ArticleJournal of general internal medicine2019
Practicing Clinicians' Recommendations to Reduce Burden from the Electronic Health Record Inbox: a Mixed-Methods Study.
Article in Journal of general internal medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 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
37 citing papers in PubMed, 2 syntheses or guidelines pooled it, 52 citations in OpenAlex.
- Impact of artificial intelligence on electronic health record-related burnouts among healthcare professionals: systematic review.Frontiers in public health · 2025Pooled 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
- Physicians' Complex Relationships With Health Information Technology and Burnout: Cross-Sectional Survey Study.JMIR human factors · 2026Article
- Article
- Hybrid Ambient Clinical Documentation and Physician Performance: Work Outside of Work, Documentation Delay, and Financial Productivity.Journal of general internal medicine · 2026Article
- Choosing between virtual and in-person family physician care: a qualitative study.Family practice · 2025Article
- Safeguarding Compassion in Virtual Family Physician Care.Journal of the American Board of Family Medicine : JABFM · 2025Article
- Primary care physicians' experiences with inbox triage.JAMIA open · 2025Article
- ChatGPT Can Provide Satisfactory Answers to Assessments of Mock Clinical Photos Following Anterior Cruciate Ligament Reconstruction and Rotator Cuff Repair.Arthroscopy, sports medicine, and rehabilitation · 2025Article
- Secure Messages, Video Visits, and Burnout Among Primary Care Providers in the Veterans Health Administration: National Survey Study.Journal of medical Internet research · 2025Article
- Networked Behaviors Associated With a Large-Scale Secure Messaging Network: Cross-Sectional Secondary Data Analysis.JMIR medical informatics · 2025Article
- Burnout Among Primary Care Practitioners and Staff in VA Clinics Using Virtual Contingency Staffing.JAMA network open · 2025Article
- Burden of administrative responsibilities in primary care: Qualitative study.Canadian family physician Medecin de famille canadien · 2025Article
- Opportunities and risks of artificial intelligence in patient portal messaging in primary care.NPJ digital medicine · 2025Article
- Defining Documentation Burden (DocBurden) and Excessive DocBurden for All Health Professionals: A Scoping Review.Applied clinical informatics · 2024Article
- Assessment of EHR Efficiency Tools and Resources Associated with Physician Time Spent on the Inbox.Journal of general internal medicine · 2024Article
- Perceptions of hospital electronic health record (EHR) training, support, and patient safety by staff position and tenure.BMC health services research · 2024Article
- Evaluating the Prevalence of Burnout Among Health Care Professionals Related to Electronic Health Record Use: Systematic Review and Meta-Analysis.JMIR medical informatics · 2024Review
- Artificial Intelligence-Generated Draft Replies to Patient Inbox Messages.JAMA network open · 2024Article
- Large language model triaging of simulated nephrology patient inbox messages.Frontiers in artificial intelligence · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWorkload from electronic health record (EHR) inbox notifications leads to information overload and contributes to job dissatisfaction and physician burnout. Better understanding of physicians' inbox requirements and workflows could optimize inbox designs, enhance efficiency, and reduce safety risks from information overload.
designWe conducted a mixed-methods study to identify strategies to enhance EHR inbox design and workflow. First, we performed a secondary analysis of national survey data of all Department of Veterans Affairs (VA) primary care practitioners (PCP) to identify major themes in responses to a free-text question soliciting suggestions to improve EHR inbox design and workflows. We then conducted expert interviews of clinicians at five health care systems (1 VA and 4 non-VA settings using 4 different EHRs) to understand existing optimal strategies to improve efficiency and situational awareness related to EHR inbox use. Themes from survey data were cross-validated with interview findings.
resultsWe analyzed responses from 2104 PCPs who completed the free-text inbox question (of 5001 PCPs who responded to survey) and used an inductive approach to identify five themes: (1) Inbox notification content should be actionable for patient care and relevant to recipient clinician, (2) Inboxes should reduce risk of losing messages, (3) Inbox functionality should be optimized to improve efficiency of processing notifications, (4) Team support should be leveraged to help with EHR inbox notification burden, (5) Sufficient time should be provided to all clinicians to process EHR inbox notifications. We subsequently interviewed 15 VA and non-VA clinicians and identified 11 unique strategies, each corresponding directly with one of these five themes.
conclusionFeedback from practicing end-user clinicians provides robust evidence to improve content and design of the EHR inbox and related clinical workflows and organizational policies. Several strategies we identified could improve clinicians' EHR efficiency and satisfaction as well as empower them to work with their local administrators, health IT personnel, and EHR developers to improve these systems.
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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.