Time and motion : A study of trauma surgeons'work at the bedside during the first 24 hours of blunt trauma care. Discussion.
Annual Meeting of the American Association for the Surgery of Trauma Association of Canada. Baltimore, MD, USA, 1998/09/24.
The current literature defines the costs of trauma care in terms of hospital costs and charges.
We sought to define the qualitative and quantitative labor costs of trauma care by measuring the various components of bedside care provided by surgeons at a community hospital.
We conducted a prospective time-and-motion study during the initial 24 hours of blunt trauma patients'stay in the hospital at a Level II trauma center.
The services provided by two surgeons and one nurse practitioner were examined.
All patients were resuscitated and seen initially by one of the physicians.
Ten service elements (SEs) were defined, and total time (TT) spent was the sum of time spent on all service elements for that patient.
We defined labor cost as TT.
Data on Injury Severity Score (ISS), alcohol intoxication, length of stay, operative procedures, and injury mechanism were also collected.
Data are in minutes as means ± SEM.
Analysis of linear correlation was by Pearson correlation coefficient, and intergroup comparison of means was by two-tailed t test.
- Fifty-eight patients were studied.
Mean ISS and length of stay were 11.8 ± 3 and 4.6 ± 3 days, respectively.
A mean of seven SEs were provided per patient, and the number of SEs provided correlated directly with ISS (r=0.75, p<0.01).
The mean TT spent was 171 ± 9 minutes, and it correlated directly with ISS (r=0.64, p<0.01). (...)
Mots-clés Pascal : Chirurgie orthopédique, Traumatologie, Pratique professionnelle, Chirurgien, Traitement, Traumatisme, Homme, Au chevet du malade
Mots-clés Pascal anglais : Orthopedic surgery, Traumatology, Professional practice, Surgeon, Treatment, Trauma, Human
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Cote : 99-0318157
Code Inist : 002B30A05. Création : 16/11/1999.