How much time do emergency department physicians spend on medication-related tasks? A time- and-motion study
Background Medication-related problems are an important cause of emergency department (ED) visits, and medication errors are reported in up to 60% of ED patients. Procedures such as medication reconciliation and medication review can identify and prevent medication-related problems and medication er...
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ftunivtroemsoe:oai:munin.uit.no:10037/34251 2024-09-15T18:25:55+00:00 How much time do emergency department physicians spend on medication-related tasks? A time- and-motion study Johnsgård, Tine Elenjord, Renate Holis, Renata Vesela Waaseth, Marit Zahl-Holmstad, Birgitte Fagerli, Marie Svendsen, Kristian Lehnbom, Elin Christina Ofstad, Eirik Hugaas Risør, Torsten Garcia, Beate Hennie 2024-04-09 https://hdl.handle.net/10037/34251 https://doi.org/10.1186/s12873-024-00974-3 eng eng BMC Johnsgård, T. (2024). Integrating Pharmacists in Emergency Departments: Exploring Key Factors for Future Physician-Pharmacist Collaboration.(Doctoral thesis). https://hdl.handle.net/10037/34270 BMC Emergency Medicine Johnsgård T, Elenjord RE, Holis, Waaseth M, Zahl-Holmstad B, Fagerli M, Svendsen K, Lehnbom EC, Ofstad EH, Risør T, Garcia BH. How much time do emergency department physicians spend on medication-related tasks? A time- and-motion study. BMC Emergency Medicine. 2024;24(1) FRIDAID 2261250 doi:10.1186/s12873-024-00974-3 1471-227X https://hdl.handle.net/10037/34251 Attribution 4.0 International (CC BY 4.0) openAccess Copyright 2024 The Author(s) https://creativecommons.org/licenses/by/4.0 Journal article Tidsskriftartikkel publishedVersion 2024 ftunivtroemsoe https://doi.org/10.1186/s12873-024-00974-3 2024-08-13T23:39:31Z Background Medication-related problems are an important cause of emergency department (ED) visits, and medication errors are reported in up to 60% of ED patients. Procedures such as medication reconciliation and medication review can identify and prevent medication-related problems and medication errors. However, this work is often time-consuming. In EDs without pharmacists, medication reconciliation is the physician’s responsibility, in addition to the primary assignments of examining and diagnosing the patient. The aim of this study was to identify how much time ED physicians spend on medication-related tasks when no pharmacists are present in the EDs. Methods An observational time-and-motion study of physicians in three EDs in Northern Norway was conducted using Work Observation Method by Activity Timing (WOMBAT) to collect and time-stamp data. Observations were conducted in predefined two-hour observation sessions with a 1:1 relationship between observer and participant, during Monday to Friday between 8 am and 8 pm, from November 2020 to October 2021. Results In total, 386 h of observations were collected during 225 observation sessions. A total of 8.7% of the physicians’ work time was spent on medication-related tasks, of which most time was spent on oral communication about medications with other physicians (3.0%) and medication-related documentation (3.2%). Physicians spent 2.2 min per hour on medication reconciliation tasks, which includes retrieving medication-related information directly from the patient, reading/retrieving written medication-related information, and medication-related documentation. Physicians spent 85.6% of the observed time on non-medication-related clinical or administrative tasks, and the remaining time was spent standby or moving between tasks. Conclusion In three Norwegian EDs, physicians spent 8.7% of their work time on medication-related tasks, and 85.6% on other clinical or administrative tasks. Physicians spent 2.2 min per hour on tasks related to medication reconciliation. ... Article in Journal/Newspaper Northern Norway University of Tromsø: Munin Open Research Archive BMC Emergency Medicine 24 1 |
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University of Tromsø: Munin Open Research Archive |
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language |
English |
description |
