scholarly journals Differences in Documented and Actual Medication Administration Time in the Emergency Department: A Prospective, Observational, Time-Motion Study

2021 ◽  
Author(s):  
Titus de Hond ◽  
Bob Keuning ◽  
Jan Jelrik Oosterheert ◽  
Wietske Blom-Ham ◽  
Lisette Schoonhoven ◽  
...  
Keyword(s):  
Emergency Department ◽  
Medication Administration ◽  
Time Motion ◽  
Motion Study ◽  
Administration Time

scholarly journals Nursing staff work patterns in a residential aged care home: a time–motion study

2016 ◽  
Vol 40 (5) ◽  
pp. 544 ◽  
Author(s):  
Siyu Qian ◽  
Ping Yu ◽  
David Hailey
Keyword(s):  
Nursing Care ◽  
Nursing Staff ◽  
Care Home ◽  
Medication Administration ◽  
Aged Care ◽  
Verbal Communication ◽  
Residential Aged Care ◽  
Work Patterns ◽  
Time Motion ◽  
Motion Study

Objective Residential aged care services are challenged by an increasing number of residents and a shortage of nursing staff. Developing strategies to overcome this challenge requires an understanding of nursing staff work patterns. The aim of the present study was to investigate the work processes followed by nursing staff and how nursing time is allocated in a residential aged care home. Methods An observational time–motion study was conducted at two aged care units for 12 morning shifts. Seven nurses were observed, one per shift. Results In all, there were 91 h of observation. The results showed that there was a common work process followed by all nurse participants. Medication administration, documentation and verbal communication were the most time-consuming activities and were conducted most frequently. No significant difference between the two units was found in any category of activities. The average duration of most activities was less than 1 min. There was no difference in time utilisation between the endorsed enrolled nurses and the personal carers in providing nursing care. Conclusion Medication administration, documentation and verbal communication were the major tasks in morning shifts in a residential aged care home. Future research can investigate how verbal communication supports nursing care. What is known about the topic? The aging population will substantially increase the demand for residential aged care services. There is a lack of research on nurses’ work patterns in residential aged care homes. What does this paper add? The present study provides a comprehensive understanding of nurses’ work patterns in a residential aged care home. There is a common work process followed by nurses in providing nursing care. Medication administration, verbal communication and documentation are the most time-consuming activities and they are frequently conducted in the same period of time. Wound care, physical review and documentation on desktop computers are arranged flexibly by the nurses. What are the implications for practitioners? When developing a task reallocation strategy to improve work efficiency, effort can be put into tasks that can be arranged more flexibly.

scholarly journals 34 Time-motion Study of Attending Physician Teaching Activities and Interruptions at a Large Academic Emergency Department

2016 ◽  
Vol 68 (4) ◽  
pp. S15
Author(s):  
M.A. Coplin ◽  
A. Cardell ◽  
M. Lall ◽  
J. Siegelman ◽  
M. Demestihas ◽  
...  
Keyword(s):  
Emergency Department ◽  
Teaching Activities ◽  
Time Motion ◽  
Motion Study ◽  
Attending Physician

Time Motion Study in a Pediatric Emergency Department Before and After Computer Physician Order Entry

2009 ◽  
Vol 53 (4) ◽  
pp. 462-468.e1 ◽  
Author(s):  
Kenneth Yen ◽  
Elizabeth L. Shane ◽  
Sachin S. Pawar ◽  
Nicole D. Schwendel ◽  
Robert J. Zimmanck ◽  
...  
Keyword(s):  
Emergency Department ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Order Entry ◽  
Time Motion ◽  
Motion Study ◽  
Before And After ◽  
Physician Order Entry

scholarly journals Emergency department physicians’ distribution of time in the fast paced-workflow-a novel time-motion study of drug-related activities

