Workflow interruptions in an era of instant messaging: A detailed analysis.

Autor: Pierson CS; Department of Radiology, University of Wisconsin School of Medicine and Public Health, Madison, WI 53705, USA., Kennedy TA; Department of Radiology, University of Wisconsin School of Medicine and Public Health, Madison, WI 53705, USA., Bruce RJ; Department of Radiology, University of Wisconsin School of Medicine and Public Health, Madison, WI 53705, USA., Yu JJ; Department of Radiology, University of Wisconsin School of Medicine and Public Health, Madison, WI 53705, USA; Neuroscience Training Program, Wisconsin Institutes for Medical Research, University of Wisconsin-Madison, Madison, WI 53705, USA; Department of Biomedical Engineering, University of Wisconsin-Madison, Madison, WI 53706, USA; Department of Psychiatry, University of Wisconsin School of Medicine and Public Health, Madison, WI 53705, USA. Electronic address: jp.yu@wisc.edu.
Jazyk: angličtina
Zdroj: Clinical imaging [Clin Imaging] 2024 Apr; Vol. 108, pp. 110117. Date of Electronic Publication: 2024 Mar 02.
DOI: 10.1016/j.clinimag.2024.110117
Abstrakt: Introduction: The complex practice environment and responsibilities incumbent on diagnostic radiologists creates a workflow susceptible to disruption. While interruptions have been shown to contribute to medical errors in the healthcare delivery environment, the exact impact on highly subspecialized services such as diagnostic radiology is less certain. One potential source of workflow disruption is the use of a departmental instant messaging system (Webex), to facilitate communications between radiology faculty, residents, fellows, and technologists. A retrospective review was conducted to quantify the frequency of interruption experienced by our neuroradiology fellows.
Materials and Methods: Data logs were gathered comprising all instant messages sent and received within the designated group chats from July 5-December 31, 2021, during weekday shifts staffed by neuroradiology fellows. Interruptions per shift were calculated based on month, week, and day of the week.
Results: 14,424 messages were sent across 289 total shifts. The 6 fellows assigned to the main neuroradiology reading room sent 3258 messages and received 10,260 messages from technologists and other staff. There was an average of 50 interruptions per shift when examined by month (range 48-53), and 52 interruptions per shift when examined by day of the week (range 40-60).
Conclusion: Neuroradiology fellows experience frequent interruptions from the departmental instant messaging system. These disruptions, when considered in conjunction with other non-interpretative tasks, may have negative implications for workflow efficiency, requiring iterative process improvements when incorporating new technology into the practice environment of diagnostic radiology.
Competing Interests: Declaration of competing interest The authors declare no conflicts of interest related to this work.
(Copyright © 2024 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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