Emergency doctors' strategies to manage competing workload demands in an interruptive environment: An observational workflow time study

被引：45

作者：

Walter, Scott R. ^{[1
]}

Raban, Magdalena Z. ^{[1
]}

Dunsmuir, William T. M. ^{[2
]}

Douglas, Heather E. ^{[1
]}

Westbrook, Johanna I. ^{[1
]}

机构：

[1] Macquarie Univ, Ctr Hlth Syst & Safety Res, Australian Inst Hlth Innovat, Fac Med & Hlth Sci, Sydney, NSW, Australia

[2] Univ New South Wales, Fac Sci, Sch Math & Stat, Sydney, NSW, Australia

来源：

APPLIED ERGONOMICS | 2017年 / 58卷

基金：

英国医学研究理事会; 澳大利亚研究理事会;

关键词：

Task-switching; Interruption; Multitasking; Clinical work systems; Emergency medicine; HEALTH-CARE; TASK; SYSTEMS; MULTITASKING; PERFORMANCE; PHYSICIANS;

D O I：

10.1016/j.apergo.2016.07.020

中图分类号：

T [工业技术];

学科分类号：

08 ;

摘要：

An observational workflow time study was conducted involving doctors in the emergency department (ED) of a large Australian hospital. During 121.7 h across 58 sessions, we observed interruptive events, conceptualised as prompts, and doctors' strategies to handle those prompts (task-switching, multitasking, acknowledgement, deferral and deflection) to assess the role of multiple work system factors influencing doctors' work in the ED. Prompt rates varied vastly between work scenarios, being highest during non-verbal solo tasks. The propensity to use certain strategies also differed with task type, prompt type and location within the department, although task-switching was by far the most frequent. Communicative prompts were important in patient treatment and workload management. Clinicians appear to adjust their communication strategies in response to contextual factors in order to deliver patient care. Risk due to the interruptive nature of ED communication is potentially outweighed by the positive effects of timely information transfer and advice provision. (C) 2016 Elsevier Ltd. All rights reserved.

引用

页码：454 / 460

页数：7

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