US":[37],"prescribing":[38,100],"providers":[39,101],"registered":[41,104],"nurses":[42],"who":[43],"actively":[44],"practice":[45],"adult":[48],"ED":[49,242],"setting":[50],"use":[52],"Epic":[53],"Systems'":[54],"EHR.":[55],"We":[56,71,87,95],"recruited":[57],"participants":[58,81],"through":[59,90,195,202],"professional":[60],"listservs,":[61],"social":[62],"media,":[63],"email":[65],"invitations":[66],"sent":[67],"healthcare":[69],"professionals.":[70],"analyzed":[72],"interview":[73],"transcripts":[74],"using":[75],"inductive":[76],"thematic":[77,85],"analysis":[78],"interviewed":[80],"until":[82],"achieved":[84],"saturation.":[86],"finalized":[88],"themes":[89,107,147,153],"consensus-building":[92],"process.":[93],"RESULTS:":[94],"with":[98,149,241],"12":[99,103],"nurses.":[105],"Six":[106],"were":[108],"identified":[109],"related":[110],"EHR":[112,124,128,162,185,198,220],"factors":[113,186],"contribute":[116],"including":[120],"lack":[121],"advanced":[123],"capabilities,":[125],"absence":[126],"optimization":[129],"for":[130],"clinicians,":[131],"poor":[132],"user":[133],"interface":[134],"design,":[135],"hindered":[136],"communication,":[137],"increased":[138],"manual":[139],"work,":[140],"added":[142,221],"blockages,":[144],"five":[146],"associated":[148],"cognitive":[150],"load.":[151],"Two":[152],"emerged":[154],"relationship":[157],"between":[158],"burden:":[164],"underlying":[165],"sources":[166],"adverse":[168],"consequences.":[169],"DISCUSSION:":[170],"Obtaining":[171],"further":[172],"stakeholder":[173],"input":[174],"consensus":[176],"is":[177],"essential":[178],"determine":[180],"whether":[181],"these":[182],"burdensome":[184],"could":[187],"be":[188],"extended":[189],"broader":[191],"contexts":[192],"addressed":[194],"optimizing":[196],"existing":[197],"systems":[199],"alone":[200],"or":[201],"broad":[204],"overhaul":[205],"EHR's":[208],"architecture":[209],"primary":[211],"purpose.":[212],"CONCLUSION:":[213],"While":[214],"most":[215],"clinicians":[216],"that":[218,237],"value":[222],"patient":[224],"care":[225,227],"quality,":[228],"our":[229],"findings":[230],"underscore":[231],"importance":[233],"designing":[235],"EHRs":[236],"are":[238],"harmony":[240],"clinical":[243],"workflows":[244],"alleviate":[246],"burden.":[250]},"counts_by_year":[{"year":2026,"cited_by_count":9},{"year":2025,"cited_by_count":26},{"year":2024,"cited_by_count":18},{"year":2023,"cited_by_count":14},{"year":2022,"cited_by_count":1}],"updated_date":"2026-05-08T15:41:06.802602","created_date":"2025-10-10T00:00:00"}
