Allocation of Internal Medicine Resident Time in a Swiss Hospital: A Time and Motion Study of Day and Evening Shifts.

Détails

Ressource 1Télécharger: 5_28135724_Postprint.pdf (652.38 [Ko])
Etat: Serval
Version: Author's accepted manuscript
ID Serval
serval:BIB_C863F227027C
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Allocation of Internal Medicine Resident Time in a Swiss Hospital: A Time and Motion Study of Day and Evening Shifts.
Périodique
Annals of internal medicine
Auteur(s)
Wenger N., Méan M., Castioni J., Marques-Vidal P., Waeber G., Garnier A.
ISSN
1539-3704 (Electronic)
ISSN-L
0003-4819
Statut éditorial
Publié
Date de publication
18/04/2017
Peer-reviewed
Oui
Volume
166
Numéro
8
Pages
579-586
Langue
anglais
Notes
Publication types: Journal Article ; Observational Study
Publication Status: ppublish
Résumé
Little current evidence documents how internal medicine residents spend their time at work, particularly with regard to the proportions of time spent in direct patient care versus using computers.
To describe how residents allocate their time during day and evening hospital shifts.
Time and motion study.
Internal medicine residency at a university hospital in Switzerland, May to July 2015.
36 internal medicine residents with an average of 29 months of postgraduate training.
Trained observers recorded the residents' activities using a tablet-based application. Twenty-two activities were categorized as directly related to patients, indirectly related to patients, communication, academic, nonmedical tasks, and transition. In addition, the presence of a patient or colleague and use of a computer or telephone during each activity was recorded.
Residents were observed for a total of 696.7 hours. Day shifts lasted 11.6 hours (1.6 hours more than scheduled). During these shifts, activities indirectly related to patients accounted for 52.4% of the time, and activities directly related to patients accounted for 28.0%. Residents spent an average of 1.7 hours with patients, 5.2 hours using computers, and 13 minutes doing both. Time spent using a computer was scattered throughout the day, with the heaviest use after 6:00 p.m.
The study involved a small sample from 1 institution.
At this Swiss teaching hospital, internal medicine residents spent more time at work than scheduled. Activities indirectly related to patients predominated, and about half the workday was spent using a computer.
Information Technology Department and Department of Internal Medicine of Lausanne University Hospital.

Mots-clé
Adult, Computers/utilization, Female, Hospitals, University, Humans, Internal Medicine/education, Internship and Residency/organization & administration, Male, Patient Care, Personnel Staffing and Scheduling, Switzerland, Time Management, Time and Motion Studies
Pubmed
Création de la notice
07/02/2017 19:18
Dernière modification de la notice
03/03/2018 21:21
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