口腔颌面外科住院医生的传呼活动模式：对患者护理的影响。

IF 2.3 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Oral and Maxillofacial Surgery Pub Date : 2025-02-01 DOI:10.1016/j.joms.2024.10.013

Anthony J. Burgois DMD , Christopher M. Edwards MD , Thomas Austin MD, MS , Shelly Abramowicz DMD, MPH

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引用次数: 0

摘要

背景：单向字母数字传呼机仍然是医疗服务提供者的主要通信方式，尽管基于应用程序的通信系统已经兴起。频繁的非紧急寻呼会扰乱工作流程，并可能影响患者护理，尤其是像口腔颌面外科（OMS）这样的高需求专科：这项回顾性队列研究分析了 2021 年和 2022 年埃默里医疗保健 OMS 服务的寻呼数据。研究对象包括负责住院治疗、会诊和急诊科评估的主要 OMS 住院医师收到的传呼。不包括与门诊事务相关的页面以及发送给后备或高级住院医师的页面：主要预测变量是寻呼率，即每小时收到的寻呼页数。主要结果变量是一天中的时间：主要结果变量是一天中的时间，分为高峰时段和非高峰时段。高峰时段是通过数据分析统计确定的，定义为工作日 07:00-20:00 和周末 09:00-14:00。非高峰时段包括所有其他时段。次要结果包括工作日与周末寻呼率的比较，以确定寻呼活动的潜在变化：没有协变量：共有 7,224 个页面。结果：共有 7224 个页面，其中 4626 个页面符合纳入标准。2021 年，平均每天有 18.8 个页面（范围：0 至 56；标准差：10.2）。2022 年，平均每天有 19.2 页（范围：3 至 52；标准差：8.7）。工作日的寻呼页数（20.8 页/天）多于周末（14.3 页/天；P 结论和相关性：这项研究发现了寻呼率的模式，高峰时段和工作日的寻呼活动明显较多。对这些模式的认识可以为制定方案提供参考，从而在关键时刻（如病人交接时）最大限度地减少非紧急中断。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Patterns of Paging Activity Among Oral and Maxillofacial Surgery Residents: Implications for Patient Care

Background

One-way alphanumeric pagers remain a primary communication method for health care providers, despite the rise of app-based communication systems. Frequent nonurgent pages can disrupt workflows and potentially impact patient care, particularly in high-demand specialties like oral and maxillofacial surgery (OMS).

Purpose

The purpose of this study was to examine the association between paging patterns and time of day among OMS residents.

Study Design, Setting, Sample

This retrospective cohort study analyzed paging data from the Emory Healthcare OMS service in 2021 and 2022. Pages included were those received by primary OMS residents responsible for inpatient care, consultations, and emergency department evaluations. Exclusions were pages related to outpatient matters and those sent to backup or senior-level residents.

Predictor Variable

The primary predictor variable was paging rate, defined as the number of pages received per hour. This measure captures the intensity of paging activity during specific periods.

Main Outcome Variable

The primary outcome variable was time of day, categorized into peak and off-peak hours. Peak hours were statistically determined through data analysis and were defined as 07:00-20:00 on weekdays and 09:00-14:00 on weekends. Off-peak hours included all other time periods. Secondary outcomes included the comparison of paging rates on weekdays versus weekends to identify potential variations in paging activity.

Covariates

There are no covariates.

Analysis

An independent t test was used to compare paging rates between peak and off-peak hours and between weekdays and weekends. Two-sided P values < .5 were considered statistically significant.

Results

There were 7,224 pages. Of them, 4,626 pages met the inclusion criteria. In 2021, there was an average of 18.8 pages per day (range: 0 to 56; standard deviation: 10.2). In 2022, there were 19.2 pages per day (range: 3 to 52; standard deviation: 8.7). Weekdays had more pages (20.8 pages/day) than weekends (14.3 pages/day; P < .001). During weekday peak hours, there were 1.3 pages/hour compared to 0.4 pages/hour during off peak hours (P < .001). During weekend peak hours, there were 0.9 pages/hour compared to 0.5 pages/hour during off-peak hours (P value < .001). Weekdays between 0700 and 0800 had the highest average number of pages (1.53 pages/hour).

Conclusion and Relevance

This study identified patterns in paging rates, with significantly higher paging activity during peak hours and on weekdays. Awareness of these patterns may inform the development of protocols to minimize nonurgent interruptions during critical times, such as during patient handoffs.

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来源期刊

Journal of Oral and Maxillofacial Surgery 医学-牙科与口腔外科

CiteScore

4.00

自引率

5.30%

发文量

审稿时长

41 days

期刊介绍： This monthly journal offers comprehensive coverage of new techniques, important developments and innovative ideas in oral and maxillofacial surgery. Practice-applicable articles help develop the methods used to handle dentoalveolar surgery, facial injuries and deformities, TMJ disorders, oral cancer, jaw reconstruction, anesthesia and analgesia. The journal also includes specifics on new instruments and diagnostic equipment and modern therapeutic drugs and devices. Journal of Oral and Maxillofacial Surgery is recommended for first or priority subscription by the Dental Section of the Medical Library Association.