Electronic health records (EHR) use is often considered a significant contributor to clinician burnout. Informatics researchers often measure clinical workload using EHR-derived audit logs and use it for quantifying the contribution of EHR use to clinician burnout. However, translating clinician workload measured using EHR-based audit logs into a meaningful burnout metric requires an alignment with the conceptual and theoretical principles of burnout. In this perspective, we describe a systems-oriented conceptual framework to achieve such an alignment and describe the pragmatic realization of this conceptual framework using 3 key dimensions: standardizing the measurement of EHR-based clinical work activities, implementing complementary measurements, and using appropriate instruments to assess burnout and its downstream outcomes. We discuss how careful considerations of such dimensions can help in augmenting EHR-based audit logs to measure factors that contribute to burnout and for meaningfully assessing downstream patient safety outcomes.

中文翻译：

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使用基于 EHR 的活动日志来衡量临床医生倦怠及其影响的概念考虑

电子健康记录 (EHR) 的使用通常被认为是导致临床医生倦怠的一个重要因素。信息学研究人员经常使用 EHR 派生的审计日志来衡量临床工作量，并用它来量化 EHR 使用对临床医生倦怠的影响。然而，将使用基于 EHR 的审计日志测量的临床医生工作量转化为有意义的倦怠指标需要与倦怠的概念和理论原则保持一致。从这个角度来看，我们描述了一个面向系统的概念框架来实现这种一致性，并使用 3 个关键维度描述了该概念框架的务实实现：标准化基于 EHR 的临床工作活动的测量、实施补充测量以及使用适当的工具评估倦怠及其下游结果。我们讨论了对这些维度的仔细考虑如何有助于增强基于 EHR 的审计日志，以衡量导致倦怠的因素并有意义地评估下游患者安全结果。