Implementation of a structured and standardized EHR was associated with 8.5% decrease in time for dedicated patient care during consultations in one center and 8.3% increase in dedicated documentation time in another center. The effect on dedicated documentation time significantly differed between centers. In contrast, in the previously paper-based center, we found a significant increase in dedicated time spent on documentation (8.3%) and decrease in time on combined patient care and documentation (-4.6%). In the legacy-EHR center, we found the implementation associated with a significant decrease in time spent on dedicated patient care (-8.5%). We found no significant difference in consultation duration or number of consultations per hour. We observed 24 physicians (162 hours, 439 consultations).
Differences in time distribution before and after implementation were tested using multilevel linear regression. The same physicians were observed 2 to 6 months before and 6 to 8 months after implementation.We analyzed consultation duration, and percentage of time spent on each task category. Preimplementation, one hospital used a legacy-EHR, and one primarily paper-based records.
Eleven percent of female physicians spent between 21 minutes and 24 minutes with each patient, slightly more than male physicians (9 percent). Physicians covered various specialties from two university hospitals that jointly implemented a structured and standardized EHR. Here are 10 more statistics: Of male physicians, 11 percent spent 25 minutes or more with each patient, compared to 15 percent of female physicians. We measured physicians' time spent on four task categories during outpatient consultations: documentation, patient care, peer communication, and other activities. This study measures the effect of the introduction of a structured and standardized EHR on documentation time and time for dedicated patient care during outpatient consultations. They are concerned that adopting a structured and standardized electronic health record (EHR) will lead to more time documenting and less time for patient care, especially during consultations. Physicians spend around 35% of their time documenting patient data.
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