Introducing new technology into the operating room: Measuring the impact on job performance and satisfaction
Introducing new technology into the operating room: Measuring the impact on job performance and satisfaction
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DOI：
10.1016/j.surg.2004.12.015
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发表时间：
2005-05-01
期刊：
影响因子：
3.8
通讯作者：
Rattner, DW
中科院分区：
文献类型：
--
作者：
Stahl, JE;Egan, MT;Rattner, DW
背景。马萨诸塞州综合医院 (MGH) 未来手术室 (ORF) 项目是评估新手术技术和流程的试验场。在这里，我们评估引入一组新技术对员工满意度和职业倦怠的影响。方法。在引入新技术系统期间，通过基于 Maslach 倦怠清单的连续调查来衡量员工满意度和倦怠度。手术室的功能行为是根据流动时间（通过手术室的时间）和等待时间（进入手术室的时间）来衡量的。这些数据是使用时间运动分析方法收集的。结果。 ORF 的功能显着改善（流入时间和等待时间减少 35% 以上，P < .05）。同一时期，接触ORF越多，外科医生的个人成就感越高，护士的个人成就感越差，外科医生的情绪疲惫程度越高。护士的情绪疲惫也减少了。然而，接触 ORF 的时间越长，对情绪衰竭的反应就会发生逆转。在所有类别中，拥有 6 至 10 年经验的员工出现倦怠的风险最高。普通外科医生比其他医生经历更多的情绪疲惫。结论。跟踪所有用户的响应并识别在接触新系统时面临倦怠高风险的群体应该是任何新技术项目的核心部分。
Background. The Massachusetts General Hospital (MGH) Operating Room of the future (ORF) project is a test site for evaluating new surgical technologies and processes. Here we evaluate the effect on staff satisfaction and burnout of introducing a set of new technologies.Methods. Staff satisfaction and burnout were measured via sequential surveys based on the Maslach Burnout Inventory during the introduction of a new technology system. Functional behavior of the OR was measured in terms of flow time (time to transit the OR) and wait time (time to access the OR). These data were gathered using time-motion analysis methods.Results. Significant functional improvements were found in the ORF (more than 35% reduction inflow time and wait time, P < .05). During the same period, more exposure to the ORF resulted in greater sense of personal accomplishment among surgeons, a worse sense of personal accomplishment among nurses, more emotional exhaustion among surgeons. and less emotional exhaustion among nurses. However the responses for emotional exhaustion were reversed the greater the time from exposure to the ORF. Staff with 6 to 10 years' experience were at highest risk for burnout across all categories. General surgeons experienced more emotional exhaustion than other physicians.Conclusions. Tracking the response of all users and identifying groups at high risk for burnout when exposed to new systems should be a central Part of any new technology project.