Workflows of Electronic Health Records in Acute Care Surgery: An Ethnographic Investigation
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By
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Alex H Lee
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Devesh Narayanan
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Kristan Staudenmayer
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Aussama K Nassar
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Syed Morad Hameed
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September 28, 2026
Clinical Scorecard: Workflows of Electronic Health Records in Acute Care Surgery: An Ethnographic Investigation
At a Glance
| Category | Detail |
| Condition | Acute Care Surgery |
| Key Mechanisms | Electronic Health Records (EHR) and their integration into clinical workflows. |
| Target Population | ACS teams and critically ill patients in acute care settings. |
| Care Setting | Academic teaching hospital with level I trauma services. |
Key Highlights
- Burnout rates among ACS surgeons reach 67%.
- ACS surgeons spend 60% more time on EHRs compared to peers.
- EHR implementation faces challenges like data standardization and interoperability.
- Clinical decisions in ACS often occur rapidly without preoperative planning.
- Ethnographic research reveals the need for EHR optimization in surgical contexts.
Guideline-Based Recommendations
Diagnosis
Management
Monitoring & Follow-up
Risks
Patient & Prescribing Data
Critically ill patients requiring acute care surgery.
EHRs must support decision-making in high-stakes surgical environments.
Clinical Best Practices
- Optimize EHR workflows to align with the realities of surgical care.
- Conduct ethnographic studies to understand EHR interactions in clinical settings.
- Address administrative workload to reduce burnout among ACS surgeons.
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