ReviewDigital health
Electronic Health Record Stress and Burnout Among Clinicians in Hospital Settings: A Systematic Review.
Review in Digital health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 3 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
33 citing papers in PubMed, 3 syntheses or guidelines pooled it, 46 citations in OpenAlex.
- Electronic health records-related determinants of healthcare professionals' burnout and mitigation strategies: systematic review and meta-analysis.Frontiers in public health · 2026Pooled it
- Digital compassion fatigue and digital empathy in healthcare: mapping the evidence and informing a human-centered clinical framework.Frontiers in psychology · 2026Pooled it
- Factors Influencing the Implementation and Adoption of Digital Nursing Technologies: Systematic Umbrella Review.Journal of medical Internet research · 2025Pooled it
- The use of objective EHR-and schedule-based clinical workload and EHR use measures in predicting inpatient pediatric provider burnout.JAMIA open · 2026Article
- Technostress, Perceived Organizational Support, and Burnout Among Healthcare Professionals: A Suppression Mediation Model.Nursing reports (Pavia, Italy) · 2026Article
- Professional Nurses Engagement in Non-Nursing Work? An Examination of Reasons and Outcomes.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2026Article
- Large language model-generated clinical summaries in emergency departments: A blinded comparison study.PLOS digital health · 2026Article
- Ambient AI Scribe Implementation in an Ambulatory Setting in a Single Medical Group: Prospective Study.JMIR medical informatics · 2026Article
- Digital solutions in acute medicine: Will electronic health records join up the patient journey (soon?).Future healthcare journal · 2026Article
- Family Medicine in Gulf Cooperation Council Countries: Perspectives, Directions, and Future Opportunities; A Narrative Review.Healthcare (Basel, Switzerland) · 2026Review
- The Regional Implementation of an Electronic Health Record-Integrated Ambient Scribe in Primary and Secondary Care in England: Real-Time Qualitative Evaluation.JMIR medical informatics · 2026Article
- Digital burnout in nursing: development of a valid and reliable scale to assess digital burnout associated with the digitalization process in nursing.BMC nursing · 2026Article
- Information system support for case-based knowledge formation in social welfare: a cross-sectional study.Health information management : journal of the Health Information Management Association of Australia · 2026Article
- How Digital Stress and eHealth Literacy Relate to Missed Nursing Care and Willingness to Use AI Decision Support.Healthcare (Basel, Switzerland) · 2026Article
- Technostress Creators and Inhibitors: Dual Impacts on Nurses' Psychological and Work Outcomes.Nursing open · 2026Article
- The mediating role of digital fatigue in the effect of job satisfaction on motivation among Turkish nurses.BMC nursing · 2026Article
- Trial of an Internet-Based Cataract and Lens Exchange Registry in a Tertiary Teaching Hospital: Insights and Impact on Clinical Workflow.Journal of ophthalmology · 2026Article
- Digital compassion fatigue in nurses: an evolutionary concept analysis.Frontiers in public health · 2026Review
- Evaluating the Implementation of a New Electronic Healthcare System in a Single Trust in Northern Ireland.The Ulster medical journal · 2025Article
- Typing Proficiency among Physicians in Internal Medicine: A Pilot Study of Speed and Performance.Applied clinical informatics · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: There is growing evidence to suggest that EHRs may be associated with clinician stress and burnout, which could hamper their effective use and introduce risks to patient safety. Objective: This systematic review aimed to examine the association between EHR use and clinicians' stress and burnout in hospital settings, and to identify the contributing factors influencing this relationship. Methods: The search included peer-reviewed published studies between 2000 and 2023 in English in CINAHL, Ovid Medline, Embase, and PsychINFO. Studies that provided specific data regarding clinicians' stress and/or burnout related to EHRs in hospitals were included. A quality assessment of included studies was conducted. Results: Twenty-nine studies were included (25 cross-sectional surveys, one qualitative study, and three mixed methods), which focused on physicians (n = 18), nurses (n = 10) and mixed professions (n = 3). Usability issues and the amount of time spent on the EHR were the most significant predictors, but intensity of the working environment influenced high EHR-related workload and thereby also contributed to stress and burnout. The differences in clinicians' specialties influenced the levels of stress and burnout related to EHRs. Conclusions: This systematic review showed that EHR use was a perceived contributor to clinicians' stress and burnout in hospitals, primarily driven by poor usability and excessive time spent on EHRs. Addressing these issues requires tailored EHR systems, rigorous usability testing, support for the needs of different specialities, qualitative research on EHR stressors, and expanded research in Non-Western contexts.
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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.