The Evidence Behind MedXtract
Peer-reviewed research shows how much time is lost to documentation and how error-prone manual data entry can be.
1. Time Burden
2+ hours of clerical work per 1 hour with patients
Multiple studies consistently show physicians spend more time in the EHR and on desk work than face-to-face care, and this trend has persisted.
For every 1 hour of direct care, physicians spend ~2 additional hours on EHR/desk work; plus 1–2 hours after hours.
- Sinsky, C., et al. (2016). Allocation of Physician Time in Ambulatory Practice: A Time and Motion Study in 4 Specialties.. Annals of Internal Medicine, 165(11), 753–760.
PCPs spend ~5.9 of 11.4 daily hours in the EHR; ~1.4 hours occur after clinic.
- Arndt, B. G., et al. (2017). Tethered to the EHR: Primary Care Physician Workload Assessment Using EHR Event Log Data and Time-Motion Observations.. Annals of Family Medicine, 15(5), 419–426.
The documentation burden has persisted; EHR time and inbox volume remain high from 2019–2023.
- Melnick, E. R., et al. (2024). Trends in Electronic Health Record Time Among Primary Care Physicians, 2019–2023.. Annals of Family Medicine, 22(1), 32–39.
2. Error Rates
~6.6% manual data entry error rate
Manual abstraction introduces avoidable errors that affect billing, compliance, and patient safety. Double-entry helps but is rarely feasible operationally.
Across 93 studies, manual single data entry error rate averaged 6.6%; double entry cut errors to ~0.14%.
- Garza, M., et al. (2023). Data entry error rates in medical record abstraction: a systematic review and meta-analysis.. Journal of Clinical and Translational Science, 7, e228.
Findings replicated: manual abstraction error rates cluster around 5–7% across contexts.
- Garza, M., et al. (2024). Error rates in clinical data abstraction: a meta-analysis of single vs. double entry approaches.. BMC Medical Research Methodology, 24, 172.
Why this matters
- Clinicians lose hours daily to clerical work; automation gives time back to care.
- Manual entry bakes in a 5–7% error rate; automation reduces rework and risk.
- Better data quality improves billing accuracy, audit readiness, and patient safety.