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Paging Patterns Among Junior Surgery Residents in a Tertiary Care Center.

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Summary

Excessive nonurgent pages disrupt care and increase resident fatigue. Analyzing paging data reveals most pages concern routine care plans and orders, even at night, suggesting communication pathway optimization is needed.

Keywords:
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Area of Science:

  • Medical Education
  • Patient Care Management
  • Healthcare Communication

Background:

  • Excessive paging disrupts patient care, reduces efficiency, and contributes to physician burnout.
  • Effective communication strategies are crucial for surgical resident well-being and optimal patient outcomes.

Purpose of the Study:

  • To analyze the frequency, content, and urgency of pages received by surgical residents.
  • To provide data-driven recommendations for reducing resident distractions and fatigue.

Main Methods:

  • Prospective review of pages received by 17 junior surgery residents over 15 weeks.
  • Pages were categorized by content and urgency (routine, important, emergent) by author consensus.
  • Data were compared between day and night shifts and by page sender profession.

Main Results:

  • 1,871 pages were analyzed over 1,740 resident-hours.
  • Residents received a median of 11 pages/shift (day) and 13 pages/shift (night).
  • Most pages (day: 74.4%; night: 26.5%) were routine, concerning care plans and order requests, despite higher emergent/important pages at night (33.6% vs 16.6%).
  • Nurses sent a higher proportion of pages at night (71.3% vs 36.7%).

Conclusions:

  • Over half of resident pages involve routine communications, even during night shifts.
  • Optimizing communication pathways through enhanced resident-nurse collaboration and technology support is recommended.
  • Reducing non-urgent paging can mitigate distractions and fatigue, improving resident well-being and patient care.