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Frequency of calls to "on-call" house officer pagers at Auckland City Hospital, New Zealand.

AIMS: To quantify the number of calls made to specified on-call house officer pagers and to comment on possible implications for practice. METHODS: Seven on-call pagers, covering a range of surgical and medical specialties at Auckland City Hospital, were identified. Data for a 4-month period from April to August 2004 was recorded and analysed in two groups: surgical services and medical services. Statistical software was used to calculate mean times between calls in specified time periods, and to compare differences between surgical and medical services. RESULTS: 25,389 pages were recorded. These data are presented as mean frequency of calls to each pager, divided into four time periods. The highest recorded rate was 6.9 minutes (mean) between calls in general surgery (1600-2200 shift), with the lowest recorded rate a mean of one call per 5 hours (2200-0800 shift) in geriatric and general medicine. CONCLUSIONS: Pager frequency is a potentially useful marker of job acuity and consequent junior doctor stress levels. This study demonstrated a high degree of variability in paging frequency both between services and between time periods. We recommend ongoing monitoring of paging frequencies and more even distribution of after-hours workload.

Hospital Communication Systems↗

'You have a message here': enhancing interpersonal communication in a hospital ward with location-based virtual notes.

OBJECTIVES: This paper aims to explore how computerized interpersonal information can be mediated through the physical environment of hospital wards. Specifically, it focuses on a communication service (location-based virtual notes) that allows hospital workers to leave short digital messages at relevant physical locations (e.g. by a patient bed), so that intended colleagues can pick them up later when entering such a location. In a work setting where personnel move between various locations mainly as a result of work priority, improving timeliness of information and reducing the number of work interruptions is essential. Our objective is to provide a set of user-motivated design guidelines that address important usability aspects of the proposed communication service. METHODS: To get end user feedback, a prototype was built and tested in simulated scenarios with real hospital workers. The material gathered from the usability testing and following interviews was reviewed to identify critical usability issues. RESULTS: We identified a number of relevant usability issues concerning the applied design metaphor, posting of digital messages, role-based contact, and user control. These issues formed the basis for a set of preliminary design principles. CONCLUSIONS: We view the preliminary usability guidelines as an incentive for more extensive research. Based on feedback from the test participants, we conclude that the location-based virtual notes have promising potential to improve timeliness of ad hoc information exchange between hospital workers.

Attitude of Health Personnel↗

Shared-service paging clears the air waves.

Radio-paging channel congestion can be reduced if inhospital and areawide paging are distinguished, and if the proper equipment is used for the separate functions.

Equipment and Supplies, Hospital↗