ArticleApplied clinical informatics2018
Perceived Burden of EHRs on Physicians at Different Stages of Their Career.
Article in Applied clinical informatics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
43 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Examining Mental Workload Relating to Digital Health Technologies in Health Care: Systematic Review.Journal of medical Internet research · 2022Pooled it
- Physician Burnout and the Electronic Health Record Leading Up to and During the First Year of COVID-19: Systematic Review.Journal of medical Internet research · 2022Pooled it
- Factors associated with nurse well-being in relation to electronic health record use: A systematic review.Journal of the American Medical Informatics Association : JAMIA · 2021Pooled it
- A systematic review of contributing factors of and solutions to electronic health record-related impacts on physician well-being.Journal of the American Medical Informatics Association : JAMIA · 2021Pooled it
- Bridging the trust-adoption gap for AI scribes in rural communities: A machine learning approach using the 2024 Canadian digital health survey.International journal of medical informatics · 2026Article
- Multicenter Usability Evaluation and Co-Development of a Digital Decision-Support Tool for Labor Triage: Mixed Methods Study.JMIR human factors · 2026Article
- Integrating Artificial Intelligence, Electronic Health Records, and Wearables for Predictive, Patient-Centered Decision Support in Healthcare.Healthcare (Basel, Switzerland) · 2025Article
- Barriers and Facilitators of the Use of Computerized Critical Care Information Systems in the Intensive Care Unit: Qualitative Interview Study.Journal of medical Internet research · 2025Article
- Navigating Canada's primary care crisis: Living Lab approach to reduce administrative burden.Canadian family physician Medecin de famille canadien · 2025Article
- Analyzing Physician In Basket Burden and Efficiency Using K-Means Clustering.Applied clinical informatics · 2025Article
- Investigation of Information Overload in Electronic Health Records: Protocol for Usability Study.JMIR research protocols · 2025Article
- Comparisons of Physicians', Nurses', and Social Welfare Professionals' Experiences With Participation in Information System Development: Cross-Sectional Survey Study.JMIR human factors · 2025Article
- Facilitator and Barrier to Health Information System Use from Health Professionals Perspective: A Scoping Review.Journal of multidisciplinary healthcare · 2025Review
- Realizing the Full Potential of Clinical Decision Support: Translating Usability Testing into Routine Practice in Health Care Operations.Applied clinical informatics · 2024Article
- Impact of Electronic Health Record Use on Cognitive Load and Burnout Among Clinicians: Narrative Review.JMIR medical informatics · 2024Article
- Electronic health records and clinical documentation in medical residency programs: preparing residents to become master clinicians.Journal of the American Medical Informatics Association : JAMIA · 2023Article
- Understanding the perceived role of electronic health records and workflow fragmentation on clinician documentation burden in emergency departments.Journal of the American Medical Informatics Association : JAMIA · 2023Article
- The Priorities of End Users of Emergency Department Electronic Health Records: Modified Delphi Study.JMIR human factors · 2023Article
- Development and pilot evaluation of an electronic health record usability and safety self-assessment tool.JAMIA open · 2022Article
- Perceived Value of the Electronic Health Record and Its Association with Physician Burnout.Applied clinical informatics · 2022Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe purpose of this study was to further explore the effect of EHRs on emergency department (ED) attending and resident physicians' perceived workload, satisfaction, and productivity through the completion of six EHR patient scenarios combined with workload, productivity, and satisfaction surveys.
methodsTo examine EHR usability, we used a live observational design combined with post observation surveys conducted over 3 days, observing emergency physicians' interactions with the EHR during a 1-hour period. Physicians were asked to complete six patient scenarios in the EHR, and then participants filled two surveys to assess the perceived workload and satisfaction with the EHR interface.
resultsFourteen physicians participated, equally distributed by gender (50% females) and experience (43% residents, 57% attendings). Frustration levels associated to the EHR were significantly higher for attending physicians compared with residents. Among the factors causing high EHR frustrations are: (1) remembering menu and button names and commands use; (2) performing tasks that are not straightforward; (3) system speed; and (4) system reliability. In comparisons between attending and resident physicians, time to complete half of the cases as well as the overall reaction to the EHR were statistically different.
conclusionED physicians already have the highest levels of burnout and fourth lowest level of satisfaction among physicians and, hence, particular attention is needed to study the impact of EHR on ED physicians. This study investigated key EHR usability barriers in the ED particularly, the assess frustration levels among physicians based on experience, and identifying factors impacting those levels of frustrations. In our findings, we highlight the most favorable and most frustrating EHR functionalities between both groups of physicians.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.