A Measure of Physician Mental Work Load in Internal Medicine Ambulatory Care Clinics

Bertram, Dennis A.; Hershey, Charles O.; Opila, Donald A.; Quirin, Olga

doi:10.1097/00005650-199005000-00005

Cited by 48 publications

(48 citation statements)

References 41 publications

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“…A wide variety of medical specialities have used these techniques, including anesthesia (9-23), surgery (24)(25)(26)(27)(28)(29), general medicine (30,31), emergency medicine (32,33), intensive care (34), radiology (35), ward staff (36, 37), primary care physicians (31,38), and medical students (39).…”

Section: Published Evidencementioning

confidence: 99%

“…The settings for the studies were also diverse, including simulators (9-14, 17, 19, 24-29, 34, 36, 37, 39), operating theatres (15,16,18,(20)(21)(22)(23), outpatient/ambulatory care centres (30,31,38), emergency rooms (32,33), general wards (36,37), and radiology reporting rooms (35). However, most were small-scale studies with an average of 29 subjects (range, 9-116), and an average of 158 procedures (range, 9-2053).…”

Section: Published Evidencementioning

confidence: 99%

“…The conclusions of these studies suggest that mental workload is reduced by using speech-input records compared to written records (13), with experience (15,21,23,26,27,29,30), using a mixed graphical-numeric interface (11), using drug administration devices that provide feedback (14), with an improved electronic interface (17,37), with the addition of instruction to training, (25) with increased practice (28), and with digital rather than hard-copy x-rays (35). Workload was increased with fatigue (30,31), number of patients seen (30,31,38), dissatisfaction (30,31), poor self-rating of performance (30,31), poor observer rating of performance (30), laparoscopic compared with open surgery (24), during an anesthetic crisis (10), during induction of anesthesia (15,16,(20)(21)(22), with more difficult cases (15,23,26,38), with increased administrative tasks (38), when students are present (22), and when using transesophageal echo during anesthesia (20).…”

Section: Published Evidencementioning

confidence: 99%

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Measurement of Mental Workload in Clinical Medicine: A Review Study

Byrne

2011

Anesth Pain

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A B S T R A C TBackground: Measures of mental workload are now commonly used in industries to identify sources of error and to improve performance. Objectives: This study aimed to review the evidence for the use of this technique within medicine. Patients and Methods:We used search engines and the internet to identify experimental studies that included a measure of mental workload in medical practitioners or trainees/students. Studies that aimed to measure mental "stress" as a disorder, or "productivity" were excluded. Each abstract and then the full paper were appraised prior to inclusion. Results: Thirty-three studies were identified that matched the inclusion criteria. Although these covered a variety of settings, common methods were identifiable. The results support the concept of mental workload measurement as an important factor in medical performance. Conclusions: The limited number of studies and the variety of definitions and measurement techniques used in these studies, make direct comparisons difficult. However, the utility of this methodology in medical education appears to have been established, and guidelines for further research methods are proposed. Please cite this paper as: Implication for health policy/practice/research/medical education:Excessive mental workload is associated with poor performance and error in practice and poor learning in the teaching environment. Strategies to limit workload have been used successfully in other industries and could be applied to medicine.

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Section: Published Evidencementioning

confidence: 99%

Section: Published Evidencementioning

confidence: 99%

Section: Published Evidencementioning

confidence: 99%

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Measurement of Mental Workload in Clinical Medicine: A Review Study

Byrne

2011

Anesth Pain

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“…Os constrangimentos vivenciados pelos sujeitos estão associados às condições de trabalho, as quais foram identificadas como fatores de risco para a insatisfação no trabalho 31,32,33,34 . Os autores afirmam que a insatisfação pode interferir na qualidade do trabalho realizado, assim como produzir efeitos negativos sobre a saúde dos trabalhadores da saúde 35,36,37 .…”

Section: As Demandas De Integraçãounclassified

“…Mais da metade dos incidentes ocorridos no trabalho, no Reino Unido, por exemplo, foi associada ao cansaço, e 28% à pressão no trabalho. A depressão influenciou negativamente no cuidado prestado 34 . Os autores chamam atenção para a necessidade de diminuir as horas trabalhadas e a privação do sono, para que os médicos possam prestar um cuidado de qualidade.…”

Section: As Demandas De Integraçãounclassified