{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T19:37:12Z","timestamp":1769110632505,"version":"3.49.0"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2023,7,19]],"date-time":"2023-07-19T00:00:00Z","timestamp":1689724800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,9,25]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To determine whether the Office of the National Coordinator\u2019s policy change restricting the use of \u201cgag clauses\u201d in contracts between electronic health record (EHR) vendors and healthcare facilities increased the prevalence of screenshots in peer-reviewed literature.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Materials and Methods<\/jats:title>\n                  <jats:p>We reviewed EHR usability and safety-related peer-reviewed journal articles from 2015 to 2023 and quantified the number of articles containing screenshots. For those that did not contain screenshots, we identified whether they would have benefited from screenshots.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>When gag clauses were permitted 6 of 79 (7.6%) of articles contained screenshots and 8 (10.1%) would have benefited from screenshots. When gag clauses were restricted 3 of 40 (7.5%) contained screenshots and 8 (20%) would have benefited from screenshots.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>The policy change does not appear to have an impact on the prevalence of screenshots in peer-reviewed literature.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Additional steps are necessary to promote the use of screenshots in peer-reviewed literature.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jamia\/ocad138","type":"journal-article","created":{"date-parts":[[2023,7,20]],"date-time":"2023-07-20T02:43:29Z","timestamp":1689821009000},"page":"1717-1719","source":"Crossref","is-referenced-by-count":2,"title":["Electronic health record \u201cgag clauses\u201d and the prevalence of screenshots in peer-reviewed literature"],"prefix":"10.1093","volume":"30","author":[{"given":"Monika","family":"Bapna","sequence":"first","affiliation":[{"name":"School of Medicine, Georgetown University , Washington, District of Columbia, USA"}]},{"given":"Kristen","family":"Miller","sequence":"additional","affiliation":[{"name":"School of Medicine, Georgetown University , Washington, District of Columbia, USA"},{"name":"National Center for Human Factors in Healthcare, MedStar Health , Washington, District of Columbia, USA"}]},{"given":"Raj M","family":"Ratwani","sequence":"additional","affiliation":[{"name":"School of Medicine, Georgetown University , Washington, District of Columbia, USA"},{"name":"National Center for Human Factors in Healthcare, MedStar Health , Washington, District of Columbia, USA"}]}],"member":"286","published-online":{"date-parts":[[2023,7,19]]},"reference":[{"key":"2023092720002655000_ocad138-B1","doi-asserted-by":"publisher","DOI":"10.1136\/amiajnl-2012-001458","article-title":"Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommendations from AMIA","author":"Middleton","year":"2013","journal-title":"J Am Med Informatics Assoc"},{"key":"2023092720002655000_ocad138-B2","first-page":"11","article-title":"Electronic health record usability issues and potential contribution to patient harm","volume":"9","author":"Howe","year":"2018","journal-title":"J Am Med Assoc"},{"key":"2023092720002655000_ocad138-B3","doi-asserted-by":"publisher","DOI":"10.6028\/NIST.IR.7865","volume-title":"A Human Factors Guide to Enhance EHR Usability of Critical User Interactions When Supporting Pediatric Patient Care","author":"Lowry","year":"2012"},{"issue":"5","key":"2023092720002655000_ocad138-B4","doi-asserted-by":"crossref","first-page":"805","DOI":"10.1177\/0018720815576827","article-title":"Usability and safety in electronic medical records interface design: a review of recent literature and guideline formulation","volume":"57","author":"Zahabi","year":"2015","journal-title":"Hum Factors"},{"key":"2023092720002655000_ocad138-B5","first-page":"151","article-title":"A review of healthcare information system usability & safety","volume":"183","author":"Minshall","year":"2013","journal-title":"Stud Health Technol Inform"},{"issue":"10","key":"2023092720002655000_ocad138-B6","doi-asserted-by":"crossref","first-page":"718","DOI":"10.1016\/j.ijhcs.2008.06.002","article-title":"Evaluating usability of a commercial electronic health record: a case study","volume":"66","author":"Edwards","year":"2008","journal-title":"Int J Hum Comput Stud"},{"issue":"11","key":"2023092720002655000_ocad138-B7","doi-asserted-by":"crossref","first-page":"1752","DOI":"10.1377\/hlthaff.2018.0699","article-title":"Identifying electronic health record usability and safety challenges in pediatric settings","volume":"37","author":"Ratwani","year":"2018","journal-title":"Health Aff (Millwood)"},{"key":"2023092720002655000_ocad138-B8","doi-asserted-by":"publisher","author":"Committee on Patient Safety and Health Information Technology; Institute of Medicine","year":"2011","DOI":"10.1001\/jama.308.21.2282-a"},{"issue":"24","key":"2023092720002655000_ocad138-B9","doi-asserted-by":"crossref","first-page":"2533","DOI":"10.1001\/jama.2018.14079","article-title":"Improving electronic health record usability and safety requires transparency","volume":"320","author":"Ratwani","year":"2018","journal-title":"JAMA"},{"key":"2023092720002655000_ocad138-B10","author":"Ramos"},{"key":"2023092720002655000_ocad138-B11","first-page":"24","article-title":"Health care information technology vendors\u2019 \u201chold harmless\u201d clause","volume":"19104","author":"Koppel","year":"2009","journal-title":"J Am Med Assoc"},{"key":"2023092720002655000_ocad138-B12","author":"Department of Health and Human Services","year":"2020"}],"container-title":["Journal of the American Medical Informatics Association"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jamia\/article-pdf\/30\/10\/1717\/51770165\/ocad138.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jamia\/article-pdf\/30\/10\/1717\/51770165\/ocad138.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,27]],"date-time":"2023-09-27T20:33:52Z","timestamp":1695846832000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jamia\/article\/30\/10\/1717\/7226675"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,19]]},"references-count":12,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2023,7,19]]},"published-print":{"date-parts":[[2023,9,25]]}},"URL":"https:\/\/doi.org\/10.1093\/jamia\/ocad138","relation":{},"ISSN":["1067-5027","1527-974X"],"issn-type":[{"value":"1067-5027","type":"print"},{"value":"1527-974X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,10,1]]},"published":{"date-parts":[[2023,7,19]]}}}