A Time-Motion Study of Patient Care Activities of a Geriatric Home Care Team

1983 ◽  
Vol 4 (1) ◽  
pp. 67-78 ◽  
Author(s):  
James G. Zimmer ◽  
Annemarie Groth-Juncker
Keyword(s):  
Home Care ◽  
Patient Care ◽  
Care Team ◽  
Time Motion ◽  
Motion Study

scholarly journals MP02: The impact of adoption of an electronic health record on emergency physician work: a time motion study

CJEM ◽  
2020 ◽  
Vol 22 (S1) ◽  
pp. S42-S43
Author(s):  
S. Calder-Sprackman ◽  
G. Clapham ◽  
T. Kandiah ◽  
J. Choo-Foo ◽  
S. Aggarwal ◽  
...  
Keyword(s):  
Electronic Health Record ◽  
Patient Care ◽  
Emergency Physician ◽  
Chart Review ◽  
Direct Patient Care ◽  
Health Record ◽  
Physical Movement ◽  
Time Motion ◽  
Motion Study ◽  
The Impact

Introduction: Adoption of a new Electronic Health Record (EHR) can introduce radical changes in task allocation, work processes, and efficiency for providers. In June 2019, The Ottawa Hospital transitioned from a primarily paper based EHR to a comprehensive EHR (Epic) using a “big bang” approach. The objective of this study was to assess the impact of the transition to Epic on Emergency Physician (EP) work activities in a tertiary care academic Emergency Department (ED). Methods: We conducted a time motion study of EPs on shift in low acuity areas of our ED (CTAS 3-5). Fifteen EPs representing a spectrum of pre-Epic baseline workflow efficiencies were directly observed in real-time during two 4-hour sessions prior to EHR implementation (May 2019) and again in go live (August 2019). Trained observers performed continuous observation and measured times for the following EP tasks: chart review, direct patient care, documentation, physical movement, communication, teaching, handover, and other (including breaks). We compared time spent on tasks pre Epic and during go live and report mean times for the EP tasks per patient and per shift using two tailed t-test for comparison. Results: All physicians had a 17% decrease in patients seen after Epic implementation (2.72/hr vs 2.24/hr, p < 0.01). EPs spent the same amount of time per patient on direct patient care and chart review (direct patient care: 9min06sec/pt pre vs 8min56sec/pt go live, p = 0.77; chart review: 2min47sec/pt pre vs 2min50sec/pt go live, p = 0.88), however, documentation time increased (5min28sec/pt pre vs 7min12sec/pt go live, p < 0.01). Time spent on shift teaching learners increased but did not reach statistical significance (31min26sec/shift pre vs 36min21sec/shift go live, p = 0.39), and time spent on non-patient-specific activities – physical movement, handover, team communication, and other – did not change (50min49sec/shift pre vs 50min53sec/shift go live, p = 0.99). Conclusion: Implementation of Epic did not affect EP time with individual patients - there was no change in direct patient care or chart review. Documentation time increased and EP efficiency (patients seen per hr on shift) decreased after go live. Patient volumes cannot be adjusted in the ED therefore anticipating the EHR impact on EP workflow is critical for successful implementation. EDs may consider up staffing 20% during go live. Findings from this study can inform how to best support EDs nationally through transition to EHR.

Activities of the Clinical Pharmacist Practicing in the Office of a Family Practitioner

1975 ◽  
Vol 9 (3) ◽  
pp. 129-133 ◽  
Author(s):  
Paul J. Perry ◽  
Stephen C. Hurley
Keyword(s):  
Patient Care ◽  
Community Pharmacist ◽  
Clinical Pharmacist ◽  
Care Facility ◽  
Improve Patient Care ◽  
Family Practitioner ◽  
Care Services ◽  
Time Motion ◽  
Motion Study ◽  
Significant Difference

The activities of a clinical pharmacist within a primary care facility are measured in a time-motion study. This type of practice allows the pharmacist an opportunity to provide many patient-care services normally unavailable at community pharmacies. The innovative services are described in detail to establish how they produce savings of physician time and to imply how they improve patient care. The activities of the clinical pharmacist are compared to those of the community pharmacist. The indications are that a significant difference exists between the activities of the community pharmacist and a clinical pharmacist working within the office of a physician.

