Back matter

References

Working list, author-year style. Needs a formatting pass (full author lists, DOIs, volume/page) before submission to a publisher.

Peer-reviewed research by the authors’ group

Steinkamp J, Kantrowitz J, Sharma A, Bala W. Beyond Notes: Why It Is Time to Abandon an Outdated Documentation Paradigm. Journal of Medical Internet Research. 2021;23(4):e24179. https://www.jmir.org/2021/4/e24179
Steinkamp J, Sharma A, Bala W, Kantrowitz JJ. A Fully Collaborative, Noteless Electronic Medical Record Designed to Minimize Information Chaos: Software Design and Feasibility Study. JMIR Formative Research. 2021;5(11):e23789. https://formative.jmir.org/2021/11/e23789/
Steinkamp J, Kantrowitz JJ, Airan-Javia S. Prevalence and Sources of Duplicate Information in the Electronic Medical Record. JAMA Network Open. 2022;5(9):e2233348. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2796664
Steinkamp J, et al. Task definition, annotated dataset, and supervised natural language processing models for symptom extraction from unstructured clinical notes. Journal of Biomedical Informatics. 2019. (Cited in Chapter 7’s discussion of NLP extraction as a band-aid.)

Beasley JW, Wetterneck TB, Temte J, et al. Information Chaos in Primary Care: Implications for Physician Performance and Patient Safety. Journal of the American Board of Family Medicine. 2011;24(6):745–751.
Arndt BG, Beasley JW, Watkinson MD, et al. Tethered to the EHR: Primary Care Physician Workload Assessment Using EHR Event Log Data and Time-Motion Observations. Annals of Family Medicine. 2017;15(5):419–426.
Sinsky C, Colligan L, Li L, et al. Allocation of Physician Time in Ambulatory Practice: A Time and Motion Study in 4 Specialties. Annals of Internal Medicine. 2016;165(11):753–760.
Overhage JM, McCallie D Jr. Physician Time Spent Using the Electronic Health Record During Outpatient Encounters. Annals of Internal Medicine. 2020;172(3):169–174.

Talbot SG, Dean W. Physicians aren’t ‘burning out.’ They’re suffering from moral injury. STAT. July 26, 2018.
Gardner RL, Cooper E, Haskell J, et al. Physician stress and burnout: the impact of health information technology. JAMIA. 2019;26(2):106–114.
Babbott S, Manwell LB, Brown R, et al. Electronic medical records and physician stress in primary care: results from the MEMO Study. JAMIA. 2014;21(e1):e100–e106.
Collier R. Electronic health records contributing to physician burnout. CMAJ. 2017;189(45):E1405–E1406.
Bowman S. Impact of electronic health record systems on information integrity: quality and safety implications. Perspectives in Health Information Management. 2013;10(Fall):1c.
Carayon P, Wetterneck TB, Alyousef B, et al. (EHR-related human factors and patient safety; full citation to be confirmed.) 2017.

Weed LL. Medical Records That Guide and Teach. New England Journal of Medicine. 1968;278:593–600, 652–657. (The problem-oriented medical record.)
Office of the National Coordinator for Health IT. Adoption of Electronic Health Record Systems among U.S. Non-Federal Acute Care Hospitals: 2008–2015. ONC Data Brief. (Basis for the “fewer than half of hospitals in 2012” claim.)
HL7 International. Consolidated Clinical Document Architecture (C-CDA) Implementation Guide.
HL7 International. US Core Implementation Guide (FHIR R4) — Clinical Notes Guidance. https://build.fhir.org/ig/HL7/US-Core-R4/clinical-notes-guidance.html
Centers for Medicare & Medicaid Services. Meaningful Use / Promoting Interoperability program stage objectives. (Stage 1 and Stage 2 objective lists.)
Strauss A, Fagerhaugh S, Suczek B, Wiener C. Social Organization of Medical Work. University of Chicago Press; 1985. (Articulation work.)
Sweller J. Cognitive load during problem solving. Cognitive Science. 1988;12:257–285. (Intrinsic vs. extraneous load.)
Deming WE. Attributed. “Every system is perfectly designed to get the results it gets.” (Commonly attributed also to Batalden; verify preferred attribution before print.)
Maslow AH. The Psychology of Science. 1966. (“If the only tool you have is a hammer…”)

AMA coverage of the duplication study (“half the words in clinical notes copied-pasted”) and Sinsky’s “sludge” commentary.
Medical Economics survey: physicians reporting documentation burdens impede patient care.
Integrated Care Journal: EHR rollouts and cognitive overload mitigation.