Evidence map›Paper›PMID 33463680›Full record

SynthesisJournal of the American Medical Informatics Association : JAMIA2021

The burden of the digital environment: a systematic review on organization-directed workplace interventions to mitigate physician burnout.

Kelly J Thomas Craig, Van C Willis, David Gruen, Kyu Rhee, Gretchen P Jackson

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis 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 71 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed, 9 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

71 citing papers in PubMed, 9 syntheses or guidelines pooled it.

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  6. Organizational interventions and occupational burnout: a meta-analysis with focus on exhaustion.International archives of occupational and environmental health · 2023
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11 more citing papers are in PubMed but not listed here.

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

5 authors.

Kelly J Thomas CraigCenter for AI, Research, and Evaluation, IBM Watson Health, Cambridge, Massachusetts, USA.
Van C WillisCenter for AI, Research, and Evaluation, IBM Watson Health, Cambridge, Massachusetts, USA.
David GruenCenter for AI, Research, and Evaluation, IBM Watson Health, Cambridge, Massachusetts, USA.
Kyu RheeCenter for AI, Research, and Evaluation, IBM Watson Health, Cambridge, Massachusetts, USA.
Gretchen P JacksonCenter for AI, Research, and Evaluation, IBM Watson Health, Cambridge, Massachusetts, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo conduct a systematic review identifying workplace interventions that mitigate physician burnout related to the digital environment including health information technologies (eg, electronic health records) and decision support systems) with or without the application of advanced analytics for clinical care. MATERIALS AND

methodsLiterature published from January 1, 2007 to June 3, 2020 was systematically reviewed from multiple databases and hand searches. Subgroup analysis identified relevant physician burnout studies with interventions examining digital tool burden, related workflow inefficiencies, and measures of burnout, stress, or job satisfaction in all practice settings.

resultsThe search strategy identified 4806 citations of which 81 met inclusion criteria. Thirty-eight studies reported interventions to decrease digital tool burden. Sixty-eight percent of these studies reported improvement in burnout and/or its proxy measures. Burnout was decreased by interventions that optimized technologies (primarily electronic health records), provided training, reduced documentation and task time, expanded the care team, and leveraged quality improvement processes in workflows. DISCUSSION: The contribution of digital tools to physician burnout can be mitigated by careful examination of usability, introducing technologies to save or optimize time, and applying quality improvement to workflows.

conclusionPhysician burnout is not reduced by technology implementation but can be mitigated by technology and workflow optimization, training, team expansion, and careful consideration of factors affecting burnout, including specialty, practice setting, regulatory pressures, and how physicians spend their time.

Indexed as

Electronic Health RecordsPhysiciansBurnout, ProfessionalComputer User TrainingHumansPatient Care TeamQuality ImprovementWorkflowburnoutelectronic health recordsquality improvementteam-based careworkflow

Identifiers

PMID33463680
PMCPMC8068437

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.