Information Overload and Missed Test Results in Electronic Health Record–Based Settings

Electronic Health Record Usability

“…In our sample, comprehensive EHR system adoption was associated with higher odds of burnout. This finding is aligned with a prior study by Singh and colleagues37 who found that the use of a comprehensive EHR was associated with perceived information overload. Although Singh and colleagues concluded that information overload may lead to missing important patient information, our work implies that the emotional wellbeing of nurses may also be compromised.…”

Releasing test results directly to patients: A multisite survey of physician perspectives

“…Physicians were more likely to accept direct notification of clinically significant abnormal test results if they had personally missed a test result in the past and if they believed that direct notification would prevent patients being lost to follow-up. In our study, about 22.2% of clinicians had personally missed a result in the past which is quite consistent with previous work done by our group and others in recent years [12,48,49]. Cognizance of system and personal vulnerabilities in test result management processes appeared to positively influence attitudes toward novel practices that might reduce these problems.…”

Physician Facing AI Tools Show Distinct Failure Modes Under Structured Stress Testing

“…In physician-facing AI, overly long responses may appear comprehensive while still increasing the risk that the most urgent management step is delayed, diluted, or missed. This concern is consistent with evidence that information overload can contribute to errors of omission and cognitive burden in clinical care 6,18,19 . By requiring responses to be limited to fewer than 30 words, we tested whether each platform could preserve clinically essential management elements under the constraints of concise point-of-care output.…”