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Treffer: The burden of the digital environment: a systematic review on organization-directed workplace interventions to mitigate physician burnout.

Title:
The burden of the digital environment: a systematic review on organization-directed workplace interventions to mitigate physician burnout.
Authors:
Thomas Craig KJ; Center for AI, Research, and Evaluation, IBM Watson Health, Cambridge, Massachusetts, USA., Willis VC; Center for AI, Research, and Evaluation, IBM Watson Health, Cambridge, Massachusetts, USA., Gruen D; Center for AI, Research, and Evaluation, IBM Watson Health, Cambridge, Massachusetts, USA., Rhee K; Center for AI, Research, and Evaluation, IBM Watson Health, Cambridge, Massachusetts, USA., Jackson GP; Center for AI, Research, and Evaluation, IBM Watson Health, Cambridge, Massachusetts, USA.; Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Source:
Journal of the American Medical Informatics Association : JAMIA [J Am Med Inform Assoc] 2021 Apr 23; Vol. 28 (5), pp. 985-997.
Publication Type:
Journal Article; Research Support, Non-U.S. Gov't; Systematic Review
Language:
English
Journal Info:
Publisher: Oxford University Press Country of Publication: England NLM ID: 9430800 Publication Model: Print Cited Medium: Internet ISSN: 1527-974X (Electronic) Linking ISSN: 10675027 NLM ISO Abbreviation: J Am Med Inform Assoc Subsets: MEDLINE
Imprint Name(s):
Publication: 2015- : Oxford : Oxford University Press
Original Publication: Philadelphia, PA : Hanley & Belfus, c1993-
MeSH Terms:
Electronic Health Records*/organization & administration , Physicians*, Burnout, Professional/*prevention & control, Computer User Training ; Humans ; Patient Care Team ; Quality Improvement ; Workflow
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Contributed Indexing:
Keywords: burnout; electronic health records; quality improvement; team-based care; workflow
Entry Date(s):
Date Created: 20210119 Date Completed: 20210826 Latest Revision: 20210826
Update Code:
20250114
PubMed Central ID:
PMC8068437
DOI:
10.1093/jamia/ocaa301
PMID:
33463680
Database:
MEDLINE

Weitere Informationen

Objective: To conduct a systematic review identifying workplace interventions that mitigate physician burnout related to the digital environment including health information technologies (eg, electronic health records) and decision support systems) with or without the application of advanced analytics for clinical care.
Materials and Methods: Literature published from January 1, 2007 to June 3, 2020 was systematically reviewed from multiple databases and hand searches. Subgroup analysis identified relevant physician burnout studies with interventions examining digital tool burden, related workflow inefficiencies, and measures of burnout, stress, or job satisfaction in all practice settings.
Results: The search strategy identified 4806 citations of which 81 met inclusion criteria. Thirty-eight studies reported interventions to decrease digital tool burden. Sixty-eight percent of these studies reported improvement in burnout and/or its proxy measures. Burnout was decreased by interventions that optimized technologies (primarily electronic health records), provided training, reduced documentation and task time, expanded the care team, and leveraged quality improvement processes in workflows.
Discussion: The contribution of digital tools to physician burnout can be mitigated by careful examination of usability, introducing technologies to save or optimize time, and applying quality improvement to workflows.
Conclusion: Physician burnout is not reduced by technology implementation but can be mitigated by technology and workflow optimization, training, team expansion, and careful consideration of factors affecting burnout, including specialty, practice setting, regulatory pressures, and how physicians spend their time.
(© The Author(s) 2021. Published by Oxford University Press on behalf of the American Medical Informatics Association.)