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Research Letter
July 3, 2017

Multitasking and Silent Electronic Health Record Use in Ambulatory Visits

Author Affiliations
  • 1Division of General Internal Medicine, the University of California, San Francisco, San Francisco
  • 2UCSF Center for Vulnerable Populations at San Francisco General Hospital, San Francisco
  • 3Department of Communication Studies, San Francisco State University, San Francisco, California
  • 4Department of Medicine at Oregon Health & Science University and VA Portland Health Care System, Portland, Oregon
  • 5Department of Policy Analysis and Management, Cornell University, Ithaca, New York
JAMA Intern Med. Published online July 3, 2017. doi:10.1001/jamainternmed.2017.2668

Electronic health record (EHR) implementation may affect time allocation during patient visits.1 Clinicians may use EHRs in silence, risking lower patient satisfaction,2 or by multitasking while talking with patients. Concurrent multitasking (performing ≥2 tasks simultaneously) is associated with increased error risk and time to complete tasks.3 We studied time allocation and transitions into and out of silent EHR use in clinics after EHR implementation.

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