NorthShore University HealthSystem, 2650 Ridge Ave., Evanston, IL, 60201, USA.
Pritzker School of Medicine, University of Chicago, 5841 S. Maryland Ave, Chicago, IL, 60637, USA.
J Med Syst. 2023 Apr 25;47(1):51. doi: 10.1007/s10916-023-01946-z.
This is a quality improvement pilot study comparing percentages of anesthesia professionals receiving their first choice of workplace location both pre-, and post-implementation of an electronic decision support tool for anesthesia-in-charge schedulers. The study evaluates anesthesia professionals who use the electronic decision support tool and scheduling system at four hospitals and two surgical centers within NorthShore University HealthSystem. The subjects in the study are those anesthesia professionals that work at NorthShore University HealthSystem and are subject to being placed in their desired location by anesthesia schedulers who use the electronic decision support tool. The primary author developed the current software system enabling the electronic decision support tool implementation into clinical practice. All anesthesia-in-charge schedulers were educated during a three-week time period via administrative discussions and demonstrations on how to effectively operate the tool in real time. The total numbers and percentage of 1st choice of location selection by anesthesia professionals were summarized each week using interrupted time series Poisson regression. Slope before intervention, slope after intervention, level change, and slope change were all measured over 14-week pre- and post- implementation periods. The level of change (difference in percentage of anesthesia professionals who received their first choice) was statistically (P<0.0001) and clinically significant when comparing the historical cohorts of 2020 and 2021 to the 2022 intervention group weeks. Therefore, the implementation of an electronic decision support scheduling tool resulted in a statistically significant increase in those anesthesia professionals receiving their first-choice workplace location. This study provides the basis for further investigating whether this specific tool may improve anesthesia professional satisfaction within their work-life balance by enhancing workplace geographic/site choice.
这是一项质量改进的试点研究，比较了在实施电子决策支持工具前后，麻醉科主任排班员为麻醉专业人员安排首选工作地点的百分比。本研究评估了在北岸大学卫生系统的四家医院和两家外科中心使用电子决策支持工具和排班系统的麻醉专业人员。研究对象为在北岸大学卫生系统工作的麻醉专业人员，他们由使用电子决策支持工具的麻醉排班员安排在他们希望的地点。本研究的主要作者开发了当前的软件系统，使电子决策支持工具得以在临床实践中实施。所有麻醉科主任排班员都在三周的时间内通过行政讨论和演示接受了关于如何在实时有效操作工具的培训。每周使用中断时间序列泊松回归总结麻醉专业人员首选地点选择的第一选择人数和百分比。在干预前、干预后、水平变化和斜率变化期间，均测量了 14 周的实施前和实施后期间的斜率。在将 2020 年和 2021 年的历史队列与 2022 年干预组周进行比较时，变化水平（收到首选工作地点的麻醉专业人员百分比差异）在统计学上（P<0.0001）和临床上都具有显著意义。因此，实施电子决策支持排班工具导致收到首选工作地点的麻醉专业人员数量在统计学上显著增加。本研究为进一步调查该特定工具是否可以通过增强工作场所地理位置/地点选择来提高麻醉专业人员在工作与生活平衡中的满意度提供了依据。
