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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Ravat, François Percier, Lucille Akkal, Rose Morris, William Fontaine, Mathieu Payre, Jacqueline Poupelin, Jean-Charles |
| Description | Author Affiliation: Ravat F ( Centre des Brulés, Centre hospitalier St Joseph et St Luc, Lyon, France. Electronic address: fravat@lucbrul.fr.); Percier L ( Institut Supérieur d'Ingénieurs de Franche Comté (Génie Bio-Medical), Besançon, France.); Akkal R ( Head Nurse, Centre des brulés, centre Hospitalier St Joseph et St Luc, Lyon France.); Morris W ( Clinique mutualiste Eugène André, Lyon, France.); Fontaine M ( Centre des Brulés, Centre hospitalier St Joseph et St Luc, Lyon, France.); Payre J ( Centre des Brulés, Centre hospitalier St Joseph et St Luc, Lyon, France.); Poupelin JC ( Centre des Brulés, Centre hospitalier St Joseph et St Luc, Lyon, France.) |
| Abstract | We conducted a one-month study of the working time and workload of nurses in a 15 beds burn center (including 8 intensive care beds). Nurses' tasks were categorized according to their nature (medical care, local treatments, post anesthetic monitoring, administrative time related to health care, administrative time unrelated to health care, cleaning, rest). The time taken to complete a given task was measured for each task. The time devoted to walk and unavailable for patients care was also measured. Our study revealed that work distribution was far from optimal since administrative tasks occupy more than 30% of workload. This represents inefficiency and the literature shows that when time is saved from administrative work it is reinvested in health care. One third of the administrative tasks are unrelated to care and thus could be performed by non-specialized clerks. The other two third of the administrative workload are closely linked to care. An answer to reduce administrative time lost to care activities is the implementation of dedicated ICU software which carries several other advantages such as reducing the use of paper, improving the safety of prescriptions, automating repetitive and unrewarding tasks and saving physician time. This expensive solution can be quickly repaid through costs containment due to the time saved. A significant part of the working time is spent walking but reducing the ambulatory time may be considered only through structural improvements. |
| File Format | HTM / HTML |
| ISSN | 03054179 |
| Issue Number | 6 |
| Volume Number | 40 |
| e-ISSN | 18791409 |
| Journal | Burns |
| Language | English |
| Publisher | Elsevier |
| Publisher Date | 2014-09-01 |
| Publisher Place | Netherlands |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Traumatology Burn Units Organization & Administration Burns Nursing Nursing Staff, Hospital Workload Adult Female Health Services Needs And Demand Hospital Administration Humans Male Task Performance And Analysis Time And Motion Studies Young Adult Journal Article |
| Content Type | Text |
| Resource Type | Article |
| Subject | Emergency Medicine Surgery Critical Care and Intensive Care Medicine |
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