Literature DB >> 21975890

A strategy to reduce interruptions at hospital morning report.

Mark L Wieland, Laura L Loertscher, Darlene R Nelson, Jason H Szostek, Robert D Ficalora.   

Abstract

BACKGROUND: The learning atmosphere of hospital morning report is frequently interrupted by nonurgent beeper pages to participating residents. INTERVENTION: During 176 consecutive internal medicine morning reports, 1 of the 4 chief residents at a single academic medical center collected and answered house staff pages during the 30-minute conference.
RESULTS: A total of 884 pages were answered during this period. Of these, 743 could wait until after the end of morning report, resulting in more than 4 interruptions averted per session. Over half of the pages were from nursing personnel. There was no significant decrease in the total number of pages or nurse pages during the observation period. DISCUSSION: In summary, our simple system of holding intern pages resulted in a dramatic reduction in interruptions during hospital morning report.

Year:  2010        PMID: 21975890      PMCID: PMC2931208          DOI: 10.4300/JGME-D-09-00084.1

Source DB:  PubMed          Journal:  J Grad Med Educ        ISSN: 1949-8357


  7 in total

1.  Residents' suggestions for reducing errors in teaching hospitals.

Authors:  Kevin G M Volpp; David Grande
Journal:  N Engl J Med       Date:  2003-02-27       Impact factor: 91.245

2.  Leveraging time and learning style, iPod vs. realtime attendance at a series of medicine residents conferences: a randomised controlled trial.

Authors:  Michael W Tempelhof; Katherine S Garman; Matthew K Langman; Martha B Adams
Journal:  Inform Prim Care       Date:  2009

3.  The sounds of the hospital. Paging patterns in three teaching hospitals.

Authors:  M H Katz; S A Schroeder
Journal:  N Engl J Med       Date:  1988-12-15       Impact factor: 91.245

4.  Disruptions and satisfaction in internal medicine resident continuity clinic differ between inpatient and outpatient rotations.

Authors:  Stephen M Salerno; Paul M Faestel; Timothy Mulligan; Michael J Rosenblum
Journal:  Teach Learn Med       Date:  2007       Impact factor: 2.414

5.  Patterns of paging medical interns during night calls at two teaching hospitals.

Authors:  R Harvey; P G Jarrett; K M Peltekian
Journal:  CMAJ       Date:  1994-08-01       Impact factor: 8.262

6.  Nurses' perception of beeper calls. Implications for resident stress and patient care.

Authors:  S A Beebe
Journal:  Arch Pediatr Adolesc Med       Date:  1995-02

7.  Interrupted care. The effects of paging on pediatric resident activities.

Authors:  N J Blum; T A Lieu
Journal:  Am J Dis Child       Date:  1992-07
  7 in total
  4 in total

1.  PEARLs of Wisdom: Impact of a New Block Conference on Pediatrics Resident Attendance, Satisfaction, and Learning.

Authors:  Megan A Moreno; Rajitha Kota; Gwen C McIntosh; John G Frohna
Journal:  J Grad Med Educ       Date:  2013-06

2.  Nature and impact of interruptions on clinical workflow of medical residents in the inpatient setting.

Authors:  Theresa Ly; Cameron S Korb-Wells; Daniel Sumpton; Robert R Russo; Les Barnsley
Journal:  J Grad Med Educ       Date:  2013-06

Review 3.  Is it time to rethink how we page physicians? Understanding paging patterns in a tertiary care hospital.

Authors:  Luke Witherspoon; Emily Nham; Hamidreza Abdi; Ali Dergham; Thomas Skinner; J Stuart Oake; James Watterson; Luke T Lavallée
Journal:  BMC Health Serv Res       Date:  2019-12-23       Impact factor: 2.655

4.  Internal Medicine Residents' Perceptions of Virtual Morning Report: a Multicenter Survey.

Authors:  Tyler J Albert; Joel Bradley; Helene Starks; Jeff Redinger; Cherinne Arundel; Albertine Beard; Laura Caputo; Jonathan Chun; Craig G Gunderson; Dan Heppe; Anand Jagannath; Kyle Kent; Michael Krug; James Laudate; Vignesh Palaniappan; Amanda Pensiero; Zaven Sargsyan; Emily Sladek; Matthew Tuck; Paul B Cornia
Journal:  J Gen Intern Med       Date:  2021-06-25       Impact factor: 6.473

  4 in total

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