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Impact of workflow interruptions on baseline activities of the doctors working in the emergency department

BACKGROUND: Workflow interruptions are common in the emergency department (ED) of the hospitals for physicians, leading to an increased risk of errors. PURPOSE: This study aims to understand the baseline activities of the ED doctors and how these are affected by workflow interruptions. METHODS: The...

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Autores principales: Mobeen, Asyia, Shafiq, Muhammad, Aziz, Muhammad Haris, Mohsin, Muhammad Junaid
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9472165/
https://www.ncbi.nlm.nih.gov/pubmed/36096543
http://dx.doi.org/10.1136/bmjoq-2022-001813
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author Mobeen, Asyia
Shafiq, Muhammad
Aziz, Muhammad Haris
Mohsin, Muhammad Junaid
author_facet Mobeen, Asyia
Shafiq, Muhammad
Aziz, Muhammad Haris
Mohsin, Muhammad Junaid
author_sort Mobeen, Asyia
collection PubMed
description BACKGROUND: Workflow interruptions are common in the emergency department (ED) of the hospitals for physicians, leading to an increased risk of errors. PURPOSE: This study aims to understand the baseline activities of the ED doctors and how these are affected by workflow interruptions. METHODS: The study was conducted in two phases to collect the doctor’s perspective (through questionnaire survey) and observer’s perspective (through workflow observation study) about ED doctors’ baseline activities and workflow interruptions. Two different perspectives were obtained to make the insights clearer and more valuable. The point of view of the 223 doctors working in ED of the hospitals was recorded through a questionnaire survey. In the second phase, the observer’s point of view (authors) was obtained through a workflow observation study, and 13 doctors were observed for 160 hours. RESULTS: Direct communication with patients (37.1%) and ‘documentation and prescription’ (22.7%) were found to be the most frequent activities. The most common interruptions were visual and auditory distractions, rumination (mind-wandering) and intrusion (by co-workers). Also, the time consumed on indirect patient care (6.6%) was higher than direct patient care (4. 2%). Interruptions increase the chances of errors by making it hard for a doctor to resume a primary task after facing interruptions. CONCLUSION: Interruptions increase the chances of errors and make it difficult for the doctors to resume primary tasks (after facing such incidents).
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spelling pubmed-94721652022-09-15 Impact of workflow interruptions on baseline activities of the doctors working in the emergency department Mobeen, Asyia Shafiq, Muhammad Aziz, Muhammad Haris Mohsin, Muhammad Junaid BMJ Open Qual Original Research BACKGROUND: Workflow interruptions are common in the emergency department (ED) of the hospitals for physicians, leading to an increased risk of errors. PURPOSE: This study aims to understand the baseline activities of the ED doctors and how these are affected by workflow interruptions. METHODS: The study was conducted in two phases to collect the doctor’s perspective (through questionnaire survey) and observer’s perspective (through workflow observation study) about ED doctors’ baseline activities and workflow interruptions. Two different perspectives were obtained to make the insights clearer and more valuable. The point of view of the 223 doctors working in ED of the hospitals was recorded through a questionnaire survey. In the second phase, the observer’s point of view (authors) was obtained through a workflow observation study, and 13 doctors were observed for 160 hours. RESULTS: Direct communication with patients (37.1%) and ‘documentation and prescription’ (22.7%) were found to be the most frequent activities. The most common interruptions were visual and auditory distractions, rumination (mind-wandering) and intrusion (by co-workers). Also, the time consumed on indirect patient care (6.6%) was higher than direct patient care (4. 2%). Interruptions increase the chances of errors by making it hard for a doctor to resume a primary task after facing interruptions. CONCLUSION: Interruptions increase the chances of errors and make it difficult for the doctors to resume primary tasks (after facing such incidents). BMJ Publishing Group 2022-09-12 /pmc/articles/PMC9472165/ /pubmed/36096543 http://dx.doi.org/10.1136/bmjoq-2022-001813 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Original Research
Mobeen, Asyia
Shafiq, Muhammad
Aziz, Muhammad Haris
Mohsin, Muhammad Junaid
Impact of workflow interruptions on baseline activities of the doctors working in the emergency department
title Impact of workflow interruptions on baseline activities of the doctors working in the emergency department
title_full Impact of workflow interruptions on baseline activities of the doctors working in the emergency department
title_fullStr Impact of workflow interruptions on baseline activities of the doctors working in the emergency department
title_full_unstemmed Impact of workflow interruptions on baseline activities of the doctors working in the emergency department
title_short Impact of workflow interruptions on baseline activities of the doctors working in the emergency department
title_sort impact of workflow interruptions on baseline activities of the doctors working in the emergency department
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9472165/
https://www.ncbi.nlm.nih.gov/pubmed/36096543
http://dx.doi.org/10.1136/bmjoq-2022-001813
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