2024
Structure and Funding of Clinical Informatics Fellowships: A National Survey of Program Directors
Patel T, Chaise A, Hanna J, Patel K, Kochendorfer K, Medford R, Mize D, Melnick E, Hron J, Youens K, Pandita D, Leu M, Ator G, Yu F, Genes N, Baker C, Bell D, Pevnick J, Conrad S, Chandawarkar A, Rogers K, Kaelber D, Singh I, Levy B, Finnell J, Kannry J, Pageler N, Mohan V, Lehmann C. Structure and Funding of Clinical Informatics Fellowships: A National Survey of Program Directors. Applied Clinical Informatics 2024, 15: 155-163. PMID: 38171383, PMCID: PMC10881258, DOI: 10.1055/a-2237-8309.Peer-Reviewed Original ResearchMeSH KeywordsAnesthesiologyChildCross-Sectional StudiesEducation, Medical, GraduateFellowships and ScholarshipsHumansMedical InformaticsSurveys and QuestionnairesUnited StatesConceptsProgram directorsAmerican BoardCommunity health care systemAccreditation Council for Graduate Medical EducationAmerican Board of Medical SpecialtiesAdministrative supportFunding sourcesOnline REDCap surveyHealth care systemFunding modelsGraduate Medical EducationAmerican Board of Preventive MedicineHospital information technologyMedical education officeGraduate medical education officeSurvey of program directorsFellowship training programsFamily medicineFellowship program directorsEmergency medicineHealth systemSurveyed program directorsCare systemNational survey of program directorsInformatics practice
2022
Monthly Rates of Patients Who Left Before Accessing Care in US Emergency Departments, 2017-2021
Janke AT, Melnick ER, Venkatesh AK. Monthly Rates of Patients Who Left Before Accessing Care in US Emergency Departments, 2017-2021. JAMA Network Open 2022, 5: e2233708. PMID: 36178693, PMCID: PMC9526078, DOI: 10.1001/jamanetworkopen.2022.33708.Peer-Reviewed Original ResearchEmergency physicians' EHR use across hospitals: A cross-sectional analysis
Iscoe MS, Holland ML, Paek H, Flood C, Melnick ER. Emergency physicians' EHR use across hospitals: A cross-sectional analysis. The American Journal Of Emergency Medicine 2022, 61: 205-207. PMID: 35842301, DOI: 10.1016/j.ajem.2022.07.014.Peer-Reviewed Original Research
2021
Analysis of Electronic Health Record Use and Clinical Productivity and Their Association With Physician Turnover
Melnick ER, Fong A, Nath B, Williams B, Ratwani RM, Goldstein R, O’Connell R, Sinsky CA, Marchalik D, Mete M. Analysis of Electronic Health Record Use and Clinical Productivity and Their Association With Physician Turnover. JAMA Network Open 2021, 4: e2128790. PMID: 34636911, PMCID: PMC8511970, DOI: 10.1001/jamanetworkopen.2021.28790.Peer-Reviewed Original ResearchConceptsElectronic health recordsPhysician turnoverRetrospective cohort studyElectronic health record usePractice networkPhysician productivityWarrants further investigationCohort studyEHR timeAge 45Care teamPhysician departurePhysician ordersMAIN OUTCOMEHigh riskPatient timeAmbulatory physiciansPatient volumeUnique physiciansRecord useEHR useHealth care organizationsPhysiciansHealth recordsClinical timeTrends in Electronic Health Record Inbox Messaging During the COVID-19 Pandemic in an Ambulatory Practice Network in New England
Nath B, Williams B, Jeffery MM, O’Connell R, Goldstein R, Sinsky CA, Melnick ER. Trends in Electronic Health Record Inbox Messaging During the COVID-19 Pandemic in an Ambulatory Practice Network in New England. JAMA Network Open 2021, 4: e2131490. PMID: 34636917, PMCID: PMC8511977, DOI: 10.1001/jamanetworkopen.2021.31490.Peer-Reviewed Original ResearchCharacterizing physician EHR use with vendor derived data: a feasibility study and cross-sectional analysis
Melnick ER, Ong SY, Fong A, Socrates V, Ratwani RM, Nath B, Simonov M, Salgia A, Williams B, Marchalik D, Goldstein R, Sinsky CA. Characterizing physician EHR use with vendor derived data: a feasibility study and cross-sectional analysis. Journal Of The American Medical Informatics Association 2021, 28: 1383-1392. PMID: 33822970, PMCID: PMC8279798, DOI: 10.1093/jamia/ocab011.Peer-Reviewed Original ResearchMeSH KeywordsChildCross-Sectional StudiesElectronic Health RecordsFeasibility StudiesFemaleHumansMedicinePhysiciansConceptsElectronic health recordsEHR timeCross-sectional analysisAmbulatory physiciansPatient timeHealth systemClinical hoursHours of patientsMedStar Health systemYale-New HavenObstetrics/gynecologyNeurology/psychiatryMultivariable analysisPhysician genderCertain medical specialtiesPhysical medicineFemale physiciansEHR usePhysiciansHealth recordsHealthcare systemMedical specialtiesHoursSpecialtiesGenderThe association between perceived electronic health record usability and professional burnout among US nurses