2021 ◽  
Author(s):  
Lisbeth D. Nymoen ◽  
Therese Tran ◽  
Scott R. Walter ◽  
Elin C. Lehnbom ◽  
Ingrid K. Tunestveit ◽  
...  
Keyword(s):  
Emergency Department ◽  
Observation Time ◽  
Transitions Of Care ◽  
Healthcare Personnel ◽  
Bootstrap Analysis ◽  
Time Motion ◽  
Motion Study ◽  
Efficient Information ◽  
Observation Method ◽  
A Minor

AbstractBackground In the emergency department physicians are forced to distribute their time to ensure that all admitted patients receive appropriate emergency care. Previous studies have raised concerns about medication discrepancies in patient’s drug lists at admission to the emergency department. Thus, it is important to study how emergency department physicians distribute their time, to highlight where workflow redesign can be needed.Aim to quantify how emergency department physicians distribute their time between various task categories, with particular focus on drug-related tasks.Method Direct observation, time-motion study of emergency department physicians at Diakonhjemmet Hospital, Oslo, Norway. Physicians’ activities were categorized in discrete categories and data were collected with the validated method of Work Observation Method By Activity Timing between October 2018 to January 2019. Bootstrap analysis determined 95% confidence intervals for proportions and interruption rates.Results During the observation time of 91.4 h, 31 emergency department physicians were observed. In total, physicians spent majority of their time gathering information (36.5%), communicating (26.3%), and documenting (24.2%). Further, physicians spent 17.8% (95% CI 16.8%, 19.3%) of their time on drug-related tasks. On average, physicians spent 7.8 min (95% CI 7.2, 8.6) per hour to obtain and document patients’ drug lists.Conclusion Emergency department physicians are required to conduct numerous essential tasks and distributes a minor proportion of their time on drug-related tasks. More efficient information flow regarding drugs should be facilitated at transitions of care. The presence of healthcare personnel dedicated to obtaining drug lists in the emergency department should be considered.

Effect of bar-code-assisted medication administration on nurses’ activities in an intensive care unit: A time–motion study

2011 ◽  
Vol 68 (11) ◽  
pp. 1026-1031 ◽  
Author(s):  
Nilanjana Dwibedi ◽  
Sujit S. Sansgiry ◽  
Craig P. Frost ◽  
Anandaroop Dasgupta ◽  
Sheeba M. Jacob ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Medication Administration ◽  
Bar Code ◽  
Time Motion ◽  
Motion Study

Evaluation of First-Dose, Intravenous Push Penicillins and Carbapenems in the Emergency Department

2020 ◽  
pp. 089719002097775
Author(s):  
Emmeline C. Academia ◽  
Jordan E. Jenrette ◽  
Scott W. Mueller ◽  
Julie M. McLaughlin
Keyword(s):  
Emergency Department ◽  
Adverse Events ◽  
Cost Savings ◽  
Medication Administration ◽  
Primary Objective ◽  
Antibiotic Administration ◽  
Administration Time ◽  
Acquisition Costs ◽  
American Society ◽  
Administration Timing

Background: Early appropriate antibiotic administration is associated with improved outcomes in infectious illnesses. During drug shortages in 2017, the American Society of Health-System Pharmacists recommended intravenous push (IVP) administration of medications when possible to conserve small-volume parenteral solutions. Data supporting IVP penicillins and carbapenems was limited. Objective: The primary objective of this study compared time from patient emergency department (ED) arrival to antibiotic administration between IVP and intravenous piggy-back (IVPB) administration. Methods: This single-center pre-post protocol study assessed changes in administration timing and safety of ampicillin/sulbactam, piperacillin/tazobactam, and ertapenem from 2015-2018. Medication administration by IVPB (pre) or IVP (post), ED arrival, antibiotic order and administration times, potential effectors of administration time, and safety events were assessed. Acquisition costs were estimated. Results: A total of 696 administrations were included, with 351 and 345 subjects in the IVPB and IVP cohorts, respectively. The median time from ED arrival to initiation of antibiotic administration was 140 (IQR 87-221) minutes and 110 (IQR 68-181) minutes in the IVPB and IVP cohorts, respectively, (P < 0.01). IVP administration increased the proportion of indexed antibiotics administered within 60 minutes of ED arrival compared to IVPB (20% vs. 12%, respectively, P < 0.01). There was no difference in adverse events between both cohorts. Supply acquisition cost savings totaled an more than $5,000 with the IVP protocol. Conclusion: IVP administration of ampicillin/sulbactam, piperacillin/tazobactam, and ertapenem improved times to initiation of empiric, first-dose antibiotics in the ED without an increase in adverse events, saving over $5,000 annually.

