Evaluating the Prevalence of Burnout Among Health Care Professionals Related to Electronic Health Record Use: Systematic Review and Meta-Analysis.

IF 3.1 3区医学 Q2 MEDICAL INFORMATICS JMIR Medical Informatics Pub Date : 2024-06-12 DOI:10.2196/54811

Yuxuan Wu, Mingyue Wu, Changyu Wang, Jie Lin, Jialin Liu, Siru Liu

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Abstract

Background: Burnout among health care professionals is a significant concern, with detrimental effects on health care service quality and patient outcomes. The use of the electronic health record (EHR) system has been identified as a significant contributor to burnout among health care professionals.

Objective: This systematic review and meta-analysis aims to assess the prevalence of burnout among health care professionals associated with the use of the EHR system, thereby providing evidence to improve health information systems and develop strategies to measure and mitigate burnout.

Methods: We conducted a comprehensive search of the PubMed, Embase, and Web of Science databases for English-language peer-reviewed articles published between January 1, 2009, and December 31, 2022. Two independent reviewers applied inclusion and exclusion criteria, and study quality was assessed using the Joanna Briggs Institute checklist and the Newcastle-Ottawa Scale. Meta-analyses were performed using R (version 4.1.3; R Foundation for Statistical Computing), with EndNote X7 (Clarivate) for reference management.

Results: The review included 32 cross-sectional studies and 5 case-control studies with a total of 66,556 participants, mainly physicians and registered nurses. The pooled prevalence of burnout among health care professionals in cross-sectional studies was 40.4% (95% CI 37.5%-43.2%). Case-control studies indicated a higher likelihood of burnout among health care professionals who spent more time on EHR-related tasks outside work (odds ratio 2.43, 95% CI 2.31-2.57).

Conclusions: The findings highlight the association between the increased use of the EHR system and burnout among health care professionals. Potential solutions include optimizing EHR systems, implementing automated dictation or note-taking, employing scribes to reduce documentation burden, and leveraging artificial intelligence to enhance EHR system efficiency and reduce the risk of burnout.

Trial registration: PROSPERO International Prospective Register of Systematic Reviews CRD42021281173; https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021281173.

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评估与电子健康记录使用相关的医护人员职业倦怠的普遍程度：系统回顾与元分析》（Evaluating the Prevalence of Burnout Among Health Care Professionals Related to Electronic Health Record Use: Systematic Review and Meta-Analysis）。

背景：医护专业人员的职业倦怠是一个令人严重关切的问题，会对医护服务质量和患者治疗效果产生不利影响。电子健康记录（EHR）系统的使用被认为是导致医护人员职业倦怠的一个重要因素：本系统综述和荟萃分析旨在评估与使用电子病历系统相关的医护人员职业倦怠的发生率，从而为改进医疗信息系统以及制定衡量和减轻职业倦怠的策略提供证据：我们在 PubMed、Embase 和 Web of Science 数据库中全面检索了 2009 年 1 月 1 日至 2022 年 12 月 31 日期间发表的英语同行评审文章。两位独立审稿人采用了纳入和排除标准，并使用乔安娜-布里格斯研究所的核对表和纽卡斯尔-渥太华量表对研究质量进行了评估。元分析使用 R（4.1.3 版；R 统计计算基金会）进行，参考文献管理使用 EndNote X7 (Clarivate)：综述包括 32 项横断面研究和 5 项病例对照研究，共有 66 556 人参与，主要是医生和注册护士。在横断面研究中，医护人员职业倦怠的总体流行率为 40.4%（95% CI 37.5%-43.2%）。病例对照研究表明，在工作之外花费更多时间从事电子病历相关工作的医护人员出现职业倦怠的可能性更高（几率比2.43，95% CI 2.31-2.57）：研究结果强调了电子病历系统的使用增加与医护人员职业倦怠之间的关联。潜在的解决方案包括优化电子病历系统、实施自动听写或记笔记、雇用抄写员以减轻文档记录负担，以及利用人工智能提高电子病历系统的效率并降低职业倦怠风险：PROSPERO 国际前瞻性系统综述注册中心 CRD42021281173；https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021281173。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

JMIR Medical Informatics Medicine-Health Informatics

CiteScore

7.90

自引率

3.10%

发文量

173

审稿时长

12 weeks

期刊介绍： JMIR Medical Informatics (JMI, ISSN 2291-9694) is a top-rated, tier A journal which focuses on clinical informatics, big data in health and health care, decision support for health professionals, electronic health records, ehealth infrastructures and implementation. It has a focus on applied, translational research, with a broad readership including clinicians, CIOs, engineers, industry and health informatics professionals. Published by JMIR Publications, publisher of the Journal of Medical Internet Research (JMIR), the leading eHealth/mHealth journal (Impact Factor 2016: 5.175), JMIR Med Inform has a slightly different scope (emphasizing more on applications for clinicians and health professionals rather than consumers/citizens, which is the focus of JMIR), publishes even faster, and also allows papers which are more technical or more formative than what would be published in the Journal of Medical Internet Research.