ArticleApplied clinical informatics2024
From Headache to Handled: Advanced In-Basket Management System in Primary Care Clinics Reduces Provider Workload Burden and Self-Reported Burnout.
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 7 papers.
What it found
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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.
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Who cites it
7 citing papers in PubMed.
- Utilization of Generative AI-drafted Responses for Managing Patient-Provider Communication.NPJ digital medicine · 2025Article
- Primary care physicians' experiences with inbox triage.JAMIA open · 2025Article
- EHR Use in Inpatient Physicians: Patterns and Predictors.Applied clinical informatics · 2025Article
- Qualitative Verification of Machine Learning-Based Burnout Predictors in Primary Care Physicians: An Exploratory Study.Applied clinical informatics · 2025Article
- A systematic review of early evidence on generative AI for drafting responses to patient messages.npj health systems · 2025Article
- Analyzing Physician In Basket Burden and Efficiency Using K-Means Clustering.Applied clinical informatics · 2025Article
- Overcoming Challenges in Electronic Health Record Use in Inflammatory Bowel Disease Care.Gastroenterology & hepatology · 2025Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe electronic health record (EHR) has been associated with provider burnout, exacerbated by increasing In-Basket burden.
objectivesWe sought to study the impact of implementing a team-based approach to In-Basket management on a series of primary care ambulatory sites.
methodsWe performed a workflow analysis of the transition to the Advanced In-Basket Management (AIM) nurse team triage for six family medicine clinic locations in a large health system. We abstracted and analyzed associated provider workflow metrics from our EHR. We conducted a postintervention provider survey on satisfaction with the AIM project and provider burnout.
resultsThe AIM project was implemented in six family medicine clinics after provider townhalls and workgroup development. A nurse team curriculum was created using the principles of "maturing the message" before sending it to a provider and "only handle it once" to improve response efficiency. Provider workload metrics abstracted from the EHR demonstrated 12.2 fewer In-Basket messages per provider per day (
conclusionThe AIM project demonstrates team-based nurse In-Basket triage is possible to implement across multiple primary care sites, is an acceptable intervention for providers, can reduce provider workload burden and self-reported provider burnout.
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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.