Dataset Information

Use of a Real-Time Location System to Understand Resident Location in an Academic Medical Center.

ABSTRACT:

Background

There is great interest in understanding how residents spend their time in the hospital, but traditional time and motion studies are resource intensive and limited in scale.

Objective

We determined whether a real-time location system (RTLS) that uses infrared emitting badges can be used to track resident time and location.

Methods

Residents rotating on an internal medicine service in January 2018 were given the option to wear an RTLS badge. RTLS data were compared to the call schedule for each participating resident in a deidentified manner. Rules were created to identify work periods to be manually reviewed for data integrity. Reviewed work periods where there were extended periods of time without RTLS badge movement (eg, greater than 300 minutes) were excluded from analysis.

Results

Data were collected from 18 residents and included 236 work periods (2922 hours). Based on prespecified rules, 146 work periods were included, representing 83% of total eligible residents (n = 15) and 82% of total hours recorded (2397 hours). Residents spent the highest percentage of their time in physician workrooms (44%, SD 15%), followed by ward hallways (25%, SD 7%) and patient rooms (17%, SD 7%). Several work periods were excluded because residents left their RTLS badge in physician workrooms after the work period ended.

Conclusions

This study demonstrates the potential utility of RTLS to measure resident time and location in the hospital.

SUBMITTER: D'Souza T

PROVIDER: S-EPMC6570446 | biostudies-literature | 2019 Jun

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Use of a Real-Time Location System to Understand Resident Location in an Academic Medical Center.

D'Souza Travis T Rosen Michael M Bertram Amanda K AK Apfel Ariella A Desai Sanjay V SV Garibaldi Brian T BT

Journal of graduate medical education 20190601 3

<h4>Background</h4>There is great interest in understanding how residents spend their time in the hospital, but traditional time and motion studies are resource intensive and limited in scale.<h4>Objective</h4>We determined whether a real-time location system (RTLS) that uses infrared emitting badges can be used to track resident time and location.<h4>Methods</h4>Residents rotating on an internal medicine service in January 2018 were given the option to wear an RTLS badge. RTLS data were compare ...[more]

PMID: 31210865

Similar Datasets

Project description:Introduction. The value of tablet computer use in medical education is an area of considerable interest, with preliminary investigations showing that the majority of medical trainees feel that tablet computers added value to the curriculum. This study investigated potential differences in tablet computer use between medical students and resident physicians. Materials & Methods. Data collection for this survey was accomplished with an anonymous online questionnaire shared with the medical students and residents at Southern Illinois University School of Medicine (SIU-SOM) in July and August of 2012. Results. There were 76 medical student responses (26% response rate) and 66 resident/fellow responses to this survey (21% response rate). Residents/fellows were more likely to use tablet computers several times daily than medical students (32% vs. 20%, p = 0.035). The most common reported uses were for accessing medical reference applications (46%), e-Books (45%), and board study (32%). Residents were more likely than students to use a tablet computer to access an electronic medical record (41% vs. 21%, p = 0.010), review radiology images (27% vs. 12%, p = 0.019), and enter patient care orders (26% vs. 3%, p < 0.001). Discussion. This study shows a high prevalence and frequency of tablet computer use among physicians in training at this academic medical center. Most residents and students use tablet computers to access medical references, e-Books, and to study for board exams. Residents were more likely to use tablet computers to complete clinical tasks. Conclusions. Tablet computer use among medical students and resident physicians was common in this survey. All learners used tablet computers for point of care references and board study. Resident physicians were more likely to use tablet computers to access the EMR, enter patient care orders, and review radiology studies. This difference is likely due to the differing educational and professional demands placed on resident physicians. Further study is needed better understand how tablet computers and other mobile devices may assist in medical education and patient care.

Project description:BACKGROUND AND OBJECTIVE:Children of Spanish-speaking caregivers face multiple barriers to care in academic medical centers. This study identified barriers and facilitators of health care and described use of health information technology in order to guide interventions and optimize services. METHODS:In-depth, audiotaped interviews were conducted with monolingual Spanish-speaking caregivers (N = 28) of children receiving care in academic medical center clinics using a structured interview guide. Interviews were transcribed in Spanish, and key themes were identified using thematic analysis. Illustrative quotes for each theme were translated into English. RESULTS:Language-specific barriers included arrival/registration occurring in English, lack of bilingual personnel, heavy reliance on interpreters, long wait times, and challenging phone communication. Non-language-specific barriers included medical center size and complexity, distance to services, lack of convenient and coordinated appointments, missing work/school, and financial barriers including insurance coverage or lack of citizenship. Caregivers identified interpreters, bilingual physicians and staff, and written materials in Spanish as facilitators of care. Most caregivers had internet access and expressed interest in health information technology, including patient portals, to communicate about their children's health. CONCLUSIONS:Caregivers of Spanish-speaking children encounter many language-specific barriers, which are compounded by non-language-specific barriers arising from complex health systems and social needs. Caregivers with limited resources described working hard to meet children's complex health care needs despite these barriers. Most caregivers had internet access and interest in patient portals. Academic medical centers may need multifaceted interventions that improve the availability of bilingual staff and interpreters and also address caregivers' social and informational needs.

Project description:BackgroundThe coronavirus disease 2019 pandemic spurred health systems across the world to quickly shift from in-person visits to safer video visits.ObjectiveTo seek stakeholder perspectives on video visits' acceptability and effect 3 weeks after near-total transition to video visits.DesignSemistructured qualitative interviews.Setting6 Stanford general primary care and express care clinics at 6 northern California sites, with 81 providers, 123 staff, and 97 614 patient visits in 2019.Participants53 program participants (overlapping roles as medical providers [n = 20], medical assistants [n = 16], nurses [n = 4], technologists [n = 4], and administrators [n = 13]) were interviewed about video visit transition and challenges.InterventionIn 3 weeks, express care and primary care video visits increased from less than 10% to greater than 80% and from less than 10% to greater than 75%, respectively. New video visit providers received video visit training and care quality feedback. New system workflows were created to accommodate the new visit method.Measurements9 faculty, trained in qualitative research methods, conducted 53 stakeholder interviews in 4 days using purposeful (administrators and technologists) and convenience (medical assistant, nurses, and providers) sampling. A rapid qualitative analytic approach for thematic analysis was used.ResultsThe analysis revealed 12 themes, including Pandemic as Catalyst; Joy in Medicine; Safety in Medicine; Slipping Through the Cracks; My Role, Redefined; and The New Normal. Themes were analyzed using the RE-AIM (reach, effectiveness, adoption, implementation, and maintenance) framework to identify critical issues for continued program utilization.LimitationsEvaluation was done immediately after deployment. Although viewpoints may have evolved later, immediate evaluation allowed for prompt program changes and identified broader issues to address for program sustainability.ConclusionAfter pandemic-related systems transformation at Stanford, critical issues to sustain video visit long-term viability were identified. Specifically, technology ease of use must improve and support multiparty videoconferencing. Providers should be able to care for their patients, regardless of geography. Providers need decision-making support with virtual examination training and home-based patient diagnostics. Finally, ongoing video visit reimbursement should be commensurate with value to the patients' health and well-being.Primary funding sourceStanford Department of Medicine and Stanford Health Care.

Dataset Information

Use of a Real-Time Location System to Understand Resident Location in an Academic Medical Center.

Background

Objective

Methods

Results

Conclusions

Publications

Use of a Real-Time Location System to Understand Resident Location in an Academic Medical Center.

Similar Datasets

OmicsDI is part of the ELIXIR infrastructure

Tweets