Department of Radiology, University of Wisconsin School of Medicine and Public Health, Madison, WI 53705, USA.
Department of Radiology, University of Wisconsin School of Medicine and Public Health, Madison, WI 53705, USA; Neuroscience Training Program, Wisconsin Institutes for Medical Research, University of Wisconsin-Madison, Madison, WI 53705, USA; Department of Biomedical Engineering, University of Wisconsin-Madison, Madison, WI 53706, USA; Department of Psychiatry, University of Wisconsin School of Medicine and Public Health, Madison, WI 53705, USA.
Clin Imaging. 2024 Apr;108:110117. doi: 10.1016/j.clinimag.2024.110117. Epub 2024 Mar 2.
The complex practice environment and responsibilities incumbent on diagnostic radiologists creates a workflow susceptible to disruption. While interruptions have been shown to contribute to medical errors in the healthcare delivery environment, the exact impact on highly subspecialized services such as diagnostic radiology is less certain. One potential source of workflow disruption is the use of a departmental instant messaging system (Webex), to facilitate communications between radiology faculty, residents, fellows, and technologists. A retrospective review was conducted to quantify the frequency of interruption experienced by our neuroradiology fellows.
Data logs were gathered comprising all instant messages sent and received within the designated group chats from July 5-December 31, 2021, during weekday shifts staffed by neuroradiology fellows. Interruptions per shift were calculated based on month, week, and day of the week.
14,424 messages were sent across 289 total shifts. The 6 fellows assigned to the main neuroradiology reading room sent 3258 messages and received 10,260 messages from technologists and other staff. There was an average of 50 interruptions per shift when examined by month (range 48-53), and 52 interruptions per shift when examined by day of the week (range 40-60).
Neuroradiology fellows experience frequent interruptions from the departmental instant messaging system. These disruptions, when considered in conjunction with other non-interpretative tasks, may have negative implications for workflow efficiency, requiring iterative process improvements when incorporating new technology into the practice environment of diagnostic radiology.
复杂的实践环境和诊断放射科医生承担的责任使得工作流程容易受到干扰。尽管中断已被证明会导致医疗保健环境中的医疗失误，但对高度专业化的服务（如诊断放射学）的具体影响尚不确定。工作流程中断的一个潜在来源是使用部门即时消息系统（Webex）来促进放射科医师、住院医师、研究员和技术人员之间的沟通。进行了一项回顾性研究，以量化我们的神经放射学研究员经历的中断频率。
收集了数据日志，其中包含 2021 年 7 月 5 日至 12 月 31 日期间工作日由神经放射科研究员值班时在指定的群聊中发送和接收的所有即时消息。根据月份、星期和星期几计算每个班次的中断次数。
共发送了 289 个班次的 14424 条消息。分配到主要神经放射学阅读室的 6 名研究员发送了 3258 条消息，并收到了技术员和其他工作人员的 10260 条消息。每月检查时平均有 50 次中断（范围为 48-53），每周检查时平均有 52 次中断（范围为 40-60）。
神经放射学研究员经常受到部门即时消息系统的干扰。这些干扰，加上其他非解释性任务，可能对工作流程效率产生负面影响，在将新技术引入诊断放射学的实践环境时需要不断改进。