HOW PATIENTS SPEND THEIR TIME AT THE PEDIATRICIAN'S OFFICE

PEDIATRICS ◽  
1972 ◽  
Vol 49 (6) ◽  
pp. 905-909
Author(s):  
John Wegenke ◽  
Mary Wilson ◽  
Kenneth G. Reeb ◽  
Marc F. Hansen
Keyword(s):  
Patient Care ◽  
Care Setting ◽  
Care Process ◽  
Clinical Settings ◽  
Time Motion ◽  
Services Delivery ◽  
Motion Study ◽  
Temporal Aspects ◽  
Practical Tool ◽  
Patient Care Process

A time-motion study of patient visits to three pediatric clinics—a medical school "model clinic" for teaching health services delivery in a primary care setting, and two private pediatric practices—is presented. Results characterize the temporal aspects of the patient care process and highlight differences and similarities in this process between these clinics. Wasted patient time is demonstrated and possibilities for correcting the inefficiencies are discussed. This technique is readily adaptable to most clinical settings and is proposed as a useful and practical tool for physicians interested in improving the efficiency of patient care.

scholarly journals Enunciados sobre la atención domiciliaria en el panorama mundial: revisión narrativa

2015 ◽  
Vol 14 (3) ◽  
pp. 360 ◽  
Author(s):  
Stefanie Griebeler Oliveira ◽  
Maria Henriqueta Luce Kruse ◽  
Silvia Francine Sartor ◽  
Maria Elena Echevarría-Guanilo
Keyword(s):  
Home Care ◽  
Patient Care ◽  
Home Care Services ◽  
Patient Care Team ◽  
National Institutes Of Health ◽  
Care Team ◽  
National Library ◽  
Microsoft Excel ◽  
Care Services ◽  
Mesh Database

<p>Se objetivó conocer las definiciones e implicaciones de la atención domiciliaria abordadas en artículos científicos. Se trata de una investigación bibliográfica, revisión narrativa. La búsqueda fue realizada en la base de datos National Library of Medicine National Institutes of Health (PUBMED), en diciembre de 2012. Los descriptores Mesh Database utilizados fueron: home care services; patient care team; homebound persons y caregiver. Fueron encontrados 2244 publicaciones. El proceso de inclusión y exclusión se dividió en dos etapas: la primera fue la lectura de los títulos y resúmenes para verificación del tema abordado “atención domiciliaria”, siendo seleccionados 253 títulos y resúmenes. La segunda fue el llenado del cuadro de informaciones elaborado en el programa Microsoft Excel 2007, siendo concluida con 209 resúmenes. Para el análisis en la integra, 72 artículos fueron seleccionados para análisis de contenido e identificación de los enunciados. Fueron elaboradas tres categorías enunciativas: Atención domiciliaria: ¿Qué es? ¿Para qué sirve?; Atención Domiciliaria: Fragilidades y potencialidades; Cuidador Familiar: fatiga y aislamiento</p>

scholarly journals The physician assistant hospitalist: a time-motion study

2015 ◽  
Vol 4 (5) ◽  
pp. 61 ◽  
Author(s):  
Julia V. Beresford ◽  
Roderick S. Hooker
Keyword(s):  
Patient Care ◽  
Activity Patterns ◽  
A Priori ◽  
Univariate Analysis ◽  
Physician Assistants ◽  
Direct Patient Care ◽  
Patient Encounter ◽  
Time Motion ◽  
Motion Study ◽  
Adult Medicine

Objective: The role of hospital-based physician assistants (PAs) is in need of delineation. To learn more about their activities, an administrative research project compared the tasks of hospitalists. In this setting an MD-PA team managed the adult medicine ward each weekday while three MDs rotated shifts.Methods: A priori a survey of hospitalist activities was administered to four providers in a medium sized hospital (3 MDs and 1 PA). This was followed by time-motion documentation that involved shadowing each member of the MD-PA hospitalist teams over a three-month period. A univariate analysis of activity patterns (perceived and observed) assessed what was perceived and what actually occurred on the wards. The mean, standard deviation, and difference in means for each task were calculated.Results: In the survey the PA reported she spent one-half of her hospitalist workdays on direct patient care and the physicians spent less time on direct patient care. Physicians believed they spent half days on direct patient care and believed the PA spent less time on direct patient care than they did. In the time-motion study shadowing the four hospitalists separately what was observed was that the PA spent 18% of her workday on direct patient care and 54% on indirect patient care - primarily patient encounter documentation. The three physicians spent 15% of their workday on direct patient care and 54% on indirect patient care – primarily patient encounter documentation. In summary, the perception of what each provider thought they did and what they in fact did differed significantly when actually observed. All four hospitalists (regardless of team composition) spent less than 20% of their workday with patients, and the rest divided among documentation, examination and test results, hospital meetings, and breaks. Task activity was similar for all providers except MDs attended more administrative meetings than the PA.Conclusions: The perception that physicians have of PA roles and what a PA actually does has been a reoccurring observation. A lack of understanding of PA role delineation by physicians may contribute to employment reluctance.

