ArticleJournal of the American Medical Informatics Association : JAMIA2021
Misdiagnosis: Burnout, moral injury, and implications for the electronic health record.
Article in Journal of the American Medical Informatics Association : JAMIA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
What it found
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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.
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Who cites it
13 citing papers in PubMed, 19 citations in OpenAlex.
- Examining Care Planning Efficiency and Clinical Decision Support Adoption in a System Tailoring to Nurses' Graph Literacy: National, Web-Based Randomized Controlled Trial.Journal of medical Internet research · 2023Trial
- Artificial Intelligence and Clinician Burnout in the United States: A Narrative Review.Cureus · 2026Review
- Perspectives on Attrition Among Emergency Physicians.JAMA network open · 2026Article
- Reclaiming the Human Connection in Clinical Care With AI.Journal of patient experience · 2026Article
- Assessing moral injury in health care workers living in secular societies: Introducing the Health care-Moral Injury Scale (HMIS).British journal of health psychology · 2025Article
- Examining clinicians' fatigue in a pediatric emergency department.Applied ergonomics · 2025Article
- Evaluating the Prevalence of Burnout Among Health Care Professionals Related to Electronic Health Record Use: Systematic Review and Meta-Analysis.JMIR medical informatics · 2024Review
- Impact of Electronic Health Record Use on Cognitive Load and Burnout Among Clinicians: Narrative Review.JMIR medical informatics · 2024Article
- Moral Distress and Moral Injury Among Attending Neurosurgeons: A National Survey.Neurosurgery · 2022Article
- An Electronic Communication Workflow Optimization for Inpatient Specialist Consultation at an Academic Health Care System.Applied clinical informatics · 2022Article
- Impact of Changes in EHR Use during COVID-19 on Physician Trainee Mental Health.Applied clinical informatics · 2021Article
- Health information technology and clinician burnout: Current understanding, emerging solutions, and future directions.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Article
Corrections and comments
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Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Burnout is a long-term stress reaction marked by emotional exhaustion, depersonalization, and a lack of sense of personal accomplishment. Burnout in clinicians is receiving significant attention. Some have proposed that clinicians are experiencing symptoms of moral injury, defined as "perpetrating, failing to prevent, bearing witness to, or learning about acts that transgress deeply held moral beliefs and expectations." Current efforts to improve the electronic health record (EHR) have focused on improving the user experience to reduce burden that has been identified as a contributing factor to provider burnout. However, if EHRs are contributing to moral injury, improvements to user experience will not eliminate the effects on providers. Current research has not evaluated the risk for moral injury resulting from the use of EHRs. This Perspective reviews the differences between burnout and moral injury, discusses the implications for clinicians using EHRs, and highlights the need for research to better define the problem.
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What OpenQuestion holds
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.