scholarly journals “How do we use the time?” – an observational study measuring the task time distribution of nurses in psychiatric care

BMC Nursing ◽  
2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Andreas Glantz ◽  
Karin Örmon ◽  
Boel Sandström
Keyword(s):  
Psychiatric Care ◽  
Medication Administration ◽  
Direct Care ◽  
Psychiatric Clinic ◽  
Inpatient Psychiatric Care ◽  
Time Frequency ◽  
Time Motion ◽  
Motion Study ◽  
Measured Time ◽  
Area Of Concern

Abstract Background The nurse’s primary task in psychiatric care should be to plan for the patient’s care in cooperation with the patient and spend the time needed to build a relationship. Psychiatric care nurses however claim that they lack the necessary time to communicate with patients. To investigate the validity of such claims, this time-motion study aimed at identifying how nurses working at inpatient psychiatric wards distribute their time between a variety of tasks during a working day. Methods During the period of December 2015 and February 2016, a total of 129 h and 23 min of structured observations of 12 nurses were carried out at six inpatient wards at one psychiatric clinic in southern Sweden. Time, frequency of tasks and number of interruptions were recorded and analysed using descriptive statistics. Results Administering drugs or medications accounted for the largest part of the measured time (17.5%) followed by indirect care (16%). Relatively little time was spent on direct care, the third largest category in the study (15.3%), while an unexpectedly high proportion of time (11.3%) was spent on ward related tasks. Nurses were also interrupted in 75% of all medication administering tasks. Conclusions Nurses working in inpatient psychiatric care spend little time in direct contact with the patients and medication administration is interrupted very often. As a result, it is difficult to establish therapeutic relationships with patients. This is an area of concern for both patient safety and nurses’ job satisfaction.

Comparison of Time spent between an electronic and a paper-based laboratory information system by laboratorians at a polyclinic in Greater Accra, Ghana: A time-motion study

2020 ◽  
Author(s):  
Philip Boakye
Keyword(s):  
Information System ◽  
Negative Impact ◽  
Laboratory Information System ◽  
Time Motion ◽  
Accessible Information ◽  
Motion Study ◽  
Significant Difference ◽  
Significant Negative Impact ◽  
Key Issues ◽  
Motion Studies

The acceptance of electronic laboratory information system (LIS) is gradually increasing in developing countries. However, the issue of time effectiveness due to computerization is less clear as there is fewer accessible information. One of the key issues for laboratorians is their indecision with LISs’ would-be effect of time on their work. A polyclinic in Ghana was in the process of implementing electronic LIS. Several of the laboratorians did not have knowledge and skill in computing and there were disagreeing views on the time effectiveness of the LIS after implementation. The management of the polyclinic laboratory was concerned to assess time advantageousness of recording data when using the electronic LIS compared with paper-based LIS. <div><br></div><div>Five randomly selected laboratorians were provided two sheets of paper with tables to document the time they spent for both paper-based and electronic LIS. Data were collected for a total of 230 records,115 electronic LIS and 115 paper-based LIS. The t-test (mean-comparison test) was computed to compare the means of both electronic and paperbased LIS times. </div><div><br></div><div>There was a statistical significant difference in the time spent between electronic and paper-based LIS. The time spent between paper-based and electronic LIS was 0.41 minutes (95% CI 0.15 to 0.66) longer than in electronic LIS. </div><div><br></div><div>LIS can be adopted in polyclinics without having significant negative impact on time spent between electronic and paper-based LIS. More time–motion studies that include laboratorians are however necessary in order to get a more complete picture of time spent between electronic and paper-based LIS. </div>

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