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A Predictive Model of Emergency Physician Task Resumption Following Interruptions

Published: 02 May 2017 Publication History

Abstract

Interruptions in the emergency department (ED) can have serious patient safety consequences, and few solutions exist to mitigate the disruptiveness of interruptions. We developed a theoretically motivated model to predict the likelihood of emergency physicians returning to an interrupted task. Eighteen emergency physicians were observed individually for two-hour blocks of time, resulting in a total of 2160 minutes of observation and 231 interruptions. We used a mixed effects logistic regression model to predict the likelihood of primary task resumption after interruptions. The likelihood of primary task resumption was predicted by memory decay, measured by the duration of the interruption, workload, measured by the patient volume during the shift, and whether shift was day or night. With a better understanding of these interruptions, we can help design interventions to manage interruptions, minimize medical errors, and improve patient safety.

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Cited By

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  • (2024)Providing Context to the "Unknown": Patient and Provider Reflections on Connecting Personal Tracking, Patient-Reported Insights, and EHR Data within a Post-COVID ClinicProceedings of the ACM on Human-Computer Interaction10.1145/36869888:CSCW2(1-34)Online publication date: 8-Nov-2024
  • (2024)Augmented Reality Cues Facilitate Task Resumption after Interruptions in Computer-Based and Physical TasksProceedings of the 2024 CHI Conference on Human Factors in Computing Systems10.1145/3613904.3642666(1-16)Online publication date: 11-May-2024
  • (2022)Task InterruptionsHandbook of Human Multitasking10.1007/978-3-031-04760-2_4(145-188)Online publication date: 13-Sep-2022
  • Show More Cited By

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      cover image ACM Conferences
      CHI '17: Proceedings of the 2017 CHI Conference on Human Factors in Computing Systems
      May 2017
      7138 pages
      ISBN:9781450346559
      DOI:10.1145/3025453
      Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for components of this work owned by others than ACM must be honored. Abstracting with credit is permitted. To copy otherwise, or republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. Request permissions from [email protected]

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      Published: 02 May 2017

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      Author Tags

      1. emergency department
      2. interruption
      3. logistic mixed-effects model
      4. patient safety
      5. predictive modeling
      6. task resumption

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      • Agency for Healthcare Research and Quality (AHRQ), U.S. Department of Health and Human Services

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      Overall Acceptance Rate 6,199 of 26,314 submissions, 24%

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      View all
      • (2024)Providing Context to the "Unknown": Patient and Provider Reflections on Connecting Personal Tracking, Patient-Reported Insights, and EHR Data within a Post-COVID ClinicProceedings of the ACM on Human-Computer Interaction10.1145/36869888:CSCW2(1-34)Online publication date: 8-Nov-2024
      • (2024)Augmented Reality Cues Facilitate Task Resumption after Interruptions in Computer-Based and Physical TasksProceedings of the 2024 CHI Conference on Human Factors in Computing Systems10.1145/3613904.3642666(1-16)Online publication date: 11-May-2024
      • (2022)Task InterruptionsHandbook of Human Multitasking10.1007/978-3-031-04760-2_4(145-188)Online publication date: 13-Sep-2022
      • (2020)A causal model for short‐term time series analysis to predict incoming Medicare workloadJournal of Forecasting10.1002/for.271740:2(228-242)Online publication date: 20-Jul-2020

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