Background Medication-related problems are an important cause of emergency department (ED) visits, and medication errors are reported in up to 60% of ED patients. Procedures such as medication reconciliation and medication review can identify and prevent medication-related problems and medication errors. However, this work is often time-consuming. In EDs without pharmacists, medication reconciliation is the physician’s responsibility, in addition to the primary assignments of examining and diagnosing the patient. The aim of this study was to identify how much time ED physicians spend on medication-related tasks when no pharmacists are present in the EDs. Methods An observational time-and-motion study of physicians in three EDs in Northern Norway was conducted using Work Observation Method by Activity Timing (WOMBAT) to collect and time-stamp data. Observations were conducted in predefined two-hour observation sessions with a 1:1 relationship between observer and participant, during Monday to Friday between 8 am and 8 pm, from November 2020 to October 2021. Results In total, 386 h of observations were collected during 225 observation sessions. A total of 8.7% of the physicians’ work time was spent on medication-related tasks, of which most time was spent on oral communication about medications with other physicians (3.0%) and medication-related documentation (3.2%). Physicians spent 2.2 min per hour on medication reconciliation tasks, which includes retrieving medication-related information directly from the patient, reading/retrieving written medication-related information, and medication-related documentation. Physicians spent 85.6% of the observed time on non-medication-related clinical or administrative tasks, and the remaining time was spent standby or moving between tasks. Conclusion In three Norwegian EDs, physicians spent 8.7% of their work time on medication-related tasks, and 85.6% on other clinical or administrative tasks. Physicians spent 2.2 min per hour on tasks related to medication reconciliation. ... |
format |
Article in Journal/Newspaper |
author |
Johnsgård, Tine Elenjord, Renate Holis, Renata Vesela Waaseth, Marit Zahl-Holmstad, Birgitte Fagerli, Marie Svendsen, Kristian Lehnbom, Elin Christina Ofstad, Eirik Hugaas Risør, Torsten Garcia, Beate Hennie |
spellingShingle |
Johnsgård, Tine Elenjord, Renate Holis, Renata Vesela Waaseth, Marit Zahl-Holmstad, Birgitte Fagerli, Marie Svendsen, Kristian Lehnbom, Elin Christina Ofstad, Eirik Hugaas Risør, Torsten Garcia, Beate Hennie How much time do emergency department physicians spend on medication-related tasks? A time- and-motion study |
author_facet |
Johnsgård, Tine Elenjord, Renate Holis, Renata Vesela Waaseth, Marit Zahl-Holmstad, Birgitte Fagerli, Marie Svendsen, Kristian Lehnbom, Elin Christina Ofstad, Eirik Hugaas Risør, Torsten Garcia, Beate Hennie |
author_sort |
Johnsgård, Tine |
title |
How much time do emergency department physicians spend on medication-related tasks? A time- and-motion study |
title_short |
How much time do emergency department physicians spend on medication-related tasks? A time- and-motion study |
title_full |
How much time do emergency department physicians spend on medication-related tasks? A time- and-motion study |
title_fullStr |
How much time do emergency department physicians spend on medication-related tasks? A time- and-motion study |
title_full_unstemmed |
How much time do emergency department physicians spend on medication-related tasks? A time- and-motion study |
title_sort |
how much time do emergency department physicians spend on medication-related tasks? a time- and-motion study |
publisher |
BMC |
publishDate |
2024 |
url |
https://hdl.handle.net/10037/34251 https://doi.org/10.1186/s12873-024-00974-3 |
genre |
Northern Norway |
genre_facet |
Northern Norway |
op_relation |
Johnsgård, T. (2024). Integrating Pharmacists in Emergency Departments: Exploring Key Factors for Future Physician-Pharmacist Collaboration.(Doctoral thesis). https://hdl.handle.net/10037/34270 BMC Emergency Medicine Johnsgård T, Elenjord RE, Holis, Waaseth M, Zahl-Holmstad B, Fagerli M, Svendsen K, Lehnbom EC, Ofstad EH, Risør T, Garcia BH. How much time do emergency department physicians spend on medication-related tasks? A time- and-motion study. BMC Emergency Medicine. 2024;24(1) FRIDAID 2261250 doi:10.1186/s12873-024-00974-3 1471-227X https://hdl.handle.net/10037/34251 |
op_rights |
Attribution 4.0 International (CC BY 4.0) openAccess Copyright 2024 The Author(s) https://creativecommons.org/licenses/by/4.0 |
op_doi |
https://doi.org/10.1186/s12873-024-00974-3 |
container_title |
BMC Emergency Medicine |
container_volume |
24 |
container_issue |
1 |
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1810466382433746944 |