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Related Experiment Video

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Video Movement Analysis Using Smartphones ViMAS: A Pilot Study
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Implementing mobile devices to reduce non-rostered workload for junior doctors.

Allan Plant1, Suzanne Round1, Joe Bourne1

  • 1Service Improvement Unit, Tauranga Public Hospital, New Zealand.

BMJ Quality Improvement Reports
|December 10, 2016
PubMed
Summary
This summary is machine-generated.

Junior doctors can reduce non-rostered work by using mobile devices to access clinical results. This improves efficiency and patient safety by saving time during ward rounds.

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Area of Science:

  • Medical Informatics
  • Healthcare Management
  • Surgical Education

Background:

  • Long work hours negatively impact junior doctors' performance, mood, and job satisfaction.
  • These effects can compromise patient safety and the quality of care.
  • House officers in general surgery frequently spend non-rostered time manually recording clinical investigation results.

Purpose of the Study:

  • To reduce the non-rostered workload of surgical house officers.
  • To improve the efficiency of accessing clinical results during ward rounds.
  • To assess the impact of mobile device use on workload and workflow.

Main Methods:

  • A quality improvement project was implemented at Tauranga Hospital's general surgery department.
  • House officers trialed mobile devices for real-time access to clinical results during ward rounds.
  • Non-rostered time spent on recording results was measured before and after the intervention.

Main Results:

  • Non-rostered work was sustainably reduced from a median of 28-33 minutes to 15 minutes per day per house officer.
  • This equates to a weekly saving of 75 minutes of non-rostered work per house officer.
  • The intervention was sustained for over seven weeks, including a rotation changeover, with no perceived negative impact on ward round speed or flow.

Conclusions:

  • Mobile device implementation significantly reduces non-rostered workload for surgical house officers.
  • Real-time access to clinical results via mobile devices enhances efficiency and timeliness.
  • This intervention shows potential for improving junior doctor well-being and patient care quality.