Americal College of Emergency Physicians Research Forum. San Diego, CA, USA, 1994/03.
To determine how emergency physicians and nurses spend their time on emergency department activities.
An observational time-and-motion study was performed at a 36-bed ED with annual census of 84,000 in a central city teaching hospital sponsoring an emergency medicine residency program.
Participants were emergency medicine faculty physicians, second-and third-year emergency medicine resident physicians, and emergency nurses.
A single investigator followed individual health care providers for 180-minute periods and recorded time spent on various activities, type and number of activities, and distance walked.
Activities were categorized as direct patient care (eg, history and physical examination), indirect patient care (eg, charting), or non-patient care (eg, break time).
On average, subjects spent 32% of their time on direct patient care, 47% on indirect patient care, and 21% on non-patient care.
Faculty physicians, residents, and emergency nurses differed in the time spent on these three categories of activities.
Although the overall time spent on direct patient care activities was not significantly different, emergency nurses spent more of their time (2.2%) providing comfort measures (a subcategory of direct patient care) than did faculty physicians (. 05%) or resident physicians (. 03%). Emergency nurses spent 38.9% of their time performing indirect care, whereas faculty physicians spent 51.3% and resident physicians 53.7%. (...)
Mots-clés Pascal : Service urgence, Distribution, Temps occupation, Equipe soignante, Etude statistique, Homme
Mots-clés Pascal anglais : Emergency department, Distribution, Occupation time, Health care staff, Statistical study, Human
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Cote : 98-0095088
Code Inist : 002B30A04D. Création : 14/05/1998.