Time and motion study of anesthesiologists' workflow in German hospitals

Vitzthum, Karin; Klapp, Burghard F.; Groneberg, David A.; Mache, Stefanie

doi:10.1007/s10354-011-0028-1

Cited by 14 publications

(13 citation statements)

References 23 publications

(35 reference statements)

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“…There, the subject is asked to answer questions regarding the time it takes him to perform different steps of a process. Asynchronous self-report methods are considered limited due to the participant’s subjective evaluation of their workflow and working conditions[27], and poor estimators of durations. For example, when comparing physician recall of events duration in the operating room, surveys over-estimated the duration by 30 minutes on average, from a few minutes up to two hours, when compared to times extracted from the surgery log[28].…”

Section: Resultsmentioning

confidence: 99%

Time motion studies in healthcare: What are we talking about?

Lopetegui

Yen

Lai

et al. 2014

Journal of Biomedical Informatics

232

208

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Time motion studies were first described in the early 20th century in industrial engineering, referring to a quantitative data collection method where an external observer captured detailed data on the duration and movements required to accomplish a specific task, coupled with an analysis focused on improving efficiency. Since then, they have been broadly adopted by biomedical researchers and have become a focus of attention due to the current interest in clinical workflow related factors. However, attempts to aggregate results from these studies have been difficult, resulting from a significant variability in the implementation and reporting of methods. While efforts have been made to standardize the reporting of such data and findings, a lack of common understanding on what “time motion studies” are remains, which not only hinders reviews, but could also partially explain the methodological variability in the domain literature (duration of the observations, number of tasks, multitasking, training rigor and reliability assessments) caused by an attempt to cluster dissimilar sub-techniques. A crucial milestone towards the standardization and validation of time motion studies corresponds to a common understanding, accompanied by a proper recognition of the distinct techniques it encompasses. Towards this goal, we conducted a review of the literature aiming at identifying what is being referred to as “time motion studies”. We provide a detailed description of the distinct methods used in articles referenced or classified as “time motion studies”, and conclude that currently it is used not only to define the original technique, but also to describe a broad spectrum of studies whose only common factor is the capture and/or analysis of the duration of one or more events. To maintain alignment with the existing broad scope of the term, we propose a disambiguation approach by preserving the expanded conception, while recommending the use of a specific qualifier “continuous observation time motion studies” to refer to variations of the original method (the use of an external observer recording data continuously). In addition, we present a more granular naming for sub-techniques within continuous observation time motion studies, expecting to reduce the methodological variability within each sub-technique and facilitate future results aggregation.

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Section: Resultsmentioning

confidence: 99%

Time motion studies in healthcare: What are we talking about?

Lopetegui

Yen

Lai

et al. 2014

Journal of Biomedical Informatics

232

208

View full text Add to dashboard Cite

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“…Previous studies carried out in German hospitals analyzed doctors' working conditions and job satisfaction in various hospitals [26][27][28][29][30][31][32][33][34][35][36][37]. A number of studies focused on German emergency departments using surveys on the quality of medical treatment to evaluate hospital performance and working environments [38][39][40].…”

Section: Introductionmentioning

confidence: 99%

Improving quality of medical treatment and care: are surgeons’ working conditions and job satisfaction associated to patient satisfaction?

Mache

Vitzthum

Klapp

et al. 2012

Langenbecks Arch Surg

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“…Of these, 142 papers were excluded based on the title and abstract, leaving 93 full-text papers to be screened for eligibility. Of these, 75 papers were excluded as they did not fit the inclusion criteria and two papers were unobtainable, even though interlibrary requests were submitted and the authors were contacted, leaving 16 papers [51][52][53][54][55][56][57][58][59][60][61][62][63][64][65][66] included in the review ( Table 9). …”

Section: Health Economic Study Methods and Resultsmentioning

confidence: 99%

Comparing the cost-effectiveness and clinical effectiveness of a new community in-reach rehabilitation service with the cost-effectiveness and clinical effectiveness of an established hospital-based rehabilitation service for older people: a pragmatic randomised controlled trial with microcost and qualitative analysis – the Community In-reach Rehabilitation And Care Transition (CIRACT) study

Sahota

Pulikottil-Jacob

Marshall

et al. 2016

Health Serv Deliv Res

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(2016) Comparing the cost-effectiveness and clinical effectiveness of a new community in-reach rehabilitation service with the cost-effectiveness and clinical effectiveness of an established hospital-based rehabilitation service for older people: a pragmatic randomised controlled trial with microcost and qualitative analysis -the Community In-reach Rehabilitation And Care Transition (CIRACT) study. Health Services and Delivery Research, 4 (7). ISSN 2050-4357 Access from the University of Nottingham repository: http://eprints.nottingham.ac.uk/33469/1/Sahota%20Health%20Serv%20Del%202016.pdf Copyright and reuse:The Nottingham ePrints service makes this work by researchers of the University of Nottingham available open access under the following conditions. This article is made available under the University of Nottingham End User licence and may be reused according to the conditions of the licence. For more details see: http://eprints.nottingham.ac.uk/end_user_agreement.pdf A note on versions:The version presented here may differ from the published version or from the version of record. If you wish to cite this item you are advised to consult the publisher's version. Please see the repository url above for details on accessing the published version and note that access may require a subscription.For more information, please contact eprints@nottingham.ac.uk This report should be referenced as follows: This journal is a member of and subscribes to the principles of the Committee on Publication Ethics (COPE) (www.publicationethics.org/). HEALTH SERVICES AND DELIVERY RESEARCHEditorial contact: nihredit@southampton.ac.ukThe full HS&DR archive is freely available to view online at www.journalslibrary.nihr.ac.uk/hsdr. Print-on-demand copies can be purchased from the report pages of the NIHR Journals Library website: www.journalslibrary.nihr.ac.uk Criteria for inclusion in the Health Services and Delivery Research journalReports are published in Health Services and Delivery Research (HS&DR) if (1) they have resulted from work for the HS&DR programme or programmes which preceded the HS&DR programme, and (2) they are of a sufficiently high scientific quality as assessed by the reviewers and editors. HS&DR programmeThe Health Services and Delivery Research (HS&DR) programme, part of the National Institute for Health Research (NIHR), was established to fund a broad range of research. It combines the strengths and contributions of two previous NIHR research programmes: the Health Services Research (HSR) programme and the Service Delivery and Organisation (SDO) programme, which were merged in January 2012.The HS&DR programme aims to produce rigorous and relevant evidence on the quality, access and organisation of health services including costs and outcomes, as well as research on implementation. The programme will enhance the strategic focus on research that matters to the NHS and is keen to support ambitious evaluative research to improve health services.For more information about the HS&DR programme please visit the webs...

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Time and motion study of anesthesiologists' workflow in German hospitals

Cited by 14 publications

References 23 publications

Time motion studies in healthcare: What are we talking about?

Time motion studies in healthcare: What are we talking about?

Improving quality of medical treatment and care: are surgeons’ working conditions and job satisfaction associated to patient satisfaction?

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