TY - JOUR
T1 - Impact of a problem-oriented view on clinical data retrieval
AU - Semanik, Michael G.
AU - Kleinschmidt, Peter C.
AU - Wright, Adam
AU - Willett, Duwayne L.
AU - Dean, Shannon M.
AU - Saleh, Sameh N.
AU - Co, Zoe
AU - Sampene, Emmanuel
AU - Buchanan, Joel R.
N1 - Funding Information:
This study was supported by funding from the University of Wisconsin Institute for Clinical Translational Research Novel Methods Pilot Award, National Institutes of Health grant no. UL1TR002373 (to JB and MS).
Publisher Copyright:
© 2021 The Author(s).
PY - 2021/5/1
Y1 - 2021/5/1
N2 - Objective: The electronic health record (EHR) data deluge makes data retrieval more difficult, escalating cognitive load and exacerbating clinician burnout. New auto-summarization techniques are needed. The study goal was to determine if problem-oriented view (POV) auto-summaries improve data retrieval workflows. We hypothesized that POV users would perform tasks faster, make fewer errors, be more satisfied with EHR use, and experience less cognitive load as compared with users of the standard view (SV). Methods: Simple data retrieval tasks were performed in an EHR simulation environment. A randomized block design was used. In the control group (SV), subjects retrieved lab results and medications by navigating to corresponding sections of the electronic record. In the intervention group (POV), subjects clicked on the name of the problem and immediately saw lab results and medications relevant to that problem. Results: With POV, mean completion time was faster (173 seconds for POV vs 205 seconds for SV; P <. 0001), the error rate was lower (3.4% for POV vs 7.7% for SV; P = .0010), user satisfaction was greater (System Usability Scale score 58.5 for POV vs 41.3 for SV; P <. 0001), and cognitive task load was less (NASA Task Load Index score 0.72 for POV vs 0.99 for SV; P <. 0001). Discussion: The study demonstrates that using a problem-based auto-summary has a positive impact on 4 aspects of EHR data retrieval, including cognitive load. Conclusion: EHRs have brought on a data deluge, with increased cognitive load and physician burnout. To mitigate these increases, further development and implementation of auto-summarization functionality and the requisite knowledge base are needed.
AB - Objective: The electronic health record (EHR) data deluge makes data retrieval more difficult, escalating cognitive load and exacerbating clinician burnout. New auto-summarization techniques are needed. The study goal was to determine if problem-oriented view (POV) auto-summaries improve data retrieval workflows. We hypothesized that POV users would perform tasks faster, make fewer errors, be more satisfied with EHR use, and experience less cognitive load as compared with users of the standard view (SV). Methods: Simple data retrieval tasks were performed in an EHR simulation environment. A randomized block design was used. In the control group (SV), subjects retrieved lab results and medications by navigating to corresponding sections of the electronic record. In the intervention group (POV), subjects clicked on the name of the problem and immediately saw lab results and medications relevant to that problem. Results: With POV, mean completion time was faster (173 seconds for POV vs 205 seconds for SV; P <. 0001), the error rate was lower (3.4% for POV vs 7.7% for SV; P = .0010), user satisfaction was greater (System Usability Scale score 58.5 for POV vs 41.3 for SV; P <. 0001), and cognitive task load was less (NASA Task Load Index score 0.72 for POV vs 0.99 for SV; P <. 0001). Discussion: The study demonstrates that using a problem-based auto-summary has a positive impact on 4 aspects of EHR data retrieval, including cognitive load. Conclusion: EHRs have brought on a data deluge, with increased cognitive load and physician burnout. To mitigate these increases, further development and implementation of auto-summarization functionality and the requisite knowledge base are needed.
KW - clinical decision support systems
KW - data display
KW - electronic health records
KW - medical records
KW - problem-oriented
KW - user-computer interface
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U2 - 10.1093/jamia/ocaa332
DO - 10.1093/jamia/ocaa332
M3 - Article
C2 - 33566093
AN - SCOPUS:85105765082
SN - 1067-5027
VL - 28
SP - 899
EP - 906
JO - Journal of the American Medical Informatics Association : JAMIA
JF - Journal of the American Medical Informatics Association : JAMIA
IS - 5
ER -