Literature DB >> 33029643

Optimizing the electronic health record: An inpatient sprint addresses provider burnout and improves electronic health record satisfaction.

Jennifer R Simpson1, Chen-Tan Lin2, Amber Sieja2, Stefan H Sillau3, Jonathan Pell2.   

Abstract

OBJECTIVE: We sought reduce electronic health record (EHR) burden on inpatient clinicians with a 2-week EHR optimization sprint.
MATERIALS AND METHODS: A team led by physician informaticists worked with 19 advanced practice providers (APPs) in 1 specialty unit. Over 2 weeks, the team delivered 21 EHR changes, and provided 39 one-on-one training sessions to APPs, with an average of 2.8 hours per provider. We measured Net Promoter Score, thriving metrics, and time spent in the EHR based on user log data.
RESULTS: Of the 19 APPs, 18 completed 2 or more sessions. The EHR Net Promoter Score increased from 6 to 60 postsprint (1.0; 95% confidence interval, 0.3-1.8; P = .01). The NPS for the Sprint itself was 93, a very high rating. The 3-axis emotional thriving, emotional recovery, and emotional exhaustion metrics did not show a significant change. By user log data, time spent in the EHR did not show a significant decrease; however, 40% of the APPs responded that they spent less time in the EHR.
CONCLUSIONS: This inpatient sprint improved satisfaction with the EHR.
© The Author(s) 2020. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For permissions, please email: journals.permissions@oup.com.

Keywords:  burnout; efficiency; electronic health records/organization & administration; organizational; professional/prevention & control; program evaluation; quality improvement

Year:  2021        PMID: 33029643      PMCID: PMC7936398          DOI: 10.1093/jamia/ocaa231

Source DB:  PubMed          Journal:  J Am Med Inform Assoc        ISSN: 1067-5027            Impact factor:   4.497


  9 in total

1.  Changes in Burnout and Satisfaction With Work-Life Balance in Physicians and the General US Working Population Between 2011 and 2014.

Authors:  Tait D Shanafelt; Omar Hasan; Lotte N Dyrbye; Christine Sinsky; Daniel Satele; Jeff Sloan; Colin P West
Journal:  Mayo Clin Proc       Date:  2015-12       Impact factor: 7.616

2.  Electronic medical records and physician stress in primary care: results from the MEMO Study.

Authors:  Stewart Babbott; Linda Baier Manwell; Roger Brown; Enid Montague; Eric Williams; Mark Schwartz; Erik Hess; Mark Linzer
Journal:  J Am Med Inform Assoc       Date:  2013-09-04       Impact factor: 4.497

3.  Optimization Sprints: Improving Clinician Satisfaction and Teamwork by Rapidly Reducing Electronic Health Record Burden.

Authors:  Amber Sieja; Katie Markley; Jonathan Pell; Christine Gonzalez; Brian Redig; Patrick Kneeland; Chen-Tan Lin
Journal:  Mayo Clin Proc       Date:  2019-02-26       Impact factor: 7.616

4.  The Net Promoter Score--an asset to patient experience surveys?

Authors:  Maarten W Krol; Dolf de Boer; Diana M Delnoij; Jany J D J M Rademakers
Journal:  Health Expect       Date:  2014-10-27       Impact factor: 3.377

Review 5.  Physician burnout: contributors, consequences and solutions.

Authors:  C P West; L N Dyrbye; T D Shanafelt
Journal:  J Intern Med       Date:  2018-03-24       Impact factor: 8.989

6.  Electronic health records and burnout: Time spent on the electronic health record after hours and message volume associated with exhaustion but not with cynicism among primary care clinicians.

Authors:  Julia Adler-Milstein; Wendi Zhao; Rachel Willard-Grace; Margae Knox; Kevin Grumbach
Journal:  J Am Med Inform Assoc       Date:  2020-04-01       Impact factor: 4.497

7.  Approaches and challenges to optimising primary care teams' electronic health record usage.

Authors:  Nancy Pandhi; Wan-Lin Yang; Zaher Karp; Alexander Young; John W Beasley; Sally Kraft; Pascale Carayon
Journal:  Inform Prim Care       Date:  2014

8.  Relationship Between Clerical Burden and Characteristics of the Electronic Environment With Physician Burnout and Professional Satisfaction.

Authors:  Tait D Shanafelt; Lotte N Dyrbye; Christine Sinsky; Omar Hasan; Daniel Satele; Jeff Sloan; Colin P West
Journal:  Mayo Clin Proc       Date:  2016-06-27       Impact factor: 7.616

9.  Designing An Individualized EHR Learning Plan For Providers.

Authors:  Lindsay A Stevens; Yumi T DiAngi; Jonathan D Schremp; Monet J Martorana; Roberta E Miller; Tzielan C Lee; Natalie M Pageler
Journal:  Appl Clin Inform       Date:  2017-12-20       Impact factor: 2.342

  9 in total
  2 in total

1.  Health information technology and clinician burnout: Current understanding, emerging solutions, and future directions.

Authors:  Eric G Poon; S Trent Rosenbloom; Kai Zheng
Journal:  J Am Med Inform Assoc       Date:  2021-04-23       Impact factor: 4.497

Review 2.  Electronic medical record-related burnout in healthcare providers: a scoping review of outcomes and interventions.

Authors:  Calandra Li; Camilla Parpia; Abi Sriharan; Daniel T Keefe
Journal:  BMJ Open       Date:  2022-08-19       Impact factor: 3.006

  2 in total

北京卡尤迪生物科技股份有限公司 © 2022-2023.