Institute of Occupational Medicine, Charité, Universitätsmedizin Berlin, Free University and Humboldt University, Thielallee 69-73, 14195, Berlin, Germany.
Langenbecks Arch Surg. 2010 Jan;395(1):81-7. doi: 10.1007/s00423-009-0541-5. Epub 2009 Jul 18.
Surgeons have criticized the working conditions at German hospitals. They complain in particular about long working hours, an inadequate salary for their work, insufficient training/supervision, and an increasing amount of time spent on administration duties. Since these critics are only subjective perceptions, they should be compared to data that can be quantified more objectively and accurately. In this study, we sought to report precise data on surgeons' workflow in several German hospitals.
General surgeons were shadowed unobtrusively over 567 h during their shifts at four urban German hospitals. All job tasks surgeons performed were recorded using a tablet PC.
The average work day of the surgeons in this study was 9 h 26 min (95% CI 09:10:30 to 09:42:44 h). Within this time span, an average of 02:03:08 h were spent on documentation and administration duties (95% CI 01:47:29 to 02:18:47 h), 01:47:40 h on operating procedures (95% CI 01:20:44 to 02:14:35 h), 01:43:46 h on internal communication (95% CI 01:32:55 to 01:54:36 h), and 0:48:25 h on ward rounds (95% CI 0:39:55 to 0:56:55 h).
For the first time, surgeons' workflow in German hospitals was studied in real time. The study results substantiate physicians' statements about their own working conditions, especially with concerns to large amount of time spent on administration tasks. The findings of this study form a basis upon which further analysis can be built and recommendations for improvements in physicians' workflows at German hospitals can be made.
外科医生对德国医院的工作条件提出了批评。他们特别抱怨工作时间长、工资与工作不匹配、培训/监督不足以及行政工作时间增加。由于这些批评只是主观的看法，因此应该将其与更客观、准确地量化的数据进行比较。在这项研究中，我们旨在报告几家德国医院外科医生工作流程的准确数据。
在四家德国城市医院，对普通外科医生的轮班情况进行了 567 小时的非干扰性跟踪。使用平板电脑记录外科医生执行的所有工作任务。
本研究中外科医生的平均工作时间为 9 小时 26 分钟（95%置信区间 09:10:30 至 09:42:44 小时）。在此时间段内，平均有 02:03:08 小时用于文档记录和行政工作（95%置信区间 01:47:29 至 02:18:47 小时），01:47:40 小时用于手术操作（95%置信区间 01:20:44 至 02:14:35 小时），01:43:46 小时用于内部沟通（95%置信区间 01:32:55 至 01:54:36 小时），0:48:25 小时用于查房（95%置信区间 0:39:55 至 0:56:55 小时）。
首次实时研究了德国医院外科医生的工作流程。该研究结果证实了医生对自己工作条件的陈述，特别是对大量时间用于行政任务的担忧。本研究的结果为进一步分析提供了基础，并为改善德国医院医生的工作流程提出了建议。
