Review of interruptions in a pediatric subspecialty outpatient clinic.

<h4>Introduction</h4>The objective of this study was to describe interruptions in the pediatric ambulatory setting and to assess their impact on perceived physician communication, patient satisfaction and recall of provided physician instructions.<h4>Methods</h4>An observatio...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Tyler Lee, Hinette Rosario, Elizabeth Cifuentes, Jiawei Cui, Emery C Lin, Victoria A Miller, Henry C Lin
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/39ebb58f922d492caf5d35a46a6a73e0
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:39ebb58f922d492caf5d35a46a6a73e0
record_format	dspace
spelling	oai:doaj.org-article:39ebb58f922d492caf5d35a46a6a73e02021-12-02T20:08:56ZReview of interruptions in a pediatric subspecialty outpatient clinic.1932-620310.1371/journal.pone.0254528https://doaj.org/article/39ebb58f922d492caf5d35a46a6a73e02021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0254528https://doaj.org/toc/1932-6203<h4>Introduction</h4>The objective of this study was to describe interruptions in the pediatric ambulatory setting and to assess their impact on perceived physician communication, patient satisfaction and recall of provided physician instructions.<h4>Methods</h4>An observational study was performed at the Children's Hospital of Philadelphia, Pediatric Gastroenterology clinic. Participation consisted of video recording the clinic visit and the caregiver completed post-visit surveys on communication and satisfaction. Video recordings were coded for interruptions, which were divided into 3 main categories: Visit Associated, Pediatric Associated, and Unanticipated. An interruption rate was calculated and correlated with the following outcome variables to assess the impact of interruptions: caregiver satisfaction, caregiver perception on the quality of physician communication, and caregiver instruction recall.<h4>Results</h4>There were 675 interruptions noted in the 81 clinic visits, with an average of 7.96 (σ = 7.68) interruptions per visit. Six visits had no interruptions. The Patient was the most frequent interrupter. Significantly higher interruption rates occurred in clinic visits with younger patients (<7 years old) with most of the interruptions being Pediatric Associated interruptions. There was minimal correlation between the clinic visit interruption rate and caregiver satisfaction with the communication, caregiver perception of quality of communication, or caregiver instruction recall rate.<h4>Conclusion</h4>The effect of interruptions on the pediatric visit remains unclear. Interruptions may be part of the communication process to ensure alignment of the patient's agenda. Additional studies are needed to help determine the impact of interruptions and guide medical education on patient communication.Tyler LeeHinette RosarioElizabeth CifuentesJiawei CuiEmery C LinVictoria A MillerHenry C LinPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0254528 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Tyler Lee Hinette Rosario Elizabeth Cifuentes Jiawei Cui Emery C Lin Victoria A Miller Henry C Lin Review of interruptions in a pediatric subspecialty outpatient clinic.
description	<h4>Introduction</h4>The objective of this study was to describe interruptions in the pediatric ambulatory setting and to assess their impact on perceived physician communication, patient satisfaction and recall of provided physician instructions.<h4>Methods</h4>An observational study was performed at the Children's Hospital of Philadelphia, Pediatric Gastroenterology clinic. Participation consisted of video recording the clinic visit and the caregiver completed post-visit surveys on communication and satisfaction. Video recordings were coded for interruptions, which were divided into 3 main categories: Visit Associated, Pediatric Associated, and Unanticipated. An interruption rate was calculated and correlated with the following outcome variables to assess the impact of interruptions: caregiver satisfaction, caregiver perception on the quality of physician communication, and caregiver instruction recall.<h4>Results</h4>There were 675 interruptions noted in the 81 clinic visits, with an average of 7.96 (σ = 7.68) interruptions per visit. Six visits had no interruptions. The Patient was the most frequent interrupter. Significantly higher interruption rates occurred in clinic visits with younger patients (<7 years old) with most of the interruptions being Pediatric Associated interruptions. There was minimal correlation between the clinic visit interruption rate and caregiver satisfaction with the communication, caregiver perception of quality of communication, or caregiver instruction recall rate.<h4>Conclusion</h4>The effect of interruptions on the pediatric visit remains unclear. Interruptions may be part of the communication process to ensure alignment of the patient's agenda. Additional studies are needed to help determine the impact of interruptions and guide medical education on patient communication.
format	article
author	Tyler Lee Hinette Rosario Elizabeth Cifuentes Jiawei Cui Emery C Lin Victoria A Miller Henry C Lin
author_facet	Tyler Lee Hinette Rosario Elizabeth Cifuentes Jiawei Cui Emery C Lin Victoria A Miller Henry C Lin
author_sort	Tyler Lee
title	Review of interruptions in a pediatric subspecialty outpatient clinic.
title_short	Review of interruptions in a pediatric subspecialty outpatient clinic.
title_full	Review of interruptions in a