scholarly journals Obstacles delaying the prompt deployment of piston-type mechanical cardiopulmonary resuscitation devices during emergency department resuscitation: A video-recording and time-motion study

Resuscitation ◽  
2013 ◽  
Vol 84 (9) ◽  
pp. 1208-1213 ◽  
Author(s):  
Edward Pei-Chuan Huang ◽  
Hui-Chih Wang ◽  
Patrick Chow-In Ko ◽  
Anna Marie Chang ◽  
Chia-Ming Fu ◽  
...  
Keyword(s):  
Emergency Department ◽  
Cardiopulmonary Resuscitation ◽  
Video Recording ◽  
Time Motion ◽  
Motion Study

Abstract 115: Video Review and Time-Motion Analysis of the Causes of No-Flow Intervals as Recorded by Accelerometer During Cardiopulmonary Resuscitation

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Yi-Chia Lee ◽  
Huang-Fu Yeh ◽  
Yen-Pin Chen ◽  
Chun-Yi Chang ◽  
Wei-Ting Chen ◽  
...  
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Motion Analysis ◽  
Video Recording ◽  
Electric Activity ◽  
Flow Duration ◽  
Video Review ◽  
Video Recordings ◽  
Time Motion ◽  
Comprehensive Information

Objectives: Accelerometer (Q-CPR) has been developed and promoted to monitor the quality of cardiopulmonary resuscitation (CPR). Although the device registers the occurrence of no-flow intervals, it does not provide comprehensive information on the causes leading to these no-flow intervals. This study is aimed to analyze causes leading to CPR interruptions registered by Q-CPR by reviewing corresponding video recordings of the resuscitation sessions. Methods: Accelerometer recordings (Q-CPR, Philips) of 20 CPR episodes from December 2010 to April 2014 in a tertiary university ED were obtained. Frequency, timing, duration, and types of no-flow intervals, defined as no-flow duration >= 1.5 seconds, were reviewed. Video recordings of the corresponding CPR sessions were reviewed. Causes leading no flow intervals registered by Q-CPR were categorized and analyzed. Results: The duration of CPR reviewed for the cases averaged 8.59 minutes (range 2.23 - 19.04 minutes). No-flow intervals (pauses >= 1.5 seconds) occurred 122 times (averaged one interruption every 1.27 minutes of CPR) with an average no-flow intervals of 6.45 seconds (range 1.54 - 51.50 seconds). Through detail review of the video-recordings corresponding to the no-flow intervals registered by Q-CPR, the leading causes of no-flow intervals are associated with pulse checks for pulseless electric activity- PEA (19.5%), pre-shock pauses (13.9%), ultrasound exam (11.6%) and intubation (9.6%), as displayed in the following chart. Conclusion: Video recording and time-motion analysis provide detailed information on the causes leading to no-flow intervals registered by QCPR, and could complement information acquired by Q-CPR. Measures should be taken to address leading causes of CPR interruption, especially pulse checks for PEA and pre-shock pauses, to promote quality of CPR.

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.

scholarly journals Evaluating the Quality of Cardiopulmonary Resuscitation in the Emergency Department by Real-Time Video Recording System

PLoS ONE ◽  
2015 ◽  
Vol 10 (10) ◽  
pp. e0139825 ◽  
Author(s):  
Sheng Chen ◽  
Wenjie Li ◽  
Zhonglin Zhang ◽  
Hongye Min ◽  
Hong Li ◽  
...  
Keyword(s):  
Emergency Department ◽  
Cardiopulmonary Resuscitation ◽  
Real Time ◽  
Video Recording ◽  
Recording System

Video-recording and time-motion analyses of manual versus mechanical cardiopulmonary resuscitation during ambulance transport

Resuscitation ◽  
2007 ◽  
Vol 74 (3) ◽  
pp. 453-460 ◽  
Author(s):  
Hui-Chih Wang ◽  
Wen-Chu Chiang ◽  
Shey-Ying Chen ◽  
Yi-Ling Ke ◽  
Chun-Lin Chi ◽  
...  
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Video Recording ◽  
Time Motion ◽  
Ambulance Transport

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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