Perceived workload and an automated workload alert system: A comparison in the emergency department

Katherine L. Forsyth, Hunter J. Hawthorne, Wesley D. Cammon, Anna R. Linden, Renaldo C. Blocker

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

The aim of this study was twofold-(1) to compare the current ED staffing workload alert system to clinicians' perceptions of workload in the ED, and (2) to examine the potential impact of a multi-faceted, systems-level intervention on clinicians' perceptions of workload. Constant flow of patients into the Emergency Departments (ED) regularly increases the workload of clinicians and can compromise the quality of care delivery and patient safety. An automatic staffing workload alert system was created and implemented in response to an observed shift in patient volume to the overnight hours at one academic quaternary care center. Surveys addressing workload and interruptions were administered to ED clinicians, pre- and post-intervention implementation. Output from the staffing workload alert system was recorded for each clinician shift. Clinicians' perceptions of workload were able to predict swing shift activations, X2(6) = 14.14, p = 0.028. Only the performance subscale significantly correlated with swing shift activations, p=0.006. A Kruskal-Wallis H test found perceived interruptions changed following systems- level changes, x2(l) = 7.195, p ~ 0.007. Utilizing subjective measure of clinicians' workload validated an objective, automated staffing workload alert system that determined if swing shift activations are necessary.

Original languageEnglish (US)
Title of host publication62nd Human Factors and Ergonomics Society Annual Meeting, HFES 2018
PublisherHuman Factors and Ergonomics Society Inc.
Pages573-577
Number of pages5
ISBN (Electronic)9781510889538
StatePublished - Jan 1 2018
Event62nd Human Factors and Ergonomics Society Annual Meeting, HFES 2018 - Philadelphia, United States
Duration: Oct 1 2018Oct 5 2018

Publication series

NameProceedings of the Human Factors and Ergonomics Society
Volume1
ISSN (Print)1071-1813

Conference

Conference62nd Human Factors and Ergonomics Society Annual Meeting, HFES 2018
CountryUnited States
CityPhiladelphia
Period10/1/1810/5/18

ASJC Scopus subject areas

  • Human Factors and Ergonomics

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