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. Physicians covered various specialties from two university hospitals that jointly implemented a structured and standardized EHR. We measured physicians' time spent on four task categories during outpatient consultations: documentation, patient care, peer communication, and other activities.
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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.