Skip to main content

Association Between Physicians’ Burden and Performance During Interactions with Electronic Health Records (EHRs)

  • Conference paper
  • First Online:
Advances in Neuroergonomics and Cognitive Engineering (AHFE 2019)

Part of the book series: Advances in Intelligent Systems and Computing ((AISC,volume 953))

Included in the following conference series:

  • 1508 Accesses

Abstract

Suboptimal usability within electronic health records (EHRs) can pose risks for patient safety. This study uses data collected in a simulated environment in which providers interacted with ‘current’ and ‘enhanced’ Epic EHR interfaces to manage patients’ test results and missed appointments. Interactions were quantified and categorized by high or low burden in terms of displayed behavioral and physiological data. Using recorded video data, providers’ workflow and performance was analyzed. Suboptimal performance was found to be associated with high burden levels.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Office of the National Coordinator for Health Information Technology: Non-federal acute care hospital electronic health record adoption. https://dashboard.healthit.gov/quickstats/pages/FIG-Hospital-EHR-Adoption.php (May 2016)

  2. Bates, D.W., Leape, L.L., Cullen, D.J., Laird, N., Petersen, L.A., Teich, J.M., Burdick, E., Hickey, M., Kleefield, S., Shea, B., Vander Vliet, M., Seger, D.L.: Effect of computerized physician order entry and a team intervention on prevention of serious medication errors. J. Am. Med. Assoc. 280(15), 1311–1316 (1998). https://doi.org/10.1001/jama.280.15.1311

    Article  Google Scholar 

  3. Elnahal, S.M., Joynt, K.E., Bristol, S.J., Jha, A.K.: Electronic health record functions differ between best and worst hospitals. Am. J. Manag. Care 17(4), e121–e147 (2011)

    Google Scholar 

  4. Blumenthal, D., Glaser, J.P.: Information technology comes to medicine. N. Engl. J. Med. 356(24), 2527–2534 (2007). https://doi.org/10.1056/NEJMhpr066212

    Article  Google Scholar 

  5. Institute of Medicine (US) Committee on Data Standards for Patient Safety: Key capabilities of an electronic health record system: letter report. Natl. Acad. Sci., 1–35 (2003). https://www.ncbi.nlm.nih.gov/books/NBK221800/

  6. Thakkar, M., Davis, D.C.: Risks, barriers, and benefits of EHR systems: a comparative study based on size of hospital. Perspect. Health Inf. Manag. 3, 5 (2006)

    Google Scholar 

  7. Au, L., Oster, A., Yeh, G.H., Magno, J., Paek, H.M.: Utilizing an electronic health record system to improve vaccination coverage in children. Appl. Clin. Inform. 1(3), 221–231 (2010). https://doi.org/10.4338/ACI-2009-12-CR-0028

    Article  Google Scholar 

  8. Hydari, M.Z., Telang, R., Marella, W.M.: Electronic health records and patient safety. Commun. ACM 58(11), 30–32 (2015)

    Article  Google Scholar 

  9. Jha, A.K., DesRoches, C.M., Campbell, E.G., Donelan, K., Rao, S.R., Ferris, T.G., Shields, A., Rosenbaum, S., Blumenthal, D.: Use of electronic health records in US hospitals. N. Engl. J. Med. 360(16), 1628–1638 (2009). https://doi.org/10.1056/nejmsa0900592

    Article  Google Scholar 

  10. Leape, L.L.: Errors in medicine. Clin. Chim. Acta 404(1), 2–5 (2009). https://doi.org/10.1016/j.cca.2009.03.020

    Article  Google Scholar 

  11. Institute of Medicine: Health IT and patient safety: building safer systems for better care. http://www.nationalacademies.org/hmd/~/media/Files/Report%20Files/2011/Health-IT/HealthITandPatientSafetyreportbrieffinal_new.pdf (November 2011)

  12. Rose, A.F., Schnipper, J.L., Park, E.R., Poon, E.G., Li, Q., Middleton, B.: Using qualitative studies to improve the usability of an EMR. J. Biomed. Inform. 38(1), 51–60 (2005). https://doi.org/10.1016/j.jbi.2004.11.006

    Article  Google Scholar 

  13. Ash, J.S., Berg, M., Coiera, E.: Some unintended consequences of information technology in health care: the nature of patient care information system-related errors. J. Am. Medical Inf. Assoc.: JAMIA 11(2), 104–112 (2004). https://doi.org/10.1197/jamia.M1471

    Article  Google Scholar 

  14. Mazur, L.M., Mosaly, P.R., Moore, C., Comitz, E., Yu, F., Falchook, A.D., Eblan, M.J., Hoyle, L.M., Tracton, G., Chera, B.S., Marks, L.B.: Toward a better understanding of task demands, workload, and performance during physician-computer interactions. J. Am. Med. Inf. Assoc. 23(6), 1113–1120 (2016). https://doi.org/10.1093/jamia/ocw016

    Article  Google Scholar 

  15. Mosaly, P.R., Mazur, L.M., Yu, F., Guo, H., Merck, D., Laidlaw, D.H., Moore, C., Marks, L.B., Mostafa, J.: Relating task demand, mental effort and task difficulty with physicians’ performance during interactions with electronic health records (EHRs). Int. J. Hum Comput Interact. 34(5), 467–475 (2018). https://doi.org/10.1080/10447318.2017.1365459

    Article  Google Scholar 

  16. Peckham, C., Kane, L.: Medscape EHR report 2016: physicians rate top EHRs. In: Rosensteel, S. (ed.). https://www.medscape.com/features/slideshow/public/ehr2016#page=5. 25 Aug 2016

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Lukasz Mazur .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

Castellano, N.G., Mosaly, P., Mazur, L. (2020). Association Between Physicians’ Burden and Performance During Interactions with Electronic Health Records (EHRs). In: Ayaz, H. (eds) Advances in Neuroergonomics and Cognitive Engineering. AHFE 2019. Advances in Intelligent Systems and Computing, vol 953. Springer, Cham. https://doi.org/10.1007/978-3-030-20473-0_3

Download citation

Publish with us

Policies and ethics