000042734 001__ 42734 000042734 005__ 20240530142457.0 000042734 0247_ $$2doi$$a10.6083/bpxhc42734 000042734 037__ $$aETD 000042734 041__ $$aeng 000042734 245__ $$aInterventions to mitigate electronic health record (EHR) and documentation burden in health professions trainees: a scoping review 000042734 260__ $$bOregon Health and Science University 000042734 269__ $$a2024-03-14 000042734 336__ $$aCapstone 000042734 502__ $$bM.S. 000042734 502__ $$gHealth & Clinical Informatics 000042734 520__ $$aHealth professions (HP) trainees are in a unique position as they are both learning a chosen field while working within an electronic health record (EHR). EHR or documentation burden (EHR burden) affects trainees directly, although not all trainees have the same EHR access during training, as they will after completion of training. Efforts to mitigate EHR burden have been described for experienced HP, but less is understood for trainees. We performed a scoping review examining 4 databases for scholarly, peer-reviewed studies that measured trainee experience of interventions to mitigate EHR burden. We applied the Preferred Reporting Items for Systematic Reviews and Meta Analyses Extensions for Scoping Review (PRISMA-ScR) guidance. We conducted a concept clarification cross-walking the corpus to the Unertl(2010)’s workflow elements model, identifying intervenable points in trainee workflow. We developed the Trainee EHR Burden Interventions Model to offer context and a foundation to studies aiming to mitigate trainee EHR burden. </br></br><b>Disclaimer: The contents of this manuscript represent the view of the authors and do not necessarily reflect the position or policy of the U.S. Department of Veterans Affairs or the United States Government.</b> 000042734 536__ $$oDepartment of Veterans Affairs, Veterans Health Administration, Office of Academic Affiliations, Office of Research and Development$$cDRL receives fellowship support 000042734 536__ $$oVA Connecticut Healthcare System, West Haven, CT$$cCIN-13-407 000042734 540__ $$fCC BY 000042734 542__ $$fPublic domain 000042734 650__ $$aElectronic Health Records$$038928 000042734 650__ $$aDocumentation$$018012 000042734 650__ $$aEducation, Medical$$018223 000042734 650__ $$aEducation, Nursing$$018228 000042734 6531_ $$aelectronic health records and systems 000042734 6531_ $$adocumentation burden 000042734 6531_ $$aelectronic health record burden 000042734 6531_ $$aclinician documentation 000042734 6531_ $$ahealth informatics 000042734 6531_ $$ahealth professions trainees 000042734 6531_ $$astudents 000042734 6531_ $$ascoping review 000042734 691__ $$aSchool of Medicine$$041369 000042734 692__ $$aDepartment of Medical Informatics and Clinical Epidemiology$$041422 000042734 7001_ $$aLevy, Deborah R.$$uOregon Health and Science University$$041354$$10000-0002-7324-3455 000042734 7001_ $$aRossetti, Sarah C.$$uColumbia University School of Medicine$$10000-0003-2632-8867 000042734 7001_ $$aMelnick, Edward R.$$uYale University School of Medicine$$10000-0002-6509-9537 000042734 7001_ $$aBrandt, Cynthia$$uVA Connecticut Healthcare System$$10000-0001-8179-1796 000042734 7001_ $$aHamilton, Andrew$$uOregon Health and Science University$$041354$$10000-0001-5634-7503 000042734 7001_ $$aRinne, Seppo T$$uVA Bedford Healthcare System$$10000-0002-8662-1224 000042734 7001_ $$aWomack, Dana$$uOregon Health and Science University$$041354$$10000-0002-7187-7841 000042734 7001_ $$aMohan, Vishnu$$uOregon Health and Science University$$041354$$10000-0003-3873-4969 000042734 8564_ $$9b5f025be-03fc-42d8-b065-fcbd2824baf5$$s1522248$$uhttps://digitalcollections.ohsu.edu/record/42734/files/Levy.Deborah.2024.pdf 000042734 8564_ $$951ebf628-79a4-44de-b570-e8bcb075795f$$s18310$$uhttps://digitalcollections.ohsu.edu/record/42734/files/Certificate%20of%20Approval-%20Capstone-Final-SIGNED.pdf 000042734 909CO $$ooai:digitalcollections.ohsu.edu:42734$$pstudent-work 000042734 980__ $$aTheses and Dissertations 000042734 981__ $$aPublished$$b2024-03-14