ArticleJournal of the American Medical Informatics Association : JAMIA2021
Conceptual considerations for using EHR-based activity logs to measure clinician burnout and its effects.
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 17 papers.
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Who cites it
17 citing papers in PubMed, 27 citations in OpenAlex.
- Measuring cognitive effort using tabular transformer-based language models of electronic health record-based audit log action sequences.Journal of the American Medical Informatics Association : JAMIA · 2024Article
- A Scalable and Extensible Logical Data Model of Electronic Health Record Audit Logs for Temporal Data Mining (RNteract): Model Conceptualization and Formulation.JMIR nursing · 2024Article
- Predicting Provider Workload Using Predicted Patient Risk Score and Social Determinants of Health in Primary Care Setting.Applied clinical informatics · 2024Article
- Anesthesia Clinical Workload Estimated From Electronic Health Record Documentation vs Billed Relative Value Units.JAMA network open · 2023Article
- A Computational Framework to Evaluate Emergency Department Clinician Task Switching in the Electronic Health Record Using Event Logs.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2023Article
- Using event logs to observe interactions with electronic health records: an updated scoping review shows increasing use of vendor-derived measures.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- Using electronic health record audit log data for research: insights from early efforts.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- Accuracy of Physician Electronic Health Record Usage Analytics using Clinical Test Cases.Applied clinical informatics · 2022Article
- Opportunities to use electronic health record audit logs to improve cancer care.Cancer medicine · 2022Review
- The effect of My Health Record use in the emergency department on clinician-assessed patient care: results from a survey.BMC medical informatics and decision making · 2022Article
- Tackling the Burden of Electronic Health Record Use Among Physicians in a Mental Health Setting: Physician Engagement Strategy.Journal of medical Internet research · 2022Article
- Predicting physician burnout using clinical activity logs: Model performance and lessons learned.Journal of biomedical informatics · 2022Article
- Burnout: A Review of Theory and Measurement.International journal of environmental research and public health · 2022Review
- Predicting next-day discharge via electronic health record access logs.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Characterizing Multitasking and Workflow Fragmentation in Electronic Health Records among Emergency Department Clinicians: Using Time-Motion Data to Understand Documentation Burden.Applied clinical informatics · 2021Article
- 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
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
Electronic health records (EHR) use is often considered a significant contributor to clinician burnout. Informatics researchers often measure clinical workload using EHR-derived audit logs and use it for quantifying the contribution of EHR use to clinician burnout. However, translating clinician workload measured using EHR-based audit logs into a meaningful burnout metric requires an alignment with the conceptual and theoretical principles of burnout. In this perspective, we describe a systems-oriented conceptual framework to achieve such an alignment and describe the pragmatic realization of this conceptual framework using 3 key dimensions: standardizing the measurement of EHR-based clinical work activities, implementing complementary measurements, and using appropriate instruments to assess burnout and its downstream outcomes. We discuss how careful considerations of such dimensions can help in augmenting EHR-based audit logs to measure factors that contribute to burnout and for meaningfully assessing downstream patient safety outcomes.
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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.