Melnick ER, West CP, Nath B, Cipriano PF, Peterson C, Satele DV, Shanafelt T, Dyrbye LN. The association between perceived electronic health record usability and professional burnout among US nurses. Journal Of The American Medical Informatics Association 2021, 28: 1632-1641. PMID: 33871018, PMCID: PMC8324227, DOI: 10.1093/jamia/ocab059.Peer-Reviewed Original ResearchMeSH KeywordsBurnout, ProfessionalChildCross-Sectional StudiesElectronic Health RecordsHumansNursesSurveys and QuestionnairesConceptsElectronic health record usabilityUS nursesDose-response relationshipEHR usabilityCross-sectional surveyMultivariable analysisOdds of burnoutLower oddsNursing experiencePractice settingsCurrent EHRsNursesMaslach Burnout InventoryMean hoursProfessional burnoutScoresSUS scoreRandom sampleTechnology usabilityBurnout InventoryOddsStandardized metricsRelationship statusAssociationSystem Usability ScaleEmergency Department Visits for Nonfatal Opioid Overdose During the COVID-19 Pandemic Across Six US Health Care Systems
Soares WE, Melnick ER, Nath B, D'Onofrio G, Paek H, Skains RM, Walter LA, Casey MF, Napoli A, Hoppe JA, Jeffery MM. Emergency Department Visits for Nonfatal Opioid Overdose During the COVID-19 Pandemic Across Six US Health Care Systems. Annals Of Emergency Medicine 2021, 79: 158-167. PMID: 34119326, PMCID: PMC8449788, DOI: 10.1016/j.annemergmed.2021.03.013.Peer-Reviewed Original ResearchConceptsHealth care systemCause ED visitsNonfatal opioid overdoseED visitsOpioid use disorderCare systemOpioid overdoseUse disordersCOVID-19 pandemicOpioid-related complicationsEmergency department visitsHospital-based interventionsED visit ratesEmergency department utilizationVisit countsUS health care systemOpioid overdose ratesDepartment visitsHistorical controlsAdult visitsOpioid overdosesOverdose ratesMedical emergencyVisit ratesMore weeks
2020
Trends in Emergency Department Visits and Hospital Admissions in Health Care Systems in 5 States in the First Months of the COVID-19 Pandemic in the US
Jeffery MM, D’Onofrio G, Paek H, Platts-Mills TF, Soares WE, Hoppe JA, Genes N, Nath B, Melnick ER. Trends in Emergency Department Visits and Hospital Admissions in Health Care Systems in 5 States in the First Months of the COVID-19 Pandemic in the US. JAMA Internal Medicine 2020, 180: 1328-1333. PMID: 32744612, PMCID: PMC7400214, DOI: 10.1001/jamainternmed.2020.3288.Peer-Reviewed Original ResearchConceptsHospital admission ratesEmergency department visitsED visitsHealth care systemAdmission ratesDepartment visitsHospital admissionCare systemCOVID-19 pandemicLarge health care systemAcute care deliveryCross-sectional studyAnnual ED volumeCoronavirus disease 2019Daily ED visitsInflux of patientsPublic health officialsCOVID-19 case ratesCOVID-19 casesNational public healthDisease 2019MAIN OUTCOMEED volumeSerious symptomsContagious infection
2019
The Association Between Perceived Electronic Health Record Usability and Professional Burnout Among US Physicians
Melnick ER, Dyrbye LN, Sinsky CA, Trockel M, West CP, Nedelec L, Tutty MA, Shanafelt T. The Association Between Perceived Electronic Health Record Usability and Professional Burnout Among US Physicians. Mayo Clinic Proceedings 2019, 95: 476-487. PMID: 31735343, DOI: 10.1016/j.mayocp.2019.09.024.Peer-Reviewed Original ResearchMeSH KeywordsAdultBenchmarkingBurnout, ProfessionalCross-Sectional StudiesElectronic Health RecordsFemaleHumansMaleMiddle AgedPhysiciansSurveys and QuestionnairesUnited StatesConceptsElectronic health record usabilityOdds of burnoutUS physiciansStrong dose-response relationshipAmerican Medical Association Physician MasterfileEHR usabilityDose-response relationshipCross-sectional surveyLower oddsPhysician MasterfileMultivariate analysisPractice settingsCurrent EHR systemsMaslach Burnout InventoryPhysiciansSUS scoreProfessional burnoutMedical specialtiesNumber of nightsPrevious studiesOddsScoresPhysician usersTechnology usabilityBurnout Inventory