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UNLABELLED OBJECTIVE To determine the percentage of time that intensive care unit (ICU) nurses spend on documentation and other nursing activities before and after installation of a third-generation ICU information system. DESIGN Prospective data collection using real-time time-motion analysis, before and after installation of the ICU information system.(More)
Experience from other domains suggests that videotaping and analyzing actual clinical care can provide valuable insights for enhancing patient safety through improvements in the process of care. Methods are described for the videotaping and analysis of clinical care using a high quality portable multi-angle digital video system that enables simultaneous(More)
BACKGROUND Task analysis may be useful for assessing how anesthesiologists alter their behavior in response to different clinical situations. In this study, the authors examined the intraobserver and interobserver reliability of an established task analysis methodology. METHODS During 20 routine anesthetic procedures, a trained observer sat in the(More)
STUDY OBJECTIVE The objective of this investigation is to determine time-dependent workload patterns for emergency department (ED) physician teams across work shifts. A secondary aim was to demonstrate how ED demand patterns and the timing of shift changes influence the balance of workload among a physician team. METHODS Operational measurements of an(More)
BACKGROUND Researchers have used various methods to describe and quantify the work of nurses. Many of these studies were focused on nursing in general care settings; therefore, less is known about the unique work nurses perform in intensive care units (ICUs). OBJECTIVES The aim of this study was to observe adult and pediatric ICU nurses in order to(More)
OBJECTIVE To assess the impact of EHR technology on the work and workflow of ICU physicians and compare time spent by ICU resident and attending physicians on various tasks before and after EHR implementation. DESIGN EHR technology with electronic order management (CPOE, medication administration and pharmacy system) and physician documentation was(More)
This paper describes the development of a job task analysis tool for observing and recording physician tasks in the ICU. Real-time direct observations were conducted by outside observers using a computerized data collection tool developed to document the tasks performed by ICU physicians. The aim of the analysis was to quantify the tasks of the physicians,(More)
OBJECTIVE This study examined whether anesthesia residents (physicians in training) performed clinical duties in the operating room differently during the day versus at night. BACKGROUND Fatigue from sleep deprivation and working through the night is common for physicians, particularly during residency training. METHODS Using a repeated-measures design,(More)