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Impact of Electronic Health Record Use on Cognitive Load and Burnout Among Clinicians: Narrative Review.

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Electronic health records (EHRs) can increase cognitive load for clinicians, potentially leading to burnout. Improving EHR design and reducing documentation burden are key strategies to mitigate these effects and support clinician well-being.

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Area of Science:

  • Health Informatics
  • Cognitive Psychology
  • Occupational Health

Background:

  • Cognitive load theory explains task completion through memory interactions.
  • Healthcare professionals experience rising cognitive load due to complex patient care and integrated digital tools.
  • Electronic Health Records (EHRs) offer benefits but may contribute to cognitive overload and clinician burnout.

Purpose of the Study:

  • To review the impact of EHR use on cognitive load.
  • To examine the correlation between EHR-induced cognitive load and physician burnout.
  • To identify strategies for reducing cognitive burden from EHRs to mitigate burnout.

Main Methods:

  • A comprehensive literature review was conducted.
  • The review explored the relationship between EHR usage, cognitive load, and burnout.
  • Key factors contributing to and mitigating EHR-related cognitive load were identified.

Main Results:

  • Poorly designed EHR interfaces and data presentation exacerbate cognitive overload and burnout.
  • Factors like information display, clinical specialty, and documentation time influence cognitive load.
  • Inadequate user control over cognitive burden in EHRs contributes to overload.

Conclusions:

  • EHR adoption can unintentionally increase cognitive load and lead to burnout.
  • Strategies such as improved user interfaces and reduced documentation are crucial for mitigation.
  • Further research is needed to address EHR-related cognitive overload and its impact on clinicians.