弥合差距:在劳动力限制下维持放射科周转时间的补充激增人员配置模型的评估

IF 4 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Khushboo Jhala MD, MBA , Fionnuala McPeake , Jennifer W. Uyeda MD , Oleg S. Pianykh PhD , Aaron D. Sodickson MD, PhD
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引用次数: 0

摘要

许多实践面临着来自扩大临床数量和招聘困难的人员配置挑战。这项研究的目的是评估补充激增人员的使用以及排班重新分配作为所需人员增加的桥梁。方法2023年6月30日,一家三级医疗学术急诊科23名放射科医师在新增医院急诊科期间面临劳动力短缺问题。保持周转时间(tat)的策略包括增加每日安排的轮班时间和激增的人员配置。在激增的人员配置中,预定的放射科医生在高业务量时发起“激增”呼叫,促使可用的非预定人员远程读取,并根据激增的工作时长和时间进行补偿。工作人员可以参与一种或两种策略。在急诊室增加之前和之后60天收集的数据比较了总相对价值单位(rvu)、中位数和第80百分位tat、每小时rvu以及个别工作人员激增与轮班增加的敬业度。结果增加后总rvu增加了15%(38,746比44,628),P <;.01),中位TATs (42 vs . 44 min, P = .53)、第80百分位TATs (74 vs . 73 min, P = .87)和人均小时rvu (8.2 vs . 8.2, P = .52)没有显著变化。只有70%(23人中的16人)的基线工作人员在增加人员后增加了排班时间,96%(23人中的22人)从事激增的人员配置。浪涌的时间和持续时间因人而异。结论在人员短缺的情况下,“及时”补充激增人员模式与增加排班时间相结合,可以有效地维持TATs,帮助及时提供医疗服务,作为建立更持久的人员配备解决方案的桥梁。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Bridging the Gap: Evaluation of a Supplemental Surge Staffing Model to Maintain Radiology Turnaround Times Amid Labor Constraints

Purpose

Many practices face staffing challenges stemming from expanding clinical volumes and recruitment difficulties. This study aims to evaluate the use of supplemental surge staffing along with scheduled shift redistribution as a bridge to needed staffing increases.

Methods

A tertiary care academic Emergency Radiology Division comprising 23 radiologists faced a labor shortage during the addition of a new hospital emergency department on June 30, 2023. Strategies to preserve turnaround times (TATs) included increasing daily scheduled shift hours and surge staffing. In surge staffing, scheduled radiologists initiate “surge” calls for assistance during high volumes, prompting available nonscheduled staff to read remotely, with compensation based on length and time of surge engagement. Staff could participate in one or both strategies. Data collected 60 days before and after the emergency room addition compared total relative value units (RVUs), median and 80th percentile TATs, RVUs per person hour, and individual staff surge engagement versus shift increase.

Results

Total RVUs increased by 15% in the post-addition period (38,746 versus 44,628, P < .01), and median TATs (42 versus 44 min, P = .53), 80th percentile TATs (74 versus 73 min, P = .87), and average RVUs per person hour (8.2 versus 8.2, P = .52) did not change significantly. Only 70% (16 of 23) of baseline staff increased scheduled shift hours post-addition, and 96% (22 of 23) engaged in surge staffing. Surge timing and duration varied per individual.

Conclusion

A “just-in-time” supplemental surge staffing model, in combination with increasing scheduled shift hours, can be effectively used to maintain TATs during staffing shortages, aiding timely care delivery as a bridge to more permanent staffing solutions.
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来源期刊
Journal of the American College of Radiology
Journal of the American College of Radiology RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
CiteScore
6.30
自引率
8.90%
发文量
312
审稿时长
34 days
期刊介绍: The official journal of the American College of Radiology, JACR informs its readers of timely, pertinent, and important topics affecting the practice of diagnostic radiologists, interventional radiologists, medical physicists, and radiation oncologists. In so doing, JACR improves their practices and helps optimize their role in the health care system. By providing a forum for informative, well-written articles on health policy, clinical practice, practice management, data science, and education, JACR engages readers in a dialogue that ultimately benefits patient care.
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