SynthesisJournal of the American Medical Informatics Association : JAMIA2021
Exploring the relationship between electronic health records and provider burnout: A systematic review.
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 84 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
84 citing papers in PubMed, 2 syntheses or guidelines pooled it, 147 citations in OpenAlex.
- Interventions to Reduce Electronic Health Record-Related Burnout: A Systematic Review.Applied clinical informatics · 2024Pooled it
- Experience of Health Care Professionals Using Digital Tools in the Hospital: Qualitative Systematic Review.JMIR human factors · 2023Pooled it
- Implementing prescriber-pharmacist collaboration to improve evidence-based medication prescribing using asynchronous, non-interruptive electronic health record notifications.Implementation science : IS · 2025Trial
- The use of objective EHR-and schedule-based clinical workload and EHR use measures in predicting inpatient pediatric provider burnout.JAMIA open · 2026Article
- User Experiences of Electronic Controlled Substance Surveillance Among Health Care Professionals in a Large Academic Hospital: Cross-Sectional Survey.Journal of medical Internet research · 2026Article
- Implications for Virtual Nursing Role Development in Acute Nursing Care: 24-Hour Time-and-Motion Study.JMIR nursing · 2026Article
- Voice Recognition for Periodontal Probing Medical Records under Korean-English Bilingual Conditions: A Feasibility Study.Healthcare informatics research · 2026Article
- Variation in Measures of Electronic Health Record Use Outside Scheduled Hours: A Cross-Sectional Study of Academic Primary Care Physicians.Applied clinical informatics · 2026Article
- Enterprise-wide simultaneous deployment of ambient scribe technology: lessons learned from an academic health system.Journal of the American Medical Informatics Association : JAMIA · 2026Article
- Exploring the impact of AI technostress on physicians' job insecurity and performance from an empirical multi-hospital study.iScience · 2026Article
- Online survey assessing US primary care physicians' attitudes toward AI use in clinical administrative tasks.BMJ health & care informatics · 2026Article
- Work outside of work: after-hours use of the electronic medical record among residents at an academic veterinary teaching hospital.Frontiers in veterinary science · 2026Article
- Electronic Health Record Burnout in Surgery and Strategies to Improve Burnout: A Narrative Review.Cureus · 2025Review
- Building the future of ICU care: Is our digital foundation strong enough? A multicentre survey of Australian and New Zealand intensive care units.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2025Article
- Primary care physician digital health profile and burnout: an international cross-sectional study.European journal of public health · 2025Article
- Article
- The TRANS-SAFE Patient Safety Learning Laboratory: A Protocol for Systems Improvement for Psychosocial Safety in Transgender Care.Journal of patient safety · 2025Article
- Primary care physicians' experiences with inbox triage.JAMIA open · 2025Article
- Mitigating Burnout: The Role of Healthcare Organizations.ATS scholar · 2025Article
- Understanding burnout in physician assistants/associates through the lens of Conservation of Resources theory.Health affairs scholar · 2025Article
24 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveStress and burnout due to electronic health record (EHR) technology has become a focus for burnout intervention. The aim of this study is to systematically review the relationship between EHR use and provider burnout. MATERIALS AND
methodsA systematic literature search was performed on PubMed, EMBASE, PsychInfo, ACM Digital Library in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement. Inclusion criterion was original research investigating the association between EHR and provider burnout. Studies that did not measure the association objectively were excluded. Study quality was assessed using the Medical Education Research Study Quality Instrument. Qualitative synthesis was also performed.
resultsTwenty-six studies met inclusion criteria. The median sample size of providers was 810 (total 20 885; 44% male; mean age 53 [range, 34-56] years). Twenty-three (88%) studies were cross-sectional studies and 3 were single-arm cohort studies measuring pre- and postintervention burnout prevalence. Burnout was assessed objectively with various validated instruments. Insufficient time for documentation (odds ratio [OR], 1.40-5.83), high inbox or patient call message volumes (OR, 2.06-6.17), and negative perceptions of EHR by providers (OR, 2.17-2.44) were the 3 most cited EHR-related factors associated with higher rates of provider burnout that was assessed objectively.
conclusionsThe included studies were mostly observational studies; thus, we were not able to determine a causal relationship. Currently, there are few studies that objectively assessed the relationship between EHR use and provider burnout. The 3 most cited EHR factors associated with burnout were confirmed and should be the focus of efforts to improve EHR-related provider burnout.
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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.