Table 4.

Study results affinity matrix.

Study result themes or observations	Reference(s)	Frequency, n
Long hours or workload	[25,26,28,33,34,37,38,40,42,45,47]	13
Design issues	[11,30-32,37,44]	7
Poor work-life balance	[25,28,30,34,36,38]	6
EHRa improves quality and safety	[35,41]b	3
Loss of autonomy	[25,36]b	3
Poor relationships with colleagues	[25,31,36]	3
Cognitive fatigue	[11,31,43]	3
EHR-related or work-related stress	[29,38]	2
Efficiency gains with training	[41]b	2
EHR improves clinical workflow	[35,41]	2
Longer on the job	[24,45]	2
System speed or reliability issues	[11,41]	2
EHR improves accuracy of documentation	[41]	1
EHR improves readability	[41]	1
Women more likely to report suicidal ideations	[28]	1
High-quality hospital has high expectations	[24]	1
Alert fatigue	[43]	1
Community-affiliated residents more likely to report suicidal ideations	[28]	1
Comorbidities	[24]	1
EHR improves door-to-doctor and time to decision	[35]	1
Women at a higher risk of burnout	[28]	1
Few paid vacations	[24]	1
Lack of interoperability	[30]	1
Low frequency of exercise	[24]	1
Message complexity	[31]	1
Message content	[31]	1
More night shifts	[24]	1
No time for themselves	[25]	1
Radiologists more likely to report symptoms of burnout	[27]	1
Scribes or physician partners can decrease symptoms of burnout	[46]	1
Seated position causes problems with back or wrist pain and posture	[30]	1
Time spent in EHR affects patient satisfaction	[39]	1

^aEHR: electronic health record.

^bMultiple occurrences observed in one study.