Evidence map›Paper›PMID 36099154›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2022

Do electronic health record systems "dumb down" clinicians?

Genevieve B Melton, James J Cimino, Christoph U Lehmann, Patricia R Sengstack, Joshua C Smith, William M Tierney, Randolph A Miller

Erratum issuedAbstract readEditorialComment
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Sociotechnical Work System Approach to Occupational Fatigue.Joint Commission journal on quality and patient safety · 2023
    Article
  2. Review
  3. Article
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Genevieve B MeltonDepartment of Surgery, University of Minnesota, Minneapolis, Minnesota, USA.ORCID 0000-0001-5193-1663
James J CiminoDepartment of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.ORCID 0000-0003-4101-1622
Christoph U LehmannDepartment of Pediatrics, University of Texas Southwestern Medical Center, Dallas, Texas, USA.ORCID 0000-0001-9559-4646
Patricia R SengstackSchool of Nursing, Vanderbilt University, Nashville, Tennessee, USA.
Joshua C SmithDepartment of Biomedical Informatics, Vanderbilt University, Nashville, Tennessee, USA.
William M TierneyRichard M. Fairbanks School of Public Health, Indiana University, Indianapolis, Indiana, USA.
Randolph A MillerDepartment of Biomedical Informatics, Vanderbilt University, Nashville, Tennessee, USA.

Funding

UT Southwestern Center for Translational MedicineUL1TR003163 · NCATS · UT SOUTHWESTERN MEDICAL CENTER · PI TOTO, ROBERT DANIEL · 2021 to 2025
$39.3M
NCATS NIH HHS UL1 TR003163
6 · The paper itself

Abstract

A panel sponsored by the American College of Medical Informatics (ACMI) at the 2021 AMIA Symposium addressed the provocative question: "Are Electronic Health Records dumbing down clinicians?" After reviewing electronic health record (EHR) development and evolution, the panel discussed how EHR use can impair care delivery. Both suboptimal functionality during EHR use and longer-term effects outside of EHR use can reduce clinicians' efficiencies, reasoning abilities, and knowledge. Panel members explored potential solutions to problems discussed. Progress will require significant engagement from clinician-users, educators, health systems, commercial vendors, regulators, and policy makers. Future EHR systems must become more user-focused and scalable and enable providers to work smarter to deliver improved care.

Indexed as

burnoutcognitiondocumentationelectronic health recordsHITECH act (American Recovery and Reinvestment Act)professionalpsychological

Identifiers

PMID36099154
PMCPMC9748538

What OpenQuestion holds

Textmetadata
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.