Defining and measuring the effort needed for inpatient medicine work

Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine
Reema LambaKathlyn E Fletcher

Abstract

Current metrics for assessing physician workload are inadequate. Understanding the effort associated with work tasks could make workload assessments more robust. To assess the physical, mental, and psychological effort needed for the tasks performed by internal medicine doctors while admitting a patient to the hospital. Cross-sectional survey. A single Midwest academic institution. Internal medicine housestaff, hospitalists, and nonhospitalist internal medicine faculty. Subjects rated 99 tasks across 3 domains: physical, mental, and psychological effort using a scale of 1-7 (1 = least effort, 7 = most effort). A composite effort score was calculated for each task and for each of 6 task categories: direct patient care, indirect patient care, searching for/finding things, educational/academic activities, personal/downtime activities, and other. Overall, the most difficult task was going to codes, which was also the most difficult psychological task. The most difficult physical task was placing a central line, and the most difficult mental task was transferring an unstable patient to the intensive care unit. The easiest task was using the Internet. That was also the easiest physical, mental, and psychological task. Direct patient ...Continue Reading

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Citations

Aug 7, 2012·Journal of General Internal Medicine·Kathlyn E FletcherMarilyn M Schapira
Jan 10, 2014·Journal of Graduate Medical Education·Kathlyn E FletcherMarilyn M Schapira
Feb 27, 2016·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Hany ElmariahJonathan Bae

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