Variation in communication loads on clinical staff in the emergency department
Variation in communication loads on clinical staff in the emergency department
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DOI：
10.1016/j.annemergmed.2004.04.006
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发表时间：
2004-09-01
影响因子：
6.2
通讯作者：
Logan, P
中科院分区：
文献类型：
--
作者：
Spencer, R;Coiera, E;Logan, P
研究目的：我们确定是否有不同的角色相关的沟通模式在急诊科（艾德）。方法：这是一个大都市的ED的观察性研究。4名医务人员和4名护士观察了19小时52分钟。通信负载测量的比例，观察时间在通信中，并发通信事件的比例，和中断的比例。结果：831通信事件被确定，平均42事件每人每小时。89%的临床医生的时间花在沟通上。在84%的事件中使用了同步沟通渠道，包括面对面或电话交谈。三分之一的通信事件被归类为中断，平均每人每小时15次中断。高级医疗和护理人员经历了较高的中断率比初级医务人员和注册护士分配patient load.Conclusion：有相当大的变化，在临床工作人员的通信负荷占据不同的角色在ED。医疗注册有很高的比例中断，花了大部分时间处理中断。这些新数据表明，一些临床角色可能比一般临床人群的沟通过载风险更高。
Study objective: We determine whether there are differences in role-related communication patterns in the emergency department (ED).Methods: This was an observational study of a metropolitan ED. Four medical officers and 4 nurses were observed for 19 hours and 52 minutes. Communication load was measured by proportion of observed time in communication, proportion of concurrent communication events, and proportion of interruptions.Results: Eight hundred thirty-one communication events were identified, an average of 42 events per person per hour. Eighty-nine percent of clinicians' time was spent in communication. Synchronous communication channels, involving face-to-face or telephone conversations, were used in 84% of events. One third of communication events were classified as interruptions, averaging 15 interruptions per person per hour. Senior medical and nursing staff experienced higher rates of interruption than junior medical staff and registered nurses with an allocated patient load.Conclusion: There was considerable variation in communication loads on clinical staff occupying different roles in the ED. Medical registrars had a high proportion of interruptions and spent the most time dealing with interruptions. These new data suggest some clinical roles may be at higher risk of communication overload than those of the general clinical population.