ArticleApplied clinical informatics2017
Analysis of Smartphone Interruptions on Academic General Internal Medicine Wards. Frequent Interruptions may cause a 'Crisis Mode' Work Climate.
Article in Applied clinical informatics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The impact of mobile technology on teamwork and communication in hospitals: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2019Pooled it
- Article
- [Analysis of the interruptions generated by the use of smartphones among Primary Care Health professionals].Atencion primaria · 2024Article
- Use of pager devices in New Zealand public hospitals as a critical communication tool: Barriers & way forward.Heliyon · 2023Review
- Barriers to Adoption of a Secure Text Messaging System: a Qualitative Study of Practicing Clinicians.Journal of general internal medicine · 2023Article
- An Analysis of Electronic Health Record Work to Manage Asynchronous Clinical Messages among Breast Cancer Care Teams.Applied clinical informatics · 2021Article
- Virtual ARCP assessment and trainee feedback meetings: facilitating the best experience and practice.The British journal of oral & maxillofacial surgery · 2020Review
- Human factors recognition at virtual meetings and video conferencing: how to get the best performance from yourself and others.The British journal of oral & maxillofacial surgery · 2020Review
- Factors Affecting User Acceptance in Overuse of Smartphones in Mobile Health Services: An Empirical Study Testing a Modified Integrated Model in South Korea.Frontiers in psychiatry · 2018Article
- Using telephony data to facilitate discovery of clinical workflows.Applied clinical informatics · 2017Article
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2 authors.
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No grant is acknowledged in the PubMed record.
Abstract
introductionHospital-based medical services are increasingly utilizing team-based pagers and smartphones to streamline communications. However, an unintended consequence may be higher volumes of interruptions potentially leading to medical error. There is likely a level at which interruptions are excessive and cause a 'crisis mode' climate.
methodsWe retrospectively collected phone, text messaging, and email interruptions directed to hospital-assigned smartphones on eight General Internal Medicine (GIM) teams at two tertiary care centres in Toronto, Ontario from April 2013 to September 2014. We also calculated the number of times these interruptions exceeded a pre-specified threshold per hour, termed 'crisis mode', defined as at least five interruptions in 30 minutes. We analyzed the correlation between interruptions and date, site, and patient volumes.
resultsA total of 187,049 interruptions were collected over an 18-month period. Daily weekday interruptions rose sharply in the morning, peaking between 11 AM to 12 PM and measuring 4.8 and 3.7 mean interruptions/hour at each site, respectively. Mean daily interruptions per team totaled 46.2 ± 3.6 at Site 1 and 39.2 ± 4.2 at Site 2. The 'crisis mode' threshold was exceeded, on average, 2.3 times/day per GIM team during weekdays. In a multivariable linear regression analysis, site (β6.43 CI95% 5.44 - 7.42, p<0.001), day of the week (with Friday having the most interruptions) (β0.481 CI95% 0.236 - 0.730, p<0.05) and patient census (β1.55 CI95% 1.42 - 1.67, p<0.05) were all predictive of daily interruption volume although there was a significant interaction effect between site and patient census (β-0.941 CI95% -1.18 - -0.703, p<0.05).
conclusionInterruptions were related to site-specific features, including volume, suggesting that future interventions should target the culture of individual hospitals. Excessive interruptions may have implications for patient safety especially when exceeding a maximal threshold over short periods of time.
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