Integrating Process Mining and Cognitive Analysis to Study EHR Workflow.
AMIA Annu Symp Proc
; 2016: 580-589, 2016.
Article
em En
| MEDLINE
| ID: mdl-28269854
ABSTRACT
There are numerous methods to study workflow. However, few produce the kinds of in-depth analyses needed to understand EHR-mediated workflow. Here we investigated variations in clinicians' EHR workflow by integrating quantitative analysis of patterns of users' EHR-interactions with in-depth qualitative analysis of user performance. We characterized 6 clinicians' patterns of information-gathering using a sequential process-mining approach. The analysis revealed 519 different screen transition patterns performed across 1569 patient cases. No one pattern was followed for more than 10% of patient cases, the 15 most frequent patterns accounted for over half ofpatient cases (53%), and 27% of cases exhibited unique patterns. By triangulating quantitative and qualitative analyses, we found that participants' EHR-interactive behavior was associated with their routine processes, patient case complexity, and EHR default settings. The proposed approach has significant potential to inform resource allocation for observation and training. In-depth observations helped us to explain variation across users.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Recursos Humanos em Hospital
/
Registros Eletrônicos de Saúde
/
Comportamento de Busca de Informação
/
Fluxo de Trabalho
Tipo de estudo:
Prognostic_studies
/
Qualitative_research
Limite:
Humans
Idioma:
En
Ano de publicação:
2016
Tipo de documento:
Article