Electronic Health Record Workflows in Acute Care Surgery: Ethnographic Study - Report - MDSpire
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Workflows of Electronic Health Records in Acute Care Surgery: An Ethnographic Investigation

  • By

  • Alex H Lee

  • Devesh Narayanan

  • Kristan Staudenmayer

  • Aussama K Nassar

  • Syed Morad Hameed

  • September 28, 2026

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Workflows of Electronic Health Records in Acute Care Surgery: An Ethnographic Investigation

Background

Acute care surgery encompasses trauma, emergency general surgery, and surgical critical care, necessitating high preparedness among surgical teams. The increasing administrative workload, particularly in EHR documentation, is a major contributor to burnout among ACS surgeons, with rates reaching 67% as reported in the literature. Understanding EHR workflows is crucial for optimizing patient care in high-stakes surgical environments.

Data Highlights

No numerical data or trial data provided in the source material.

Key Findings

  • ACS surgeons spend 60% more time on EHRs than their peers, as indicated in the literature.
  • Burnout rates among ACS surgeons are reported to be as high as 67%.
  • Inadequate data standardization and interoperability hinder effective EHR implementation.
  • EHRs are primarily used for documentation and billing, with limited effectiveness in decision-making.
  • Field observations indicate that EHR use reflects adjustments to complex workflows rather than nonconformity with intended design.

Clinical Implications

The findings suggest that addressing the administrative burden associated with EHRs may be essential for reducing burnout among ACS surgeons. Optimizing EHR workflows could enhance decision-making and improve patient outcomes in acute care settings.

Conclusion

The investigation highlights the need for a deeper understanding of EHR workflows in acute care surgery.

Related Resources & Content

  1. Kutcher ME, Sperry JL, Rosengart MR, et al., J Trauma Acute Care Surg, 2017 -- Surgical rescue: the next pillar of acute care surgery.
  2. Brown CVR, Joseph BA, Davis K, Jurkovich GJ, J Trauma Acute Care Surg, 2021 -- Modifiable factors to improve work-life balance for trauma surgeons.
  3. Golob JFJ, Como JJ, Claridge JA, J Trauma Acute Care Surg, 2016 -- The painful truth: the documentation burden of a trauma surgeon.
  4. Loszko A, Watson M, Khan A, et al., Am Surg, 2023 -- Acute care surgeons spend more time than general surgeons on the electronic health record (EHR).
  5. DIGITAL HEALTH — Implementing an electronic health record system in a tertiary care surgical oncology setup – A mixed method analysis
  6. Journal of Hospital Medicine — Integration of Ambient AI Scribes in Hospitalized Patient Care Environments
  7. MDSpire News — EHR Use Disparities: Female vs. Male Surgeons
  8. JMIR Medical Informatics — The Impact of Electronic Health Records on Family Physicians During Simulated Virtual Encounters: Exploratory Mixed Methods Study
  9. Resources for Optimal Care of the Injured Patient | ACS
  10. National Performance Goals | Joint Commission
  11. Meta-analysis of electronic health records and their effect on diagnostic and medication errors in healthcare - ScienceDirect

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