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Abstract：
Electronic health record (EHR) log data capture clinical workflows and are a rich source of information to understand variation in practice patterns. Variation in how EHRs are used to document and support care delivery is associated with clinical and operational outcomes, including measures of provider well-being and burnout. Standardized measures that describe EHR use would facilitate generalizability and cross-institution, cross-vendor research. Here, we describe the current state of outpatient EHR use measures offered by various EHR vendors, guided by our prior conceptual work that proposed seven core measures to describe EHR use. We evaluate these measures and other reporting options provided by vendors for maturity and similarity to previously proposed standardized measures. Working toward improved standardization of EHR use measures can enable and accelerate high-impact research on physician burnout and job satisfaction as well as organizational efficiency and patient health.
摘要：
电子健康记录（EHR）日志数据可捕获临床工作流程，并且是了解实践模式变化的丰富信息来源。EHR如何用于记录和支持护理交付的差异与临床和操作结果相关。包括衡量提供者的幸福感和倦怠。描述EHR使用的标准化措施将促进普遍性和跨机构，跨供应商研究。这里,我们描述了各种EHR供应商提供的门诊EHR使用措施的现状，在我们之前的概念性工作的指导下，提出了七个核心措施来描述EHR的使用。我们评估供应商提供的这些度量和其他报告选项的成熟度和与先前提出的标准化度量的相似性。致力于改善EHR使用措施的标准化，可以实现并加速对医生倦怠和工作满意度以及组织效率和患者健康的高影响力研究。
