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• W2223132912 abstract "Objective: The purpose of this study was to identify and classify the types of interruptions experienced by ED nurses working in a Level One Trauma Center. Background: An understanding of interruptions in healthcare is important for the design, implementation, and evaluation of health information systems and for the management of clinical workflow and medical errors. New technology can introduce and reduce interruptions. A usercentered understanding of interruptions in healthcare is important for the design, implementation, and evaluation of health information systems and for the management of clinical workflow and medical errors. Nurses are vulnerable to committing a medical error because of either forgetting or incorrectly resuming the suspended task. Methods: This was an observational field study of Registered Nurses employed in a Level One Trauma Center using the shadowing method. Observers typically worked in teams of two and they recorded observations using a semi-structured field note implemented on Tablet PCs. Each timestamped observation was transcribed and entered into an Excel spreadsheet. Two coders analyzed the data for agreement of tasks and interruptions. The data were entered into MacShapa for further analyses. Results: A total of eight observations were made by Observer 1. One hundred fifty-nine interruptions were identified. Six observations were made by Observer 2. One hundred interruptions were identified. This study indicates that nurses were both recipients and initiators of interruptions. Telephone, pagers, and face-to-face conversations were the most common sources of interruptions. Conclusion: Our study presented here is an initial step to understand the nature, causes, and effects of interruptions, and to develop interventions to manage interruptions to improve healthcare quality and patient safety. We developed an ethnographic data collection technique and a data coding method for the capturing and analysis of interruptions. The interruption data we collected are systematic, comprehensive, and close to exhaustive. We are currently using these data to analyze the workflow dynamics of ED clinicians, identify the bottlenecks of information flow, and develop interventions to improve the efficiency of emergency care through the management of interruptions." @default.
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• W2223132912 date "2005-01-01" @default.
• W2223132912 modified "2023-09-27" @default.
• W2223132912 title "A Study of Interruption and Workflow for Registered Nurses in a Level One Trauma Center" @default.
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