Building the evidence-base to reduce electronic health record–related clinician burden
Author(s) -
Christine Dymek,
Bryan Kim,
Genevieve B. Melton,
Thomas H. Payne,
Hardeep Singh,
Chun-Ju Hsiao
Publication year - 2020
Publication title -
journal of the american medical informatics association
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.614
H-Index - 150
eISSN - 1527-974X
pISSN - 1067-5027
DOI - 10.1093/jamia/ocaa238
Subject(s) - workflow , documentation , electronic health record , sociotechnical system , health information technology , leverage (statistics) , psychological intervention , health care , health informatics , knowledge management , informatics , computer science , data science , medicine , nursing , artificial intelligence , database , public health , engineering , electrical engineering , economics , programming language , economic growth
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.
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