Characterizing electronic health record usage patterns of inpatient medicine residents using event log data
Fig 1
Mean number of EHR actions logged per user day in half hour increments over a 24-hour cycle for different inpatient rotations, split by PGY1 interns (A) and PGY2+ residents (B). General Medicine Day and Night Teams transition care responsibility at 7 AM and 7 PM. Daytime patient care is regularly interrupted by 10 AM morning report and 12 PM noon teaching conferences. PGY1 interns do not rotate through the ICU. ICU housestaff have a separate noon teaching conference and daily 3 PM care conference. Only the ICU rotation integrates computers-on-wheels (COWs) for physician use in patient care and rounding practices, while other rotations segregate physician (computer) workrooms from patient care areas.