Evidence map›Paper›PMID 30938754›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2019

The complex case of EHRs: examining the factors impacting the EHR user experience.

Michael A Tutty, Lindsey E Carlasare, Stacy Lloyd, Christine A Sinsky

Erratum issuedAbstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 47 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  4. The U.S. health system vulnerabilities.BMC health services research · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Michael A TuttyProfessional Satisfaction and Practice Sustainability, American Medical Association, Chicago, USA.
Lindsey E CarlasareProfessional Satisfaction and Practice Sustainability, American Medical Association, Chicago, USA.
Stacy LloydProfessional Satisfaction and Practice Sustainability, American Medical Association, Chicago, USA.
Christine A SinskyProfessional Satisfaction and Practice Sustainability, American Medical Association, Chicago, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Physicians can spend more time completing administrative tasks in their electronic health record (EHR) than engaging in direct face time with patients. Increasing rates of burnout associated with EHR use necessitate improvements in how EHRs are developed and used. Although EHR design often bears the brunt of the blame for frustrations expressed by physicians, the EHR user experience is influenced by a variety of factors, including decisions made by entities other than the developers and end users, such as regulators, policymakers, and administrators. Identifying these key influences can help create a deeper understanding of the challenges in developing a better EHR user experience. There are multiple opportunities for regulators, policymakers, EHR developers, payers, health system leadership, and users each to make changes to collectively improve the use and efficacy of EHRs.

Indexed as

Electronic Health RecordsPhysiciansBurnout, ProfessionalDelivery of Health CareGovernment RegulationHealth Information InteroperabilityHumansUnited Statesadministrative burdenburnoutelectronic health records

Identifiers

PMID30938754
PMCPMC6562154

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.