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>

Occupational Exposures in the Homecare Environment: Piloting an Observation Tool

2021 ◽  
pp. 108482232098691
Author(s):  
Elizabeth Bien ◽  
Kermit Davis ◽  
Susan Reutman ◽  
Gordon Gillespie
Keyword(s):  
Home Care ◽  
Patient Care ◽  
Occupational Safety ◽  
Occupational Exposures ◽  
Care Patient ◽  
Home Healthcare ◽  
Occupational Hazards ◽  
Cross Sectional ◽  
Direct Observations ◽  
Occupational Setting

The population of home healthcare workers (HHCWs) is rapidly expanding. Worker tasks and the unique home care environments place the worker at increased risks of occupational exposures, injury, and illness. Previous studies focusing on occupational exposures of HHCWs are limited to self-reports and would benefit from direct observations. The purpose of this study is to describe the occupational hazards observed in the unique work environment of home healthcare. HHCWs and home care patient participants were recruited from one home care agency in the Midwest to be observed during a routine home visit. This cross-sectional study used a trained occupational health nurse for direct observation of the occupational setting. Standardized observations and data collection were completed using the Home Healthcare Worker Observation Tool. The observer followed a registered nurse and occupational therapist into 9 patient homes observing visits ranging from 22 to 58 minutes. Hazards observed outside of and within the home include uneven pavements (n = 6, 67%), stairs without railings (n = 2, 22%), throw rugs (n = 7, 78%), unrestrained animals (n = 2, 22%), dust (n = 5, 56%), and mold (n = 2, 22%). Hand hygiene was observed prior to patient care 2 times (22%) and after patient care during 5 visits (56%). Observations have identified hazards that have the potential to impact workers’ and patients’ health. The direct observations of HHCWs provided opportunities for occupational safety professionals to understand the occupational exposures and challenges HHCWs encounter in the home care environment and begin to identify ways to mitigate occupational hazards.

Scope of Nursing Practice on a Surgical Ward: A Time‐Motion Study

2021 ◽  
Author(s):  
Roxanne Müller ◽  
Christine Cohen ◽  
Philippe Delmas ◽  
Jérôme Pasquier ◽  
Marine Baillif ◽  
...  
Keyword(s):  
Nursing Practice ◽  
Time Motion ◽  
Motion Study ◽  
Surgical Ward

scholarly journals 4CPS-365 Integration of the hospital pharmacist into a multidisciplinary complex chronic patient care team

2021 ◽  
Author(s):  
N Galán Ramos ◽  
A Trujillano Ruiz ◽  
MA Morego Soler ◽  
V Cano Collado ◽  
MA Maestre Fullana ◽  
...  
Keyword(s):  
Patient Care ◽  
Hospital Pharmacist ◽  
Patient Care Team ◽  
Care Team ◽  
Chronic Patient

Improving Efficiency of Apparel Manufacturing Through the Principles of Resource Management

2021 ◽  
pp. 0887302X2110054
Author(s):  
Anis Fatima ◽  
Muhammad Tufail
Keyword(s):  
Resource Management ◽  
Competitive Advantage ◽  
Manufacturing Industry ◽  
Apparel Industry ◽  
Process Efficiency ◽  
Apparel Manufacturing ◽  
Effective Utilization ◽  
Time Motion ◽  
Motion Study ◽  
Product Layout

To gain the competitive advantage, it has become essential for manufacturing industry to use its resources effectively, efficiently and economically. It is required to understand that such resources are based on 5 Ms (manpower, methods, materials, money, and machinery). In this study an apparel industry was selected to create a directorial plan by using the ideologies of resource management to improve the process efficiency. For this the data related to the product layout, operation plan, and process flow was collected. Time motion study was performed for aspect analysis. Information regarding operation, number of machines and efficiency of the production line was evaluated. The proposed plan successfully increase the efficiency up to 10%. It also shows an improvement in effective utilization of manpower and money.

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