Using NNAPPS (Nighttime Nurse and Physician Paging System) to Maximize Resident Call Efficiency within 2011 Accreditation Council for Graduate Medical Education (ACGME) Work Hour Restrictions

Young, Jessica L; Baker, Aaron C.; Boehmer, Judie K.; Briede, Karen M.; Thomas, Shirley; Patzer, Cheryl L.; Pineda, Christina; Cates, Gina A.; Galante, Joseph M.

doi:10.1016/j.jsurg.2012.08.010

Cited by 17 publications

(13 citation statements)

References 6 publications

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“…Innovative ways of reducing interruption but not reducing important clinical oversight and communication include regionalisation (as suggested by the data here, and in Fanucchi et al ),11 and improved communication protocols 10–12…”

Section: Discussionmentioning

confidence: 85%

Why do we still page each other? Examining the frequency, types and senders of pages in academic medical services

2016

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Paging remains widely used for communications within hospitals about patient care. Although the majority of pages were judged to be clinically relevant and important, they frequently required a response potentially leading to interruptions in workflow, and communication waste. Paging rate and volume has not decreased in 25 years despite significant penetration of newer technologies. For the majority of current uses of pages, we believe other approaches may now be more appropriate. Regionalisation significantly reduces the number and urgency of the pages.

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Section: Discussionmentioning

confidence: 85%

Why do we still page each other? Examining the frequency, types and senders of pages in academic medical services

2016

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“…It should emphasize the efficiency of the ultimate goal, target patients’ safety and solve their problems timely and appropriately. Foreign literature reports (Young et al, 2012) that the introduction of new night nurses and physician paging systems to reduce the number of non‐emergency scenarios could further improve the night communication performance of nurses and doctors as well as ensure patient safety. The study found that the communication process (pre‐judgment–handling–communication–solution), communication timing (finding timing, reducing non‐emergency calls and focusing on problem‐focused reporting) and communication content (doctor‐related, disease changes and special situations) are important conditions for achieving night shift communication goals.…”

Section: Discussionmentioning

confidence: 99%

General phenomenon and communication experience of physician and nurse in night shift communication: A qualitative study

Hou

Kang

et al. 2020

J Nurs Manag

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CorrespondenceFengying Kang, Resident standardized training central, The First Abstract Aim: This paper explored the general phenomenon and psychological experience of the special background communication in night shift medical staff and provides better reference for night shift communication between doctors and nurses.Background: Physician-nurse communication has always been an important agenda for health care work and an important concept in nursing theory. During night shifts, effective doctor and nurse communication can enhance mutual trust, provide timely and appropriate medical services to patients, reduce adverse events and enhance patient safety.Design: A qualitative study was conducted. Methods:Husserl's descriptive phenomenology method and semi-structured indepth interviews were used to collect data from 8 nurses and 5 doctors. Colaizzi's method was used to analyse data using MAXQDA 12. The Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist was followed (see Appendix S1). Results: Three themes were extracted after sorting out and refining: the need to achieve goals in night-time physician-nurse communication; obstacles in night-time physician-nurse communication; and relationship culture in night-time physiciannurse communication. Conclusion: Attention should be paid to the particularity of night shift and efficiency of achieving the goal of communication between doctors and nurses on night shift, and the hidden obstacles behind communication between doctors and nurses. Managers should pay attention to the cultural construction of night shift communication in the system, form a good night shift communication process and regularly train doctors' and nurses' related communication skills. And they should also study relationship culture rationally to improve the communication efficiency of night shift. Implications for nursing management: The experiences described in this study contribute to a better understanding of obstacles hidden behind night shift physician-nurse communication. This also provides valuable information to professional managers who develop good doctor-nurse relationship culture. K E Y W O R D S communication, night shift, phenomenology, physician-nurse, qualitative study Night shift physician-nurse communication has the characteristics of special time and complicated patient situation. It should emphasize the efficiency of the ultimate goal, target patients' safety and solve their problems timely and appropriately. Foreign literature reports (Young et al., 2012) that the introduction of new night nurses and physician paging systems to reduce the number of non-emergency scenarios could further improve the night communication performance of nurses and doctors as well as ensure patient safety. The study found that the communication process (pre-judgment-handling-communication-solution), communication timing (finding timing, reducing non-emergency calls and focusing on problem-focused reporting) and communication content (doctor-related, disease changes and special sit...

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“…Currently, limits on the number of consecutive hours residents can work have made this impossible. To address the need for coverage of patients after hours, the ‘night float’ was created 1. During daytime hours, teams operate in the same way they did traditionally and clarification of any issue is easily done.…”

Section: Introductionmentioning

confidence: 99%

Night-time communication at Stanford University Hospital: perceptions, reality and solutions

Sun

Wang

et al. 2017

BMJ Qual Saf

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A significant number of non-urgent pages are sent at night. These pages likely distract from acute issues that arise at night and place an unnecessary burden on night floats. Both behavioural and systemic adjustments are needed to address this issue. Possible interventions include integrating low-priority messaging into the electronic health record system and use of charge nurses to help determine urgency of issues and batch non-urgent pages.

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Using NNAPPS (Nighttime Nurse and Physician Paging System) to Maximize Resident Call Efficiency within 2011 Accreditation Council for Graduate Medical Education (ACGME) Work Hour Restrictions

Cited by 17 publications

References 6 publications

Why do we still page each other? Examining the frequency, types and senders of pages in academic medical services

Why do we still page each other? Examining the frequency, types and senders of pages in academic medical services

General phenomenon and communication experience of physician and nurse in night shift communication: A qualitative study

Night-time communication at Stanford University Hospital: perceptions, reality and solutions

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