Evidence map›Paper›PMID 39137903›Full record

ArticleApplied clinical informatics2024

Defining Documentation Burden (DocBurden) and Excessive DocBurden for All Health Professionals: A Scoping Review.

Deborah R Levy, Jennifer B Withall, Rebecca G Mishuris, Victoria Tiase, Courtney Diamond, Brian Douthit, Monika Grabowska, Rachel Y Lee, Amanda J Moy, Patricia Sengstack and 9 more

Abstract readScoping Review
In one paragraph

Article in Applied clinical informatics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
–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

25 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  7. The Ethics of AI Scribes as Epistemic Agents.JMIR medical informatics · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors.

Deborah R LevyDepartment of Veterans Affairs, Pain Research Informatics Multimorbidities and Education Center, VA-CT, West Haven, Connecticut, United States.
Jennifer B WithallDepartment of Biomedical Informatics, Columbia University, New York, New York, United States.
Rebecca G MishurisDepartment of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, United States.
Victoria TiaseDepartment of Biomedical Informatics, University of Utah School of Medicine, Salt Lake City, Utah, United States.
Courtney DiamondDepartment of Biomedical Informatics, Columbia University, New York, New York, United States.
Brian DouthitDepartment of Biomedical Informatics, Vanderbilt University, Nashville, Tennessee, United States.
Monika GrabowskaDepartment of Biomedical Informatics, Vanderbilt University, Nashville, Tennessee, United States.
Rachel Y LeeDepartment of Biomedical Informatics, Columbia University, New York, New York, United States.
Amanda J MoyDepartment of Biomedical Informatics, Columbia University, New York, New York, United States.
Patricia SengstackDepartment of Biomedical Informatics, Vanderbilt University, Nashville, Tennessee, United States.
Julia Adler-MilsteinDivision of Clinical Informatics and Digital Transformation, Department of Medicine, University of California, San Francisco, San Francisco, California, United States.
Don Eugene DetmerDepartment of Public Health Sciences, University of Virginia School of Medicine, Charlottesville, Virginia, United States.
Kevin B JohnsonDepartment of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine; University of Pennsylvania, United States.
James J CiminoDepartment of Biomedical Informatics and Data Science, University of Alabama at Birmingham, Birmingham, Alabama, United States.
Sarah CorleyMITRE Corporation, Center for Government Effectiveness and Modernization, McLean, Virginia, United States.
Judy MurphyIndepdendent, Minneapolis, Minnesota, United States.
S Trent RosenbloomDepartment of Biomedical Informatics, Vanderbilt University, Nashville, Tennessee, United States.
Kenrick CatoChildren's Hospital of Philadelphia and University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, United States.
Sarah C RossettiDepartment of Biomedical Informatics, Columbia University, New York, New York, United States.

Funding

Training in Biomedical Informatics at Columbia UniversityT15LM007079 · NLM · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI NOEMIE ELHADAD, GEORGE M HRIPCSAK · 1992 to 2026
$28.9M
Essential Nurse Documentation: Studying EHR Burden during COVID-19 (ENDBurden)R01HS028454 · AHRQ · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI ROSSETTI, SARAH COLLINS, YEN, PO-YIN · 2022 to 2025
$1.5M
AHRQ HHS AHRQ 1HS028454-01A1AHRQ HHS P30 HS029767AHRQ HHS R01 HS028454NLM NIH HHS T15 LM007079
6 · The paper itself

Abstract

objectivesEfforts to reduce documentation burden (DocBurden) for all health professionals (HP) are aligned with national initiatives to improve clinician wellness and patient safety. Yet DocBurden has not been precisely defined, limiting national conversations and rigorous, reproducible, and meaningful measures. Increasing attention to DocBurden motivated this work to establish a standard definition of DocBurden, with the emergence of excessive DocBurden as a term.

methodsWe conducted a scoping review of DocBurden definitions and descriptions, searching six databases for scholarly, peer-reviewed, and gray literature sources, using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extensions for Scoping Review guidance. For the concept clarification phase of work, we used the American Nursing Informatics Association's Six Domains of Burden Framework.

resultsA total of 153 articles were included based on a priori criteria. Most articles described a focus on DocBurden, but only 18% (

conclusionExisting literature does not distinguish between a baseline or required task load to conduct patient care resulting from usability issues (

Indexed as

DocumentationHealth PersonnelHumansWorkload

Identifiers

PMID39137903
PMCPMC11524753

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.