Relationships Between EHR-Based Audit Log Data and Physician Burnout and Clinical Practice Process Measures.
Liselotte N Dyrbye1, Joel Gordon2, John O'Horo3
1Department of Medicine. University of Colorado School of Medicine, Denver, CO.
Mayo Clinic Proceedings
|March 3, 2023
Summary
Physician burnout is linked to more daily electronic health record (EHR) messages and time spent in the EHR. EHR data also impacts message response times, suggesting potential for targeted interventions.
Area of Science:
- Medical Informatics
- Health Services Research
- Physician Well-being
Background:
- Physician burnout is a significant concern in healthcare.
- Electronic Health Records (EHRs) generate extensive audit log data.
- Understanding the link between EHR usage patterns and physician outcomes is crucial.
Purpose of the Study:
- To investigate the association between EHR audit log data and physician burnout.
- To examine the relationship between EHR data and clinical process measures, specifically In Basket message turnaround time and encounter closure rates.
Main Methods:
- Surveyed 537 physicians in an academic medical department.
- Matched survey responses with EHR audit log data from a specific period.
- Utilized multivariable regression analysis to assess relationships.
Main Results:
- Increased daily In Basket messages and time in EHR outside patient care correlated with higher odds of burnout.
- Time spent on In Basket work and in EHR outside patient care affected In Basket message turnaround time.
- No independent association found between explored variables and percentage of encounters closed within 24 hours.
Conclusions:
- EHR workload data, including message volume and time spent, is associated with physician burnout.
- EHR data also relates to clinical process efficiency, such as message response times.
- Further research is needed to confirm if interventions targeting EHR workload can mitigate burnout and improve care processes.
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