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Area of Science:

  • Medical Education
  • Clinical Practice
  • Healthcare Systems

Background:

  • Interruptions are common in inpatient medical settings.
  • These disruptions can negatively impact patient safety, trainee learning, and clinician well-being.
  • Current communication systems, like pagers, may contribute significantly to these interruptions.

Purpose of the Study:

  • To quantify the frequency and nature of interruptions experienced by neurology residents.
  • To explore residents' perceptions of these interruptions and their impact.
  • To identify potential strategies for mitigating interruptions in clinical training.

Main Methods:

  • A mixed-methods approach was employed.
  • Time-motion observations captured 172 task changes among four neurology residents.
  • Semi-structured interviews were conducted with the same residents to gather qualitative data.

Main Results:

  • Twenty-five percent of observed task changes were interruptions, predominantly from pager communications.
  • Only 2% of these interruptions necessitated urgent clinical action.
  • Residents expressed frustration with the inefficiency of the existing pager system.

Conclusions:

  • High rates of non-urgent interruptions, particularly via pagers, negatively affect resident workflow and well-being.
  • Implementing strategies like communication triaging could reduce disruptive interruptions.
  • Optimizing communication systems is crucial for improving medical training environments and patient care.