Utilization of an eye tracker to assess electronic health record use for pharmacists in the intensive care unit Public Deposited

The widespread adoption of electronic health records in hospital and intensive care unit settings has quickly led to the expanded use of health information technology. Although the main benefit of electronic health records has been the increased access to data, this information can be spread throughout several areas of the record, leading to inefficient use and difficulty with time management as well as the prioritization of key clinical interventions. Using eye tracker technology, 8 critical care pharmacists were examined and analyzed on their interaction with 3 simulated patient cases within the electronic health record. Time spent reviewing screens, clinical information accessed, and the screens they used to access specific information were reviewed and quantified to look for trends. Pharmacists spent the majority of their time reviewing medication screens, but also spent large portions of their time on lab values, clinical notes, and vital signs. Pharmacists also spent much of their time reviewing medications most pertinent to critical care medicine with narrow therapeutic window, namely antibiotics and opiate/sedative drug classes. Pharmacist review of patients varied greatly in the quantity of screens reviewed. While the initial outcome that pharmacists spent most of their time reviewing medications was to be expected, the average amount of time differed greatly, and pharmacists were able to further review patient information pertinent to critical care pharmacy through other unique clinical screens. This information can further be utilized to better customize electronic health record information in the critical care setting to more efficiently allow for pharmacist intervention and minimal time wasted jumping between screens or sifting through extraneous information.

  • https://doi.org/10.6083/2n49t2491
  • Kang.Dean.2021.pdf
Publication Date
  • 2021
Document type