Clinicians often attribute much of their burnout experience to use of the electronic health record, the adoption of which was greatly accelerated by the Health Information Technology for Economic and Clinical Health Act of 2009. That same year, AMIA’s Policy Meeting focused on possible unintended consequences associated with rapid implementation of electronic health records, generating 17 potential consequences and 15 recommendations to address them. At the 2020 annual meeting of the American College of Medical Informatics (ACMI), ACMI fellows participated in a modified Delphi process to assess the accuracy of the 2009 predictions and the response to the recommendations. Among the findings, the fellows concluded that the degree of clinician burnout and its contributing factors, such as increased documentation requirements, were significantly underestimated. Conversely, problems related to identify theft and fraud were overestimated. Only 3 of the 15 recommendations were adjudged more than half-addressed.

中文翻译：

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回顾 2009 年 AMIA 政策会议的预测和建议：我们是否看到与 EHR 相关的临床医生倦怠即将来临？

临床医生经常将他们的倦怠经历归因于电子健康记录的使用，2009 年的《经济和临床健康健康信息技术法案》极大地加速了电子健康记录的采用。同年，AMIA 的政策会议重点讨论了相关的可能的意外后果随着电子健康记录的快速实施，产生了 17 项潜在后果和 15 项解决这些问题的建议。在美国医学信息学院 (ACMI) 的 2020 年年会上，ACMI 研究员参与了修改后的 Delphi 流程，以评估 2009 年预测的准确性和对建议的响应。在调查结果中，研究员得出结论，临床医生倦怠程度及其促成因素，例如增加的文件要求，被严重低估。相反，与身份盗窃和欺诈相关的问题被高估了。在 15 条建议中，只有 3 条被裁定处理了一半以上。