Shift Changes among Emergency Physicians: Best of Times, Worst of Times

Author:

Wears Robert L.1,Perry Shawna J.1,Shapiro Marc2,Beach Christopher3,Croskerry Pat4,Behara Ravi5

Affiliation:

1. University of Florida, Jacksonville, FL

2. Brown University, Providence, RI

3. Northwestern University, Chicago, IL

4. Dalhousie University, Halifax, Nova Scotia

5. Florida Atlantic University, Ft Lauderdale, FL

Abstract

The need for 24-hour emergency care requires emergency department (ED) staff to work in shifts. Shift changes have long been viewed as risky times, for failures in the transfer of information, authority, or responsibility care can result in adverse events. We observed shift transitions in the ED as part of a study on safety in emergency care. We found that, in addition to being an expected point of failure, transitions were also, unexpectedly, associated with recovery from failure. We report two illustrative case studies, and examine implications for strategies aimed at reducing the number of and volume of transitions.

Publisher

SAGE Publications

Subject

General Medicine,General Chemistry

Cited by 19 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Measuring Potential Visual Exposure of Physicians During Shift-End Handoffs and Its Impact on Interruptions, Privacy, and Collaboration;HERD: Health Environments Research & Design Journal;2022-11-01

2. A scoping review of barriers, facilitators and tools to escalation of care processes in the emergency department;Canadian Journal of Emergency Medicine;2022-03-12

3. HUMAN FACTORS AND ERGONOMICS IN HEALTH CARE;HANDBOOK OF HUMAN FACTORS AND ERGONOMICS;2021-08-13

4. Identifying roles in older adults’ emergency department transitions;Proceedings of the Human Factors and Ergonomics Society Annual Meeting;2020-12

5. Macroergonomics in Health Care Quality and Patient Safety;Reviews of Human Factors and Ergonomics;2013-09-26

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