ArticleJAMIA open2024
Cumulated time to chart closure: a novel electronic health record-derived metric associated with clinician burnout.
Article in JAMIA open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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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.
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Who cites it
12 citing papers in PubMed.
- Article
- Re-Centering Clinical Documentation in the Age of AI Scribes: Four Aims of the Patient Chart Note.JMIR medical education · 2026Article
- Predicting Electronic Health Record Usability: Scoping Review of Adoption Models, Metrics, and Future Directions.JMIR human factors · 2026Article
- Hybrid Ambient Clinical Documentation and Physician Performance: Work Outside of Work, Documentation Delay, and Financial Productivity.Journal of general internal medicine · 2026Article
- Hybrid Ambient Clinical Documentation and Physician Performance: Work Outside of Work, Documentation Delay, and Financial Productivity.Journal of general internal medicine · 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
- Electronic health record use factors linked to efficiency and productivity: an explainable machine learning analysis.JAMIA open · 2026Article
- Identification and cause analysis on unplanned reoperations by text classification approach.Scientific reports · 2025Article
- Artificial intelligence and physician burnout: A productivity paradox.Learning health systems · 2025Article
- Qualitative Verification of Machine Learning-Based Burnout Predictors in Primary Care Physicians: An Exploratory Study.Applied clinical informatics · 2025Article
- Emerging Domains for Measuring Health Care Delivery With Electronic Health Record Metadata.Journal of medical Internet research · 2025Review
- Consistency is key: documentation distribution and efficiency in primary care.Journal of the American Medical Informatics Association : JAMIA · 2024Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: We sought to determine whether average cumulated time to chart closure (CTCC), a novel construct to measure clinician workload burden, and electronic health record (EHR) measures were associated with a validated measure of burnout. Materials and methods: Physicians at a large academic institution participated in a well-being survey that was linked to their EHR use data. CTCC was defined as the average time from the start of patient encounters to chart closure over a set of encounters. Established EHR use measures including daily total time in the EHR (EHR-Time8), time in the EHR outside scheduled hours, work outside of work (WOW Results: We included data from 305 attendings, encompassing 242 432 ambulatory encounters (2021). Among them, 42% (128 physicians) experienced burnout. The median CTCC for all clinicians was 32.5 h. Unadjusted analyses revealed significant associations between CTCC, WOW Discussion: These results suggest that CTCC is predictive of burnout and that purely measuring duration of interaction with the EHR itself is not sufficient to capture burnout. Conclusion: Workload burden as manifested by average CTCC has the potential to be a practical, quantifiable measure that will allow for identification of clinicians at risk of burnout and to assess the success of interventions designed to address burnout.
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