Association of Electronic Health Record Use With Physician Fatigue and Efficiency | Zendy

Saif Khairat | Zendy; Cameron Coleman | Zendy; Paige Ottmar | Zendy; Dipika Jayachander | Zendy; Thomas Bice | Zendy; Shan S. Carson | Zendy

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Association of Electronic Health Record Use With Physician Fatigue and Efficiency

Author(s) -

Saif Khairat,

Cameron Coleman,

Paige Ottmar,

Dipika Jayachander,

Thomas Bice,

Shan S. Carson

Publication year - 2020

Publication title -

jama network open

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.278

H-Index - 39

ISSN - 2574-3805

DOI - 10.1001/jamanetworkopen.2020.7385

Subject(s) - medicine , pupillometry , usability , electronic health record , task (project management) , association (psychology) , medical record , medical emergency , emergency medicine , health care , pupil , psychology , computer science , management , human–computer interaction , neuroscience , economics , economic growth , psychotherapist

Key Points Question What is the association between electronic health record use and physician fatigue and efficiency? Findings In this cross-sectional study of 25 physicians completing 4 simulated cases of intensive care unit patients in the electronic health record, all physicians experienced fatigue at least once and 80% experienced fatigue within the first 22 minutes of electronic health record use, which was associated with less efficient electronic health record use (more time, more clicks, and more screens) on the subsequent patient case. Meaning Physicians experience electronic health record–related fatigue in short periods of continuous electronic health record use, which may be associated with inefficient and suboptimal electronic health record use.

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