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. 2018 Apr;9(2):336-347.
doi: 10.1055/s-0038-1648222. Epub 2018 May 16.

Perceived Burden of EHRs on Physicians at Different Stages of Their Career

Saif Khairat  1   2 , Gary Burke  3 , Heather Archambault  4 , Todd Schwartz  4 , James Larson  3 , Raj M Ratwani  5   6
Affiliations

Perceived Burden of EHRs on Physicians at Different Stages of Their Career

Saif Khairat et al. Appl Clin Inform. 2018 Apr.

Abstract

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.

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Conflict of interest statement

None.

Figures

Appendix Fig. A1
Appendix Fig. A1
NASA-Task Load Index (TLX) used to assess physician's EHR workload.
Fig. 1
Fig. 1
t -Values for testing the difference in Task Load Index (TLX) scores between residents and attending.
Fig. 2
Fig. 2
Average minutes to complete each scenario by role.
Fig. 3
Fig. 3
Average minutes to complete task by electronic health record (EHR) hours worked. Difference in satisfaction levels based on EHR hours worked.
Fig. 4
Fig. 4
Most positive aspects of the electronic health record (EHR) by roles.
Fig. 5
Fig. 5
Most negative aspects of the electronic health record (EHR) by roles.
See this image and copyright information in PMC

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