The framework is illustrated with select examples in the safety and efficiency domains, along with their accompanying methodologies, which serve as a proof of concept. We do so by describing EHR audit log data and offering a framework for their potential uses in quality domains (as defined by the National Academy of Medicine). In this commentary, we seek to promote broader awareness of EHR audit log data and to stimulate their use in many contexts. These data – alone and in combination with other datasets – offer a new source of insights, which cannot be gleaned from claims data or clinical data, to support health services research and those studying healthcare processes and outcomes. Often referred to as audit log data or event log data, these datasets capture and timestamp user activity while they are logged in to the EHR. A byproduct of the transition to electronic health records (EHRs) is the associated observational data that capture EHR users’ granular interactions with the medical record.
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