Reducing electronic health record-related burnout in providers through a personalized efficiency improvement program

Lourie, Eli M.; Utidjian, Levon; Ricci, Maria Fernanda Caravana de Castro Moraes; Webster, Linda; Young, Carola; Grenfell, Stephanie M

doi:10.1093/jamia/ocaa248

Cited by 18 publications

(26 citation statements)

References 16 publications

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“…51,66 Addressing these system-level factors would require reduction of nonphysician tasks, offloading physician tasks to nonphysician members of the team, improving clinical workflows, and streamlining interactions with EHRs. 67,68 Additional considerations of incorporating sociotechnical factors into the design of EHRs, and associated clinical work activities can also help in improving clinical work practices. 69…”

Section: Discussionmentioning

confidence: 99%

Impact of Changes in EHR Use during COVID-19 on Physician Trainee Mental Health

et al. 2021

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Objectives This article investigates the association between changes in electronic health record (EHR) use during the coronavirus disease 2019 (COVID-19) pandemic on the rate of burnout, stress, posttraumatic stress disorder (PTSD), depression, and anxiety among physician trainees (residents and fellows). Methods A total of 222 (of 1,375, 16.2%) physician trainees from an academic medical center responded to a Web-based survey. We compared the physician trainees who reported that their EHR use increased versus those whose EHR use stayed the same or decreased on outcomes related to depression, anxiety, stress, PTSD, and burnout using univariable and multivariable models. We examined whether self-reported exposure to COVID-19 patients moderated these relationships. Results Physician trainees who reported increased use of EHR had higher burnout (adjusted mean, 1.48 [95% confidence interval [CI] 1.24, 1.71] vs. 1.05 [95% CI 0.93, 1.17]; p = 0.001) and were more likely to exhibit symptoms of PTSD (adjusted mean = 15.09 [95% CI 9.12, 21.05] vs. 9.36 [95% CI 7.38, 11.28]; p = 0.035). Physician trainees reporting increased EHR use outside of work were more likely to experience depression (adjusted mean, 8.37 [95% CI 5.68, 11.05] vs. 5.50 [95% CI 4.28, 6.72]; p = 0.035). Among physician trainees with increased EHR use, those exposed to COVID-19 patients had significantly higher burnout (2.04, p < 0.001) and depression scores (14.13, p = 0.003). Conclusion Increased EHR use was associated with higher burnout, depression, and PTSD outcomes among physician trainees. Although preliminary, these findings have implications for creating systemic changes to manage the wellness and well-being of trainees.

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Section: Discussionmentioning

confidence: 99%

Impact of Changes in EHR Use during COVID-19 on Physician Trainee Mental Health

et al. 2021

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“…While working on e-prescriptions was found to be time-consuming [38], it is essential to develop EHR tasks, which support clinical processes and automation, such as the use of machine learning and artificial intelligence [38]. Providing EHR customization and one-to-one training sessions are examples of suggested strategies to improve reported burnout among HCPs using EHR tools [22,39,40]. While using the EHR remote access feature was not common among our participants before the pandemic, accessing EHRs remotely has been increased during the pandemic.…”

Section: Discussionmentioning

confidence: 99%

Stress and Burnout Related to Electronic Health Record Use among Healthcare Providers during the COVID-19 Pandemic in Saudi Arabia: A Preliminary National Randomized Survey

et al. 2021

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Healthcare providers’ burnout may potentially have a negative impact on patient care. The use of the electronic health record (EHR) increases the burden for healthcare providers (HCPs), particularly during the coronavirus disease-2019 (COVID-19) pandemic. This study assessed the stress and burnout related to the use of EHRs and health information technology (HIT) tools among HCPs during COVID-19 in Saudi Arabia. We used a self-developed survey tool. It consisted of five sections; demographics and professional data, experience using EHR, effects of EHR use, use of EHR and technology tools during COVID-19, and health and wellbeing. The survey link was emailed to a random sample of HCPs registered with a national scientific regulatory body. Univariate, bivariate, and multivariate analyses were performed to measure the association between burnout and study variables. A total of 182 participants completed the survey. 50.5% of participants reported a presence of HIT-related stress, and 40.1% reported a presence of burnout. The variables independently associated with burnout were providing tertiary level of care, working with COVID-19 suspected cases, dissatisfaction with EHRs, and agreement with the statement that using EHRs added frustration to the workday. Further research that explores possible solutions is warranted to minimize burnout among HCPs, especially during infectious outbreaks.

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“… 59 Children's Hospital of Philadelphia created a more customized one-on-one training and efficiency program for their physicians and were able to reduce burnout rates from 32% to 23%. 60 …”

Section: Organizational Interventionsmentioning

confidence: 99%