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

被引:32
|
作者
Dymek, Christine [1 ]
Kim, Bryan [2 ]
Melton, Genevieve B. [3 ,4 ]
Payne, Thomas H. [5 ]
Singh, Hardeep [6 ,7 ]
Hsiao, Chun-Ju [1 ]
机构
[1] Agcy Healthcare Res & Qual, Div Digital Healthcare Res, Rockville, MD 20857 USA
[2] NCI, Healthcare Delivery & Res Program, Div Canc Control & Populat Sci, Bethesda, MD 20892 USA
[3] Univ Minnesota, Dept Surg, Box 242 UMHC, Minneapolis, MN 55455 USA
[4] Univ Minnesota, Inst Hlth Informat, Minneapolis, MN USA
[5] Univ Washington, Sch Med, Seattle, WA USA
[6] Michael E DeBakey VA Med Ctr, Ctr Innovat Qual Effectiveness & Safety, Houston, TX USA
[7] Baylor Coll Med, Houston, TX 77030 USA
基金
美国医疗保健研究与质量局;
关键词
electronic health records; clinician burnout; health information technology; usability; workflow; CARE; INFORMATION; TIME;
D O I
10.1093/jamia/ocaa238
中图分类号
TP [自动化技术、计算机技术];
学科分类号
0812 ;
摘要
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.
引用
收藏
页码:1057 / 1061
页数:5
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