ArticleLangenbeck's archives of surgery2010
General and visceral surgery practice in German hospitals: a real-time work analysis on surgeons' work flow.
Article in Langenbeck's archives of surgery, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
What it found
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Who cites it
19 citing papers in PubMed.
- Trial
- [Impact of legal documentation requirements on physician practice using a regional specialty hospital as an example: an inventory].Deutsche medizinische Wochenschrift (1946) · 2024Article
- Longitudinal team training program in a Norwegian surgical ward: a qualitative study of nurses' and physicians' experiences with implementation.BMC health services research · 2021Article
- A human factors intervention in a hospital - evaluating the outcome of a TeamSTEPPS program in a surgical ward.BMC health services research · 2021Article
- The workday of hospital surgeons: what they do, what makes them satisfied, and the role of core tasks and administrative tasks; a diary study.BMC surgery · 2019Article
- Descriptive review of junior OB/GYN physicians' work task financial compensation in German hospitals.Journal of occupational medicine and toxicology (London, England) · 2019Review
- Article
- Expense for Clinical Documentation of Inpatients: Extent and Hierarchal Differences for the Example of a Gynaecological Department in Switzerland.Geburtshilfe und Frauenheilkunde · 2015Article
- Evaluation of the time required for overhead tasks performed by physicians, medical physicists, and technicians in radiation oncology institutions: the DEGRO-QUIRO study.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2015Article
- Medical work assessment in German hospitals: a study protocol of a movement sequence analysis (MAGRO-MSA).Journal of occupational medicine and toxicology (London, England) · 2015Article
- Article
- Article
- Improving quality of medical treatment and care: are surgeons' working conditions and job satisfaction associated to patient satisfaction?Langenbeck's archives of surgery · 2012Article
- Resident work hour restrictions do not improve patient safety in surgery: a critical appraisal based on 7 years of experience in Switzerland.Patient safety in surgery · 2012Article
- Time Capture Tool (TimeCaT): development of a comprehensive application to support data capture for Time Motion Studies.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2012Article
- Contribution of final-year medical students to operation room performance--economical and educational implications.Langenbeck's archives of surgery · 2011Article
- [How much business management does a surgeon need?].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2010Review
- Bidirectional Assessment of Stress, job satisfaction and work ability of Educators in day care centres: a real-time observation study - the study protocol (BASE).Journal of occupational medicine and toxicology (London, England) · 2010Article
- Using the time and motion method to study clinical work processes and workflow: methodological inconsistencies and a call for standardized research.Journal of the American Medical Informatics Association : JAMIAArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSurgeons have criticized the working conditions at German hospitals. They complain in particular about long working hours, an inadequate salary for their work, insufficient training/supervision, and an increasing amount of time spent on administration duties. Since these critics are only subjective perceptions, they should be compared to data that can be quantified more objectively and accurately. In this study, we sought to report precise data on surgeons' workflow in several German hospitals.
methodGeneral surgeons were shadowed unobtrusively over 567 h during their shifts at four urban German hospitals. All job tasks surgeons performed were recorded using a tablet PC.
resultsThe average work day of the surgeons in this study was 9 h 26 min (95% CI 09:10:30 to 09:42:44 h). Within this time span, an average of 02:03:08 h were spent on documentation and administration duties (95% CI 01:47:29 to 02:18:47 h), 01:47:40 h on operating procedures (95% CI 01:20:44 to 02:14:35 h), 01:43:46 h on internal communication (95% CI 01:32:55 to 01:54:36 h), and 0:48:25 h on ward rounds (95% CI 0:39:55 to 0:56:55 h).
conclusionFor the first time, surgeons' workflow in German hospitals was studied in real time. The study results substantiate physicians' statements about their own working conditions, especially with concerns to large amount of time spent on administration tasks. The findings of this study form a basis upon which further analysis can be built and recommendations for improvements in physicians' workflows at German hospitals can be made.
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Registered trials
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