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Temporal Associations Between EHR-Derived Workload, Burnout, and Errors: a Prospective Cohort Study.

Sunny S Lou1, Daphne Lew2, Derek R Harford1

  • 1Department of Anesthesiology, Washington University School of Medicine, St Louis, MO, USA.

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|June 17, 2022
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Summary
This summary is machine-generated.

Physician burnout fluctuates with clinical workload, with increased electronic health record (EHR) time and patient load contributing to higher burnout scores. Interventions should address sustained work responsibilities to improve physician well-being.

Keywords:
burnoutelectronic health recordgraduate medical educationphysician wellnessworkload

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Area of Science:

  • Medical Education
  • Occupational Health
  • Physician Well-being

Background:

  • Physician burnout is a significant concern in healthcare.
  • The relationship between workload and burnout progression is not fully understood.

Purpose of the Study:

  • To investigate the time course of physician burnout.
  • To assess how workload influences burnout and medical errors over time.

Main Methods:

  • A six-month longitudinal cohort study involving 75 intern physicians.
  • Burnout measured via Professional Fulfillment Index; workload via EHR audit logs (total EHR time, patient load, chart review time).
  • Wrong-patient orders tracked using retract-and-reorder events.

Main Results:

  • Individual burnout levels varied significantly month-to-month.
  • Increased total EHR time, patient load, and chart review time were associated with higher burnout scores.
  • Burnout was not significantly linked to an increased rate of wrong-patient orders.

Conclusions:

  • Physician burnout and recovery are closely tied to recent clinical workload, demonstrating its dynamic nature.
  • Wellness initiatives should target sustained workload management to prevent prolonged burnout.