Electronic health record associated stress: A survey study of adult congenital heart disease specialists

Marckini, Darcy N.; Samuel, Bennett P.; Parker, Jessica; Cook, Stephen C.

doi:10.1111/chd.12745

Cited by 19 publications

(24 citation statements)

References 20 publications

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Section: Resultsmentioning

confidence: 99%

“…Nine studies discussed the consequences of EHR burnout; namely, that physicians could not provide quality care, which ultimately results in global degradation of the quality of care [4,5,13,19,20,25,[31][32][33]. Burnout affects physicians' behavior [31], including that some burned-out physicians may behave unprofessionally towards their colleagues [11,28]. Additionally, burnout affects the health of the physician [31].Physicians experiencing burnout are more likely to have mental problems, including depression, which can lead to suicide [25,28,33].…”

Section: Resultsmentioning

confidence: 99%

“…Burnout affects physicians' behavior [31], including that some burned-out physicians may behave unprofessionally towards their colleagues [11,28]. Additionally, burnout affects the health of the physician [31].Physicians experiencing burnout are more likely to have mental problems, including depression, which can lead to suicide [25,28,33]. They are also more prone to substance abuse disorders [11,32].…”

Section: Resultsmentioning

confidence: 99%

“…They are also more prone to substance abuse disorders [11,32]. A physician's burnout also affects patients' safety and satisfaction [31]. Patients treated by burned-out physicians were dissatisfied with their care, as they experience medical errors and unneeded assessments [11,28,30,31,33].…”

Section: Resultsmentioning

confidence: 99%

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Electronic Health Records and Physician Burnout: A Scoping Review

Muhiyaddin

ElFadl

Mohamed

et al. 2022

Studies in Health Technology and Informatics

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This scoping review aims to identify the causes and consequences of physician burnout resulting from using Electronic Health Records (EHRs), as reported by current literature. We identified studies by searching PubMed, Wiley Online Library, and Google Scholar. Study selection and data extraction were conducted by three reviewers independently. Extracted data was then synthesized narratively. Out of 500 references retrieved, 30 studies met all eligibility criteria. We identified six main causes that lead to physician burnout related to the use of EHRs: EHRs’ documentation and related tasks, EHRs’ poor design, workload, overtime work, inbox alerts, and alert fatigue. We also identified the following consequences of physician burnout: low-quality care, behavioral issues, mental health complications, substance abuse, career dissatisfaction, costly turnover, and a decline in patient safety and satisfaction.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Electronic Health Records and Physician Burnout: A Scoping Review

Muhiyaddin

ElFadl

Mohamed

et al. 2022

Studies in Health Technology and Informatics

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“…47 In an observational survey study, Marckini et al found that there was high disagreement that EHR improved efficiency and patient care. 48 These studies suggest that EHR implementation has negatively changed clinical workflow. Four papers focused on how the EHR impacts clinicians' workload.…”

Section: Time Burden (N ¼ 15)mentioning

confidence: 99%

A Scoping Review of Health Information Technology in Clinician Burnout

Kim

et al. 2021

Appl Clin Inform

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Background Clinician burnout is a prevalent issue in healthcare, with detrimental implications in healthcare quality and medical costs due to errors. The inefficient use of health information technologies (HIT) is attributed to having a role in burnout. Objective This paper seeks to review the literature with the following two goals: (1) characterize and extract HIT trends in burnout studies over time, and (2) examine the evidence and synthesize themes of HIT's roles in burnout studies. Methods A scoping literature review was performed by following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines with two rounds of searches in PubMed, IEEE Xplore, ACM, and Google Scholar. The retrieved papers and their references were screened for eligibility by using developed inclusion and exclusion criteria. Data were extracted from included papers and summarized either statistically or qualitatively to demonstrate patterns. Results After narrowing down the initial 945 papers, 36 papers were included. All papers were published between 2013 and 2020; nearly half of them focused on primary care (n = 16; 44.4%). The most commonly studied variable was electronic health record (EHR) practices (e.g., number of clicks). The most common study population was physicians. HIT played multiple roles in burnout studies: it can contribute to burnout; it can be used to measure burnout; or it can intervene and mitigate burnout levels. Conclusion This scoping review presents trends in HIT-centered burnout studies and synthesizes three roles for HIT in contributing to, measuring, and mitigating burnout. Four recommendations were generated accordingly for future burnout studies: (1) validate and standardize HIT burnout measures; (2) focus on EHR-based solutions to mitigate clinician burnout; (3) expand burnout studies to other specialties and types of healthcare providers, and (4) utilize mobile and tracking technology to study time efficiency.

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Evolution – removing paper and digitising the hospital

Baniulyte¹,

Rogerson

Bowden³

2023

Health Technol.

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Purpose A transition from paper to Electronic Health Records has numerous benefits, including better communication and information exchange and decreased errors by medical staff. However, if managed poorly, it can result in frustration, causing errors in patient care and reduced patient-clinician interaction. Furthermore, a drop in staff morale and clinician burnout due to familiarising themselves with the technology has been mentioned in previous studies. Therefore, the aim of this project is to monitor the change in morale of staff of the Oral and Maxillofacial Department in a hospital which underwent the change in October 2020. Objectives: To observe staff morale during transition from paper to Electronic Health Records; to encourage feedback. Methods After carrying out a Patient & Public Involvement consultation and receiving local research and development approval, a questionnaire was distributed to all members of the maxillofacial outpatients department on a regular basis. Results On average, around 25 members responded to the questionnaire during each collection. There was a noticeable divergence in responses week on week according to job role and age, but minimal difference is noted from gender point of view after the first week. The study emphasised the position that not all members were happy with the new system but only a small minority would want to return to paper notes. Conclusion Staff members adapt to change at different rates, which are multifactorial in nature. A change of this scale should be monitored closely to allow for a smoother transition and ensure staff burnout is minimised.

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Electronic health record associated stress: A survey study of adult congenital heart disease specialists

Cited by 19 publications

References 20 publications

Electronic Health Records and Physician Burnout: A Scoping Review

Electronic Health Records and Physician Burnout: A Scoping Review

A Scoping Review of Health Information Technology in Clinician Burnout

Evolution – removing paper and digitising the hospital

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