{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,10]],"date-time":"2025-09-10T22:22:18Z","timestamp":1757542938818,"version":"3.37.3"},"reference-count":16,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2023,4,3]],"date-time":"2023-04-03T00:00:00Z","timestamp":1680480000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","award":["T32HS026121","R21HS023704"],"award-info":[{"award-number":["T32HS026121","R21HS023704"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,4,19]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>A prior randomized controlled trial (RCT) showed no significant difference in wrong-patient errors between clinicians assigned to a restricted electronic health record (EHR) configuration (limiting to 1 record open at a time) versus an unrestricted EHR configuration (allowing up to 4 records open concurrently). However, it is unknown whether an unrestricted EHR configuration is more efficient. This substudy of the RCT compared clinician efficiency between EHR configurations using objective measures. All clinicians who logged onto the EHR during the substudy period were included. The primary outcome measure of efficiency was total active minutes per day. Counts were extracted from audit log data, and mixed-effects negative binomial regression was performed to determine differences between randomized groups. Incidence rate ratios (IRRs) were calculated with 95% confidence intervals (CIs). Among a total of 2556 clinicians, there was no significant difference between unrestricted and restricted groups in total active minutes per day (115.1 vs 113.3 min, respectively; IRR, 0.99; 95% CI, 0.93\u20131.06), overall or by clinician type and practice area.<\/jats:p>","DOI":"10.1093\/jamia\/ocad025","type":"journal-article","created":{"date-parts":[[2023,4,3]],"date-time":"2023-04-03T22:43:55Z","timestamp":1680561835000},"page":"953-957","source":"Crossref","is-referenced-by-count":2,"title":["Effect of restricting electronic health records on clinician efficiency: substudy of a randomized clinical trial"],"prefix":"10.1093","volume":"30","author":[{"given":"Jerard Z","family":"Kneifati-Hayek","sequence":"first","affiliation":[{"name":"Division of General Medicine, Department of Medicine, Columbia University Irving Medical Center , New York, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4137-6069","authenticated-orcid":false,"given":"Jo R","family":"Applebaum","sequence":"additional","affiliation":[{"name":"Division of General Medicine, Department of Medicine, Columbia University Irving Medical Center , New York, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clyde B","family":"Schechter","sequence":"additional","affiliation":[{"name":"Department of Family and Social Medicine, Albert Einstein College of Medicine , Bronx, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexis","family":"Dal Col","sequence":"additional","affiliation":[{"name":"Vagelos College of Physicians and Surgeons, Columbia University , New York, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hojjat","family":"Salmasian","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, Brigham and Women\u2019s Hospital , Boston, Massachusetts, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William N","family":"Southern","sequence":"additional","affiliation":[{"name":"Division of Hospital Medicine, Department of Medicine, Albert Einstein College of Medicine, Montefiore Health System , Bronx, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jason S","family":"Adelman","sequence":"additional","affiliation":[{"name":"Division of General Medicine, Department of Medicine, Columbia University Irving Medical Center , New York, New York, USA"},{"name":"Department of Quality and Patient Safety, NewYork-Presbyterian Hospital , New York, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,4,3]]},"reference":[{"author":"The Office of the National Coordinator for Health Information Technology. 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