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Perceived Burden of EHRs on Physicians at Different Stages of Their Career
Objective The purpose of this study was to further explore the effect of EHRs on emergency department (ED) attending and resident physicians' perceived workload, satisfaction, and productivity through the completion of six EHR patient scenarios combined with workload, productivity, and satisfa...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Schattauer GmbH
2018
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5955717/ https://www.ncbi.nlm.nih.gov/pubmed/29768634 http://dx.doi.org/10.1055/s-0038-1648222 |
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author | Khairat, Saif Burke, Gary Archambault, Heather Schwartz, Todd Larson, James Ratwani, Raj M. |
author_facet | Khairat, Saif Burke, Gary Archambault, Heather Schwartz, Todd Larson, James Ratwani, Raj M. |
author_sort | Khairat, Saif |
collection | PubMed |
description | Objective The purpose of this study was to further explore the effect of EHRs on emergency department (ED) attending and resident physicians' perceived workload, satisfaction, and productivity through the completion of six EHR patient scenarios combined with workload, productivity, and satisfaction surveys. Methods To examine EHR usability, we used a live observational design combined with post observation surveys conducted over 3 days, observing emergency physicians' interactions with the EHR during a 1-hour period. Physicians were asked to complete six patient scenarios in the EHR, and then participants filled two surveys to assess the perceived workload and satisfaction with the EHR interface. Results Fourteen physicians participated, equally distributed by gender (50% females) and experience (43% residents, 57% attendings). Frustration levels associated to the EHR were significantly higher for attending physicians compared with residents. Among the factors causing high EHR frustrations are: (1) remembering menu and button names and commands use; (2) performing tasks that are not straightforward; (3) system speed; and (4) system reliability. In comparisons between attending and resident physicians, time to complete half of the cases as well as the overall reaction to the EHR were statistically different. Conclusion ED physicians already have the highest levels of burnout and fourth lowest level of satisfaction among physicians and, hence, particular attention is needed to study the impact of EHR on ED physicians. This study investigated key EHR usability barriers in the ED particularly, the assess frustration levels among physicians based on experience, and identifying factors impacting those levels of frustrations. In our findings, we highlight the most favorable and most frustrating EHR functionalities between both groups of physicians. |
format | Online Article Text |
id | pubmed-5955717 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Schattauer GmbH |
record_format | MEDLINE/PubMed |
spelling | pubmed-59557172019-04-01 Perceived Burden of EHRs on Physicians at Different Stages of Their Career Khairat, Saif Burke, Gary Archambault, Heather Schwartz, Todd Larson, James Ratwani, Raj M. Appl Clin Inform Objective The purpose of this study was to further explore the effect of EHRs on emergency department (ED) attending and resident physicians' perceived workload, satisfaction, and productivity through the completion of six EHR patient scenarios combined with workload, productivity, and satisfaction surveys. Methods To examine EHR usability, we used a live observational design combined with post observation surveys conducted over 3 days, observing emergency physicians' interactions with the EHR during a 1-hour period. Physicians were asked to complete six patient scenarios in the EHR, and then participants filled two surveys to assess the perceived workload and satisfaction with the EHR interface. Results Fourteen physicians participated, equally distributed by gender (50% females) and experience (43% residents, 57% attendings). Frustration levels associated to the EHR were significantly higher for attending physicians compared with residents. Among the factors causing high EHR frustrations are: (1) remembering menu and button names and commands use; (2) performing tasks that are not straightforward; (3) system speed; and (4) system reliability. In comparisons between attending and resident physicians, time to complete half of the cases as well as the overall reaction to the EHR were statistically different. Conclusion ED physicians already have the highest levels of burnout and fourth lowest level of satisfaction among physicians and, hence, particular attention is needed to study the impact of EHR on ED physicians. This study investigated key EHR usability barriers in the ED particularly, the assess frustration levels among physicians based on experience, and identifying factors impacting those levels of frustrations. In our findings, we highlight the most favorable and most frustrating EHR functionalities between both groups of physicians. Schattauer GmbH 2018-04 2018-05-16 /pmc/articles/PMC5955717/ /pubmed/29768634 http://dx.doi.org/10.1055/s-0038-1648222 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited. |
spellingShingle | Khairat, Saif Burke, Gary Archambault, Heather Schwartz, Todd Larson, James Ratwani, Raj M. Perceived Burden of EHRs on Physicians at Different Stages of Their Career |
title | Perceived Burden of EHRs on Physicians at Different Stages of Their Career |
title_full | Perceived Burden of EHRs on Physicians at Different Stages of Their Career |
title_fullStr | Perceived Burden of EHRs on Physicians at Different Stages of Their Career |
title_full_unstemmed | Perceived Burden of EHRs on Physicians at Different Stages of Their Career |
title_short | Perceived Burden of EHRs on Physicians at Different Stages of Their Career |
title_sort | perceived burden of ehrs on physicians at different stages of their career |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5955717/ https://www.ncbi.nlm.nih.gov/pubmed/29768634 http://dx.doi.org/10.1055/s-0038-1648222 |
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