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

  • Natalie Grace Castellano
  • Prithima Mosaly
  • Lukasz MazurEmail author
Conference paper
Part of the Advances in Intelligent Systems and Computing book series (AISC, volume 953)


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.


Usability Electronic health record (EHR) Burden Patient safety 


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Natalie Grace Castellano
    • 1
  • Prithima Mosaly
    • 1
    • 2
    • 3
  • Lukasz Mazur
    • 1
    • 2
    • 3
    Email author
  1. 1.School of Information and Library ScienceUniversity of North CarolinaChapel HillUSA
  2. 2.Carolina Health Informatics ProgramUniversity of North CarolinaChapel HillUSA
  3. 3.Division of Healthcare Engineering, Department of Radiation OncologyUniversity of North CarolinaChapel HillUSA

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