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Attention Among Health Care Professionals : A Scoping Review.

Mark J Kissler1, Samuel Porter1, Michelle Knees1

  • 1Division of Hospital Medicine, Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado (M.J.K., S.P., M.K., A.K., M.B.).

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Understanding clinician attention is key to improving healthcare systems and patient care. This review identifies factors affecting attention and metrics for measurement, offering a framework for enhancement.

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Area of Science:

  • Healthcare Systems Science
  • Clinical Informatics
  • Patient Safety

Background:

  • Clinician attention is crucial for quality patient care and medical error reduction.
  • Health system design significantly influences clinician focus and patient outcomes.
  • Understanding attention dynamics can inform improvements in healthcare delivery.

Purpose of the Study:

  • To conduct a scoping review of literature on clinician attention.
  • To identify and characterize studies related to healthcare worker attention.
  • To compile metrics for measuring attention and develop a conceptual framework.

Main Methods:

  • Searched CINAHL, PubMed, and Embase databases (2001-2024).
  • Included English-language studies on health care worker attention in patient care.
  • Utilized dual review and data abstraction for 585 selected articles.

Main Results:

  • The review identified 585 relevant studies, with most being descriptive.
  • Barriers to attention were more frequently studied than facilitators.
  • A framework was developed, categorizing studies into 6 key areas, and 82 metrics for attention were identified.

Conclusions:

  • This overview provides a resource for researchers and leaders to enhance clinical environments.
  • The findings can guide quality improvement efforts related to clinician attention.
  • Future systematic reviews should synthesize evidence on attention metrics and interventions.