Appl Clin Inform - What do physicians read (and ignore) in electronic progress notes?

Tópicos

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Resumo

JECTIVE: Several studies have documented the preference for physicians to attend to the impression and plan section of a clinical document. However, it is not clear how much attention other sections of a document receive. The goal of this study was to identify how physicians distribute their visual attention while reading electronic notes.METHODS: We used an eye-tracking device to assess the visual attention patterns of ten hospitalists as they read three electronic notes. The assessment included time spent reading specific sections of a note as well as rates of reading. This visual analysis was compared with the content of simulated verbal handoffs for each note and debriefing interviews.RESULTS: Study participants spent the most time in the "Impression and Plan" section of electronic notes and read this section very slowly. Sections such as the "Medication Profile", "Vital Signs" and "Laboratory Results" received less attention and were read very quickly even if they contained more content than the impression and plan. Only 9% of the content of physicians' verbal handoff was found outside of the "Impression and Plan."CONCLUSION: Physicians in this study directed very little attention to medication lists, vital signs or laboratory results compared with the impression and plan section of electronic notes. Optimizing the design of electronic notes may include rethinking the amount and format of imported patient data as this data appears to largely be ignored.

Resumo Limpo

jectiv sever studi document prefer physician attend impress plan section clinic document howev clear much attent section document receiv goal studi identifi physician distribut visual attent read electron notesmethod use eyetrack devic assess visual attent pattern ten hospitalist read three electron note assess includ time spent read specif section note well rate read visual analysi compar content simul verbal handoff note debrief interviewsresult studi particip spent time impress plan section electron note read section slowli section medic profil vital sign laboratori result receiv less attent read quick even contain content impress plan content physician verbal handoff found outsid impress planconclus physician studi direct littl attent medic list vital sign laboratori result compar impress plan section electron note optim design electron note may includ rethink amount format import patient data data appear larg ignor

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