ArticleJournal of the American Medical Informatics Association : JAMIA2021
Electronic health records and clinician burnout: A story of three eras.
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 49 papers, 2 of them syntheses that pooled it.
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
49 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Data Quality-Driven Improvement in Health Care: Systematic Literature Review.Journal of medical Internet research · 2024Pooled it
- Systematic review and meta-analysis for a Global Patient co-Owned Cloud (GPOC).Nature communications · 2024Pooled it
- Effects of electronic health records implementation on workflow and health care provider outcomes: a prospective, multi-professional cohort study.JAMIA open · 2026Article
- Availability and Quality of Electronic Health Record Data to Track Physical Function Across a Care Transition.Learning health systems · 2026Article
- Predicting Electronic Health Record Usability: Scoping Review of Adoption Models, Metrics, and Future Directions.JMIR human factors · 2026Article
- Observer: creation of a novel multimodal dataset for outpatient care research.Journal of the American Medical Informatics Association : JAMIA · 2026Article
- Voices From the Frontline: A Qualitative Study of Nurses' Experiences With Documentation and Its Influence on Patient Safety.Journal of nursing management · 2026Article
- Perceptions of Information Transferred in Review of Systems Forms: A Qualitative Description.Journal of general internal medicine · 2026Article
- Barriers and Solutions to Efficient Health Care AI Implementation.JAMA network open · 2025Article
- Medical machine learning operations: a framework to facilitate clinical AI development and deployment in radiology.European radiology · 2025Review
- Observer: Creation of a Novel Multimodal Dataset for Outpatient Care Research.medRxiv : the preprint server for health sciences · 2025Article
- Effect of a generative artificial intelligence digital scribe on pediatric provider documentation time, cognitive burden, and burnout.JAMIA open · 2025Article
- Improving Folic Acid Supplementation Through Electronic Medical Record Interface Modifications-A Retrospective Study.Journal of clinical medicine · 2025Article
- The Impact of AI Scribes on Streamlining Clinical Documentation: A Systematic Review.Healthcare (Basel, Switzerland) · 2025Review
- The interprofessional nurse-physician model in comprehensive management of chronic hepatitis B: An updated review.Journal of virus eradication · 2025Review
- User Requirements and Conceptual Design for an Electronic Data Platform for Interhospital Transfer Between Acute Care Hospitals: User-Centered Design Study.JMIR human factors · 2025Article
- Assessing the Impact on Electronic Health Record Burden After Five Years of Physician Engagement in a Canadian Mental Health Organization: Mixed-Methods Study.JMIR human factors · 2025Article
- Automating Responses to Patient Portal Messages Using Generative AI.Applied clinical informatics · 2025Article
- Cognitive performance classification of older patients using machine learning and electronic medical records.Scientific reports · 2025Article
- Describing atopic dermatitis in real-world clinical practice: a retrospective health system analysis.Archives of dermatological research · 2025Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe study sought to provide physicians, informaticians, and institutional policymakers with an introductory tutorial about the history of medical documentation, sources of clinician burnout, and opportunities to improve electronic health records (EHRs). We now have unprecedented opportunities in health care, with the promise of new cures, improved equity, greater sensitivity to social and behavioral determinants of health, and data-driven precision medicine all on the horizon. EHRs have succeeded in making many aspects of care safer and more reliable. Unfortunately, current limitations in EHR usability and problems with clinician burnout distract from these successes. A complex interplay of technology, policy, and healthcare delivery has contributed to our current frustrations with EHRs. Fortunately, there are opportunities to improve the EHR and health system. A stronger emphasis on improving the clinician's experience through close collaboration by informaticians, clinicians, and vendors can combine with specific policy changes to address the causes of burnout. TARGET AUDIENCE: This tutorial is intended for clinicians, informaticians, policymakers, and regulators, who are essential participants in discussions focused on improving clinician burnout. Learners in biomedicine, regardless of clinical discipline, also may benefit from this primer and review. SCOPE: We include (1) an overview of medical documentation from a historical perspective; (2) a summary of the forces converging over the past 20 years to develop and disseminate the modern EHR; and (3) future opportunities to improve EHR structure, function, user base, and time required to collect and extract information.
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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.