Electronic health record alert-related workload as a predictor of burnout in primary care providers

Applied Clinical Informatics

Volumn 8, Issue 3, 2017, Pages 686-697

  Gregory, Megan E ^a,b   Russo, Elise ^a,b   Singh, Hardeep ^a,b  

^a MICHAEL E DEBAKEY VETERANS AFFAIRS MEDICAL CENTER   (United States)

^b BAYLOR COLLEGE OF MEDICINE   (United States)

Author keywords

Burnout; Electronic health records; Health information technology; Safety; Workload

Indexed keywords

BURNOUT; DIAGNOSIS; ELECTRONIC HEALTH RECORD; GENERAL PRACTITIONER; HUMAN; PSYCHOLOGY; TIME FACTOR; WORKLOAD;

BURNOUT, PROFESSIONAL; ELECTRONIC HEALTH RECORDS; HUMANS; PHYSICIANS, PRIMARY CARE; TIME FACTORS; WORKLOAD;

EID: 85022192045     PISSN: None     EISSN: 18690327     Source Type: Journal    
DOI: 10.4338/ACI-2017-01-RA-0003     Document Type: Article

References (37)

1. Poissant L, Pereira J, Tamblyn R, Kawasumi Y. The impact of electronic health records on time efficiency of physicians and nurses: A systematic review. J Am Med Inform Assoc 2005;12: 505-516.
2. Murphy DR, Reis B, Sittig DF, Singh H. Notifications received by primary care practitioners in electronic health records: A taxonomy and time analysis. Am J Med 2012; 125: 209-e1-e7.
3. Murphy DR, Meyer AN, Russo E, Sittig DF, Wei L, Singh H. The burden of inbox notifications in commercial electronic health records. JAMA Intern Med 2016; 176: 559-560.
4. Singh H, Spitzmueller C, Petersen NJ, Sawhney MK, Smith MW, Murphy DR, Espadas D, Laxmisan A, Sittig DF. Primary care practitioners‘ views on test result management in EHR-enabled health systems: A national survey. J Am Med Inform Assoc 2012; 20: 727-735.
5. Singh H, Spitzmueller C, Petersen NJ, Sawhney MK, Sittig DF. (2013). Information overload and missed test results in electronic health record–based settings. JAMA Intern Med 2013; 173: 702-704.
6. Hysong SJ, Sawhney MK, Wilson L, Sittig DF, Esquivel A, Singh S., Singh H. Understanding the management of electronic test result notifications in the outpatient setting. BMC Med Inform Decis Mak 2011; 11: 1–9.
7. Dunford BB, Shipp AJ, Boss RW, Angermeier I, Boss AD. Is burnout static or dynamic? A career transition perspective of employee burnout trajectories. J Appl Psychol 2012; 97: 637-650.
8. Toker S, Biron M. Job burnout and depression: Unraveling their temporal relationship and considering the role of physical activity. J Appl Psychol 2012; 97: 699–710.
9. Aiken LH, Clarke SP, Sloane DM, Sochalski J, Silber JH. Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. JAMA 2002; 288: 1987-1993.
10. Cordes CL, Dougherty TW. A review and an integration of research on job burnout. Acad Manage Rev 1993; 18: 621-656.
11. Maslach C, Schaufeli WB, Leiter MP. Job burnout. Annu Rev Psychol 2001; 52: 397–422.
12. McManus IC, Keeling A, Paice E. Stress, burnout and doctors‘ attitudes to work are determined by personality and learning style: A twelve year longitudinal study of UK medical graduates. BMC Med 2004; 2: 1–12.
13. Brill PL. The need for an operational definition of burnout. Fam Community Health 1984; 6: 12–24.
14. Cherniss C. Staff burnout. Beverly Hills, CA: Sage; 1980.
15. Hallsten L. Burning out: A framework. In: Schaufeli WB, Maslach C, Marek T, editors. Professional burnout: Recent developments in theory and research. Philadelphia, PA: Taylor & Francis; 1993. p. 95–113.
16. Buchbinder SB, Wilson M, Melick CF, Powe NR. Estimates of costs of primary care physician turnover. Am J Manag Care 1999; 5: 1431-1438.
17. Haas JS, Cook EF, Puopolo AL, Burstin HR, Cleary PD, Brennan TA. Is the professional satisfaction of general internists associated with patient satisfaction?. J Gen Intern Med 2000; 15: 122-128.
