Evidence map›Paper›PMID 31870370›Full record

ReviewBMC health services research2019

Is it time to rethink how we page physicians? Understanding paging patterns in a tertiary care hospital.

Luke Witherspoon, Emily Nham, Hamidreza Abdi, Ali Dergham, Thomas Skinner, J Stuart Oake, James Watterson, Luke T Lavallée

Open access · goldAbstract readReview
In one paragraph

Review in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.6field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 15 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Luke WitherspoonDivision of Urology, Department of Surgery, The Ottawa Hospital and University of Ottawa, Ottawa, Canada. lwitherspoon@toh.ca.ORCID http://orcid.org/0000-0002-2174-264X
Emily NhamFaculty of Medicine, University of Ottawa, Ottawa, Canada.
Hamidreza AbdiDivision of Urology, Department of Surgery, The Ottawa Hospital and University of Ottawa, Ottawa, Canada.
Ali DerghamFaculty of Health Sciences, School of Medicine, Queen's University, Kingston, Canada.
Thomas SkinnerDivision of Urology, Department of Surgery, The Ottawa Hospital and University of Ottawa, Ottawa, Canada.
J Stuart OakeDivision of Urology, Department of Surgery, The Ottawa Hospital and University of Ottawa, Ottawa, Canada.
James WattersonDivision of Urology, Department of Surgery, The Ottawa Hospital and University of Ottawa, Ottawa, Canada.
Luke T LavalléeDivision of Urology, Department of Surgery, The Ottawa Hospital and University of Ottawa, Ottawa, Canada.
University of Ottawa · CAQueen's University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFrequent pages can disrupt workflow, interrupt patient care, and may contribute to physician burnout. We hypothesized that paging volumes followed consistent temporal trends, regardless of the medical or surgical service, reflecting systems based issues present in our hospitals.

methodsA retrospective review of the hospital paging systems for 4 services at The Ottawa Hospital was performed. Resident paging data from April 1 to July 31, 2018 were collected for services with a single primary pager number including orthopaedic surgery, general surgery, neurology, and neurosurgery. Trends in paging volume during the 4-month period were examined. Variables examined included the location of origin of the page (emergency room vs. inpatient unit), and day/time of the page.

resultsDuring the study period, 25,797 pages were received by the 4 services, averaging 211 (± Standard Deviation (SD) 12) pages per day. 19,371 (75%) pages were from in-patient hospital units, while 6426 (24%) were pages from the emergency room. The median interval between pages across all specialties was 22:30 min. Emergency room pages peaked between 16:30 and 20:00, while in-patient units peaked between 17:30 and 18:30.

conclusionsEach service experienced frequent paging with similar patterns of marked increases at specific times. This study identifies areas for future study about what the factors are that contribute to the paging patterns observed.

Indexed as

Tertiary Care CentersBurnout, ProfessionalCanadaHospital Communication SystemsHumansPatient CarePhysiciansRetrospective StudiesWorkflowMedical educationMedical residencyPhysician burnoutPhysician paging

Identifiers

PMID31870370
PMCPMC6929497
OpenAlexW2998251410

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.