SynthesisJournal of medical Internet research2022
Physician Burnout and the Electronic Health Record Leading Up to and During the First Year of COVID-19: Systematic Review.
Synthesis in Journal of medical Internet research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 6 of them syntheses that pooled 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.
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
31 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Electronic health records: managerial insights from an umbrella review.BMC health services research · 2026Pooled it
- Electronic health records-related determinants of healthcare professionals' burnout and mitigation strategies: systematic review and meta-analysis.Frontiers in public health · 2026Pooled it
- The influence of electronic health record design on usability and medication safety: systematic review.BMC health services research · 2025Pooled it
- The role of information systems in emergency department decision-making-a literature review.Journal of the American Medical Informatics Association : JAMIA · 2024Pooled it
- Interventions to Reduce Electronic Health Record-Related Burnout: A Systematic Review.Applied clinical informatics · 2024Pooled it
- Physician's Burnout during the COVID-19 Pandemic: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2023Pooled it
- Provider Interaction With an Electronic Health Record Notification to Identify Eligible Patients for a Cluster Randomized Trial of Advance Care Planning in Primary Care: Secondary Analysis.Journal of medical Internet research · 2023Trial
- An Evaluation of AI-Generated Clinical Notes in the OpenNotes Era: A Thematic Analysis of Clinician Discourse.Journal of evaluation in clinical practice · 2026Article
- Addressing the Burden of Asynchronous Work to Promote Clinician Retention in Ambulatory General Internal Medicine Practices.Journal of general internal medicine · 2026Article
- From cognitive overload to institutional escalation: formalizing the supply-demand production condition in patient-safety failure.Frontiers in health services · 2026Article
- Healthcare professionals' perspectives on usefulness, acceptability and implementation conditions of socially assistive robots in France: a cross-sectional survey and cluster analysis.Frontiers in digital health · 2026Article
- Leveraging Telemedicine to Manage Adolescent Obesity: A Systematic Literature Review.Health science reports · 2025Article
- Integrating physician wellbeing into patient safety standards: a crucial step for Emergency Medicine.Internal and emergency medicine · 2025Article
- EHR Use in Inpatient Physicians: Patterns and Predictors.Applied clinical informatics · 2025Article
- The impact of a mindful compassion program for medical trainees.BMC medical education · 2025Article
- Usability Challenges in Electronic Health Records: Impact on Documentation Burden and Clinical Workflow: A Scoping Review.Journal of evaluation in clinical practice · 2025Article
- Automating Responses to Patient Portal Messages Using Generative AI.Applied clinical informatics · 2025Article
- Innovations that helped with accessing and delivering primary care for infants and young children during COVID-19.BMC primary care · 2025Article
- COVID-19 public health restrictions and opioid overdoes: a summative content analysis of emergency medical services records in three Texas counties.Substance abuse treatment, prevention, and policy · 2024Article
- "For the first time…I am seriously fighting burnout": clinician experiences with a challenging electronic health record transition.JAMIA open · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPhysician burnout was first documented in 1974, and the electronic health record (EHR) has been known to contribute to the symptoms of physician burnout. Authors pondered the extent of this effect, recognizing the increased use of telemedicine during the first year of COVID-19.
objectiveThe aim of this review was to objectively analyze the literature over the last 5 years for empirical evidence of burnout incident to the EHR and to identify barriers to, facilitators to, and associated patient satisfaction with using the EHR to improve symptoms of burnout.
methodsNo human participants were involved in this review; however, 100% of participants in studies analyzed were adult physicians. We queried 4 research databases and 1 targeted journal for studies commensurate with the objective statement from January 1, 2016 through January 31, 2021 (n=25).
resultsThe hours spent in documentation and workflow are responsible for the sense of loss of autonomy, lack of work-life balance, lack of control of one's schedule, cognitive fatigue, a general loss of autonomy, and poor relationships with colleagues. Researchers have identified training, local customization of templates and workflow, and the use of scribes as strategies to alleviate the administrative burden of the EHR and decrease symptoms of burnout.
conclusionsThe solutions provided in the literature only addressed 2 of the 3 factors (workflow and documentation time) but not the third factor (usability). Practitioners and administrators should focus on the former 2 factors because they are within their sphere of control. EHR vendors should focus on empirical evidence to identify and improve the usability features with the greatest impact. Researchers should design experiments to explore solutions that address all 3 factors of the EHR that contribute to burnout.
trial registrationPROSPERO International Prospective Register of Systematic Reviews CRD42020201820; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=201820. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR2-10.2196/15490.
Indexed as
Identifiers
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.