18. Hall LH, Johnson J, Watt I, Tsipa A, O’Connor DB. Healthcare staff wellbeing, burnout, and patient safety: A systematic review. PLoS One 2016; 11: e0159015.
19. Dyrbye LN, Thomas MR, Massie FS, Power DV, Eacker A, Harper W, Duming S, Moutier C, Szydlo DW, Novotny PJ, Sloan JA, Shanafelt TD. Burnout and suicidal ideation among US medical students. Ann Intern Med 2008; 149: 334-341.
20. Thomas NK. Resident burnout. JAMA 2004; 292: 2880-2889.
21. Shanafelt TD, Boone S, Tan L, Dyrbye LN, Sotile W, Satele D, West CP, Sloan J, Oreskovich MR. Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Arch Intern Med 2012; 172: 1377-1385.
22. th International Conference on Occupational Stress and Health; Puerto Rico; 2009.
23. Van Emmerik IH, Jawahar IM. The independent relationships of objective and subjective workload with couples’ mood. Hum Relat 2006; 59: 1371-1392.
24. Hoonakker P, Carayon P, Gurses AP, Brown R, McGuire K, Khunlertkit A, Walker JM. (2011). Measuring workload of ICU nurses with a questionnaire survey: The NASA Task Load Index (TLX). IEE Trans Healthc Syst Eng 2011; 1: 131-143.
25. Matthews G, Reinerman-Jones LE, Barber DJ, Abich J. The psychometrics of mental workload multiple measures are sensitive but divergent. Hum Factors 2015; 57: 125-143.
26. Shirom A. Burnout in work organizations. In: Cooper CL, Robertson I, editors. International review of industrial and organization psychology. Chichester, U.K.: Wiley 1989; 25–48.
27. Shirom A. Job-related burnout: A review. In: Quick JC, Tetrick LE, editors. Handbook of occupational health psychology.Washington, DC: American Psychological Association 2003; 245-265.
28. Shirom A, Melamed, S. A comparison of the construct validity of two burnout measures in two groups of professionals. Intl J Stress Manag 2006; 13: 176–200.
29. Schaufeli W, Le Blanc P. Personnel. In: Miranda DR, Ryan DW, Schaufeli WB, Fidler V, editors. Organisation and Management of Intensive Care: A Prospective Study in 12 European Countries. Berlin, Heidelberg: Springer 1998; 169–205.
30. Demerouti E, Bakker AB, Nachreiner F, Schaufeli WB. The job demands-resources model of burnout. J Appl Psychol 2001; 86: 499–512.
31. Singh H, Wilson L, Reis B, Sawhney MK, Espadas D, Sittig DF. Ten strategies to improve management of abnormal test result alerts in the electronic health record. J Patient Saf 2010; 6: 121-123.
32. Shanafelt TD, Dyrbye LN, Sinsky C, Hasan O, Satele D, Sloan J, West CP. Relationship between clerical burden and characteristics of the electronic environment with physician burnout and professional satisfaction. Mayo Clin Proc 2016; 91: 836-848.
33. nd ed. Vol 12. Hoboken, NJ: John Wiley & Sons, Inc. 2013; 560-592.
34. Singh H. A checklist to improve CPRS ‘View Alert’ notifications: Recommendations for VA facility leadership and staff. Houston (TX): Michael E. DeBakey VA Medical Center 2016.
35. Lowry SZ, Ramaiah M, Patterson ES, Brick D, Gurses AP, Ozok A, Simmons D, Gibbons MC. Integrating electronic health records into clinical workflow: An application of human factors modeling methods to ambulatory care. Proceedings of the International Symposium on Human Factors and Ergonomics in Health Care 2014; 3: 170-177.
36. Foster B, Williams RB. Substitution of self-reporting for observing time spent on work activities by mental health professionals. Psychol Rep 1989; 64: 945-946.
37. Simon SR, Kaushal R, Cleary PD, Jenter CA, Volk LA, Poon EG, Orav J, Lo HG, Williams DH, Bates DW. Correlates of electronic health record adoption in office practices: A statewide survey. J Am Med Inform Assoc 2007; 14: 110-117.