Building the evidence-base to reduce electronic health record–related clinician burden

Author:

Dymek Christine1,Kim Bryan2,Melton Genevieve B3,Payne Thomas H4ORCID,Singh Hardeep5ORCID,Hsiao Chun-Ju1

Affiliation:

1. Division of Digital Healthcare Research, Agency for Healthcare Research and Quality, Rockville, Maryland, USA

2. Healthcare Delivery and Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, Maryland, USA

3. Department of Surgery and Institute for Health Informatics, University of Minnesota, Minneapolis, Minnesota, USA

4. University of Washington School of Medicine, Seattle, Washington, USA

5. Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey Veterans Affairs Medical Center and Baylor College of Medicine, Houston, Texas, USA

Abstract

Abstract Clinicians face competing pressures of being clinically productive while using imperfect electronic health record (EHR) systems and maximizing face-to-face time with patients. EHR use is increasingly associated with clinician burnout and underscores the need for interventions to improve clinicians’ experiences. With an aim of addressing this need, we share evidence-based informatics approaches, pragmatic next steps, and future research directions to improve 3 of the highest contributors to EHR burden: (1) documentation, (2) chart review, and (3) inbox tasks. These approaches leverage speech recognition technologies, natural language processing, artificial intelligence, and redesign of EHR workflow and user interfaces. We also offer a perspective on how EHR vendors, healthcare system leaders, and policymakers all play an integral role while sharing responsibility in helping make evidence-based sociotechnical solutions available and easy to use.

Funder

Houston VA Health Services Research and Development Center for Innovations in Quality, Effectiveness and Safety

VA Health Services Research and Development Service

Presidential Early Career Award for Scientists and Engineers USA

VA National Center for Patient Safety, and the Agency for Healthcare Research and Quality

Agency for Healthcare Research and Quality

Publisher

Oxford University Press (OUP)

Subject

Health Informatics

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