Business process

Workflow

Process (computing)

Engineering

Astrophysics

Work in process

Operating system

Computer science

Variation (astronomy)

Qualitative research

Business process management

Process mining

Computer network

Physics

Database

Sociology

Operations management

Data science

Qualitative analysis

Resource (disambiguation)

Social science

PubMed

There are numerous methods to study workflow. However, few produce the kinds of in-depth analyses needed to understand EHR-mediated workflow. Here we investigated variations in clinicians' EHR workflow by integrating quantitative analysis of patterns of users' EHR-interactions with in-depth qualitative analysis of user performance. We characterized 6 clinicians' patterns of information-gathering using a sequential process-mining approach. The analysis revealed 519 different screen transition patterns performed across 1569 patient cases. No one pattern was followed for more than 10% of patient cases, the 15 most frequent patterns accounted for over half ofpatient cases (53%), and 27% of cases exhibited unique patterns. By triangulating quantitative and qualitative analyses, we found that participants' EHR-interactive behavior was associated with their routine processes, patient case complexity, and EHR default settings. The proposed approach has significant potential to inform resource allocation for observation and training. In-depth observations helped us to explain variation across users.

Integrating Process Mining and Cognitive Analysis to Study EHR Workflow.