Is it time to rethink how we page physicians? Understanding paging patterns in a tertiary care hospital.
Medical education
Medical residency
Physician burnout
Physician paging
Journal
BMC health services research
ISSN: 1472-6963
Titre abrégé: BMC Health Serv Res
Pays: England
ID NLM: 101088677
Informations de publication
Date de publication:
23 Dec 2019
23 Dec 2019
Historique:
received:
08
08
2019
accepted:
17
12
2019
entrez:
25
12
2019
pubmed:
25
12
2019
medline:
28
3
2020
Statut:
epublish
Résumé
Frequent pages can disrupt workflow, interrupt patient care, and may contribute to physician burnout. We hypothesized that paging volumes followed consistent temporal trends, regardless of the medical or surgical service, reflecting systems based issues present in our hospitals. A retrospective review of the hospital paging systems for 4 services at The Ottawa Hospital was performed. Resident paging data from April 1 to July 31, 2018 were collected for services with a single primary pager number including orthopaedic surgery, general surgery, neurology, and neurosurgery. Trends in paging volume during the 4-month period were examined. Variables examined included the location of origin of the page (emergency room vs. inpatient unit), and day/time of the page. During the study period, 25,797 pages were received by the 4 services, averaging 211 (± Standard Deviation (SD) 12) pages per day. 19,371 (75%) pages were from in-patient hospital units, while 6426 (24%) were pages from the emergency room. The median interval between pages across all specialties was 22:30 min. Emergency room pages peaked between 16:30 and 20:00, while in-patient units peaked between 17:30 and 18:30. Each service experienced frequent paging with similar patterns of marked increases at specific times. This study identifies areas for future study about what the factors are that contribute to the paging patterns observed.
Sections du résumé
BACKGROUND
BACKGROUND
Frequent pages can disrupt workflow, interrupt patient care, and may contribute to physician burnout. We hypothesized that paging volumes followed consistent temporal trends, regardless of the medical or surgical service, reflecting systems based issues present in our hospitals.
METHODS
METHODS
A retrospective review of the hospital paging systems for 4 services at The Ottawa Hospital was performed. Resident paging data from April 1 to July 31, 2018 were collected for services with a single primary pager number including orthopaedic surgery, general surgery, neurology, and neurosurgery. Trends in paging volume during the 4-month period were examined. Variables examined included the location of origin of the page (emergency room vs. inpatient unit), and day/time of the page.
RESULTS
RESULTS
During the study period, 25,797 pages were received by the 4 services, averaging 211 (± Standard Deviation (SD) 12) pages per day. 19,371 (75%) pages were from in-patient hospital units, while 6426 (24%) were pages from the emergency room. The median interval between pages across all specialties was 22:30 min. Emergency room pages peaked between 16:30 and 20:00, while in-patient units peaked between 17:30 and 18:30.
CONCLUSIONS
CONCLUSIONS
Each service experienced frequent paging with similar patterns of marked increases at specific times. This study identifies areas for future study about what the factors are that contribute to the paging patterns observed.
Identifiants
pubmed: 31870370
doi: 10.1186/s12913-019-4844-0
pii: 10.1186/s12913-019-4844-0
pmc: PMC6929497
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
992Références
Acad Med. 2016 Jun;91(6):827-32
pubmed: 27028026
BMC Med Educ. 2005 Jun 22;5:21
pubmed: 15972100
BMC Health Serv Res. 2019 Dec 23;19(1):992
pubmed: 31870370
J Surg Educ. 2011 Nov-Dec;68(6):447-51
pubmed: 22000529
Surgery. 2007 Nov;142(5):658-65
pubmed: 17981185
N Engl J Med. 1988 Mar 24;318(12):775-8
pubmed: 3347227
Int J Health Serv. 2014;44(4):635-42
pubmed: 25626223
J Grad Med Educ. 2009 Dec;1(2):236-42
pubmed: 21975985
CMAJ. 1994 Aug 1;151(3):307-11
pubmed: 8039084
BMC Health Serv Res. 2010 Apr 09;10:94
pubmed: 20380725
JAMA. 2011 May 18;305(19):2009-10
pubmed: 21586718
J Grad Med Educ. 2012 Dec;4(4):467-71
pubmed: 24294423
Am J Health Syst Pharm. 1999 Jul 1;56(13):1319-25
pubmed: 10683129
JAMA Intern Med. 2018 Oct 1;178(10):1317-1331
pubmed: 30193239
J Grad Med Educ. 2010 Mar;2(1):83-4
pubmed: 21975890
JAMA. 2009 Sep 23;302(12):1338-40
pubmed: 19773573
Methods Inf Med. 2009;48(1):84-91
pubmed: 19151888
Am J Respir Crit Care Med. 2007 Apr 1;175(7):686-92
pubmed: 17234905
Am J Dis Child. 1992 Jul;146(7):806-8
pubmed: 1496947
N Engl J Med. 1988 Dec 15;319(24):1585-9
pubmed: 3200267
World J Surg. 2010 Nov;34(11):2524-9
pubmed: 20703470