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Interrupted care. The effects of paging on pediatric resident activities
1Department of Pediatrics, University of Pennsylvania School of Medicine, Philadelphia.
Objective:
To determine the content and urgency of pages and their effect on the activities of pediatric residents.
Design:
Prospective survey.
Setting:
University-affiliated teaching hospital.
Participants:
Seventeen pediatric residents on regular pediatric services.
Interventions:
None.
Measurements/Main Results:
On daily logs, interns recorded the activity interrupted by a page and rated the urgency and importance of the page. Almost half of all pages interrupted patient care activities, and 24% interrupted scheduled work rounds or teaching conferences. Interns reported that 34% of pages resulted in a change in patient treatment, but they rated 25% of all pages as unimportant.
Conclusions:
"Beepers" frequently interrupt pediatric residents involved in patient care activities and scheduled educational conferences. Studies of interventions aimed at decreasing unnecessary interruptions by pages are needed.
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