PMID- 35120019
OWN - NLM
STAT- MEDLINE
DCOM- 20220404
LR  - 20220716
IS  - 1438-8871 (Electronic)
IS  - 1439-4456 (Print)
IS  - 1438-8871 (Linking)
VI  - 24
IP  - 3
DP  - 2022 Mar 31
TI  - Physician Burnout and the Electronic Health Record Leading Up to and During the 
      First Year of COVID-19: Systematic Review.
PG  - e36200
LID - 10.2196/36200 [doi]
LID - e36200
AB  - BACKGROUND: Physician burnout was first documented in 1974, and the electronic 
      health record (EHR) has been known to contribute to the symptoms of physician 
      burnout. Authors pondered the extent of this effect, recognizing the increased 
      use of telemedicine during the first year of COVID-19. OBJECTIVE: The aim of this 
      review was to objectively analyze the literature over the last 5 years for 
      empirical evidence of burnout incident to the EHR and to identify barriers to, 
      facilitators to, and associated patient satisfaction with using the EHR to 
      improve symptoms of burnout. METHODS: No human participants were involved in this 
      review; however, 100% of participants in studies analyzed were adult physicians. 
      We queried 4 research databases and 1 targeted journal for studies commensurate 
      with the objective statement from January 1, 2016 through January 31, 2021 
      (n=25). RESULTS: The hours spent in documentation and workflow are responsible 
      for the sense of loss of autonomy, lack of work-life balance, lack of control of 
      one's schedule, cognitive fatigue, a general loss of autonomy, and poor 
      relationships with colleagues. Researchers have identified training, local 
      customization of templates and workflow, and the use of scribes as strategies to 
      alleviate the administrative burden of the EHR and decrease symptoms of burnout. 
      CONCLUSIONS: The solutions provided in the literature only addressed 2 of the 3 
      factors (workflow and documentation time) but not the third factor (usability). 
      Practitioners and administrators should focus on the former 2 factors because 
      they are within their sphere of control. EHR vendors should focus on empirical 
      evidence to identify and improve the usability features with the greatest impact. 
      Researchers should design experiments to explore solutions that address all 3 
      factors of the EHR that contribute to burnout. TRIAL REGISTRATION: PROSPERO 
      International Prospective Register of Systematic Reviews CRD42020201820; 
      https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=201820. 
      INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR2-10.2196/15490.
CI  - (c)Clemens Scott Kruse, Michael Mileski, Gevin Dray, Zakia Johnson, Cameron Shaw, 
      Harsha Shirodkar. Originally published in the Journal of Medical Internet 
      Research (https://www.jmir.org), 31.03.2022.
FAU - Kruse, Clemens Scott
AU  - Kruse CS
AUID- ORCID: 0000-0002-7636-1086
AD  - School of Health Administration, College of Health Professions, Texas State 
      University, San Marcos, TX, United States.
FAU - Mileski, Michael
AU  - Mileski M
AUID- ORCID: 0000-0003-1503-6869
AD  - School of Health Administration, College of Health Professions, Texas State 
      University, San Marcos, TX, United States.
FAU - Dray, Gevin
AU  - Dray G
AUID- ORCID: 0000-0002-9405-0329
AD  - School of Health Administration, College of Health Professions, Texas State 
      University, San Marcos, TX, United States.
FAU - Johnson, Zakia
AU  - Johnson Z
AUID- ORCID: 0000-0001-8925-782X
AD  - School of Health Administration, College of Health Professions, Texas State 
      University, San Marcos, TX, United States.
FAU - Shaw, Cameron
AU  - Shaw C
AUID- ORCID: 0000-0001-6218-5440
AD  - School of Health Administration, College of Health Professions, Texas State 
      University, San Marcos, TX, United States.
FAU - Shirodkar, Harsha
AU  - Shirodkar H
AUID- ORCID: 0000-0002-3964-8379
AD  - School of Health Administration, College of Health Professions, Texas State 
      University, San Marcos, TX, United States.
LA  - eng
PT  - Journal Article
PT  - Systematic Review
DEP - 20220331
PL  - Canada
TA  - J Med Internet Res
JT  - Journal of medical Internet research
JID - 100959882
SB  - IM
MH  - Adult
MH  - *Burnout, Professional/psychology
MH  - *COVID-19
MH  - Electronic Health Records
MH  - Humans
MH  - *Physicians/psychology
PMC - PMC9015762
OTO - NOTNLM
OT  - COVID-19
OT  - cognitive fatigue
OT  - electronic health record
OT  - health care
OT  - health care infrastructure
OT  - health care professional
OT  - health care system
OT  - health informatic
OT  - medical informatics
OT  - mental health
OT  - pandemic
OT  - physician burnout
OT  - psychiatry
OT  - quality improvement
COIS- Conflicts of Interest: None declared.
EDAT- 2022/02/05 06:00
MHDA- 2022/04/05 06:00
PMCR- 2022/03/31
CRDT- 2022/02/04 17:11
PHST- 2022/01/05 00:00 [received]
PHST- 2022/01/30 00:00 [accepted]
PHST- 2022/01/28 00:00 [revised]
PHST- 2022/02/05 06:00 [pubmed]
PHST- 2022/04/05 06:00 [medline]
PHST- 2022/02/04 17:11 [entrez]
PHST- 2022/03/31 00:00 [pmc-release]
AID - v24i3e36200 [pii]
AID - 10.2196/36200 [doi]
PST - epublish
SO  - J Med Internet Res. 2022 Mar 31;24(3):e36200. doi: 10.2196/36200.