Evidence map›Paper›PMID 33166384›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2021

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

Eli M Lourie, Levon Haig Utidjian, Maria F Ricci, Linda Webster, Carola Young, Stephanie M Grenfell

Abstract read
In one paragraph

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 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing 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

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

  1. Pooled it
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  18. Burnout in clinicians.Current problems in pediatric and adolescent health care · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Eli M LouriePerelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Levon Haig UtidjianPerelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Maria F RicciChildren's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Linda WebsterChildren's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Carola YoungChildren's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Stephanie M GrenfellChildren's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo give providers a better understanding of how to use the electronic health record (EHR), improve efficiency, and reduce burnout. MATERIALS AND

methodsAll ambulatory providers were offered at least 1 one-on-one session with an "optimizer" focusing on filling gaps in EHR knowledge and lack of customization. Success was measured using pre- and post-surveys that consisted of validated tools and homegrown questions. Only participants who returned both surveys were included in our calculations.

resultsOut of 1155 eligible providers, 1010 participated in optimization sessions. Pre-survey return rate was 90% (1034/1155) and post-survey was 54% (541/1010). 451 participants completed both surveys. After completing their optimization sessions, respondents reported a 26% improvement in mean knowledge of EHR functionality (P < .01), a 19% increase in the mean efficiency in the EHR (P < .01), and a 17% decrease in mean after-hours EHR usage (P < .01). Of the 401 providers asked to rate their burnout, 32% reported feelings of burnout in the pre-survey compared to 23% in the post-survey (P < .01). Providers were also likely to recommend colleagues participate in the program, with a Net Promoter Score of 41. DISCUSSION: It is possible to improve provider efficiency and feelings of burnout with a personalized optimization program. We ascribe these improvements to the one-on-one nature of our program which provides both training as well as addressing the feeling of isolation many providers feel after implementation.

conclusionIt is possible to reduce burnout in ambulatory providers with personalized retraining designed to improve efficiency and knowledge of the EHR.

Indexed as

Computer User TrainingAmbulatory CareAttitude of Health PersonnelAttitude to ComputersBurnout, ProfessionalEfficiencyElectronic Health RecordsHealth PersonnelHumansSurveys and QuestionnairesBurnoutcomputer user trainingelectronic health recordsoptimizationprovider efficiency

Identifiers

PMID33166384
PMCPMC8068431

What OpenQuestion holds

Textmetadata
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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.