Di Pietro Martinelli, Claudine; Haltmeier, Tobias; Lavanchy, Joël L.; Perrodin, Stéphanie F.; Candinas, Daniel; Schnüriger, Beat (2022). Work Characteristics of Acute Care Surgeons at a Swiss Tertiary Care Hospital: A Prospective One-Month Snapshot Study. World journal of surgery, 46(2), pp. 330-336. Springer-Verlag 10.1007/s00268-021-06350-7
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BACKGROUND
Multiple acute care surgery (ACS) working models have been implemented. To optimize resources and on-call rosters, knowledge about work characteristics is required. Therefore, this study aimed to investigate the daily work characteristics of ACS surgeons at a Swiss tertiary care hospital.
METHODS
Single-center prospective snapshot study. In February 2020, ACS fellows prospectively recorded their work characteristics, case volume and surgical case mix for 20 day shifts and 16 night shifts. Work characteristics were categorized in 11 different activities and documented in intervals of 30 min. Descriptive statistics were applied.
RESULTS
A total of 432.5 working hours (h) were documented and characterized. The three main activities 'surgery,' 'patient consultations' and 'administrative work' ranged from 30.8 to 35.9% of the documented working time. A total of 46 surgical interventions were performed. In total, during day shifts, there were 16 elective and 15 emergency interventions, during night shifts 15 emergency interventions. For surgery, two peaks between 10:00 a.m.-02:00 p.m. and 08:00 p.m.-11:00 p.m. were observed. A total of 225 patient were consulted, with a first peak between 08:00 a.m. and 11:00 a.m. and a second, wider peak between 02:00 p.m. and 02:00 a.m.
CONCLUSION
The three main activities 'surgery,' 'patient consultations' and 'administrative work' were comparable with approximately one third of the working time each. There was a bimodal temporal distribution for both surgery and patient consultations. These results may help to improve hospital resources and on-call rosters of ACS services.
Item Type: |
Journal Article (Original Article) |
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Division/Institute: |
04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine > Visceral Surgery 04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine |
UniBE Contributor: |
Di Pietro Martinelli, Claudine, Haltmeier, Tobias, Lavanchy, Joël Lukas, Perrodin, Stéphanie Fabienne, Candinas, Daniel, Schnüriger, Beat |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
0364-2313 |
Publisher: |
Springer-Verlag |
Language: |
English |
Submitter: |
Rahel Fuhrer |
Date Deposited: |
23 Dec 2021 10:36 |
Last Modified: |
05 Dec 2022 15:55 |
Publisher DOI: |
10.1007/s00268-021-06350-7 |
PubMed ID: |
34677655 |
BORIS DOI: |
10.48350/161913 |
URI: |
https://boris.unibe.ch/id/eprint/161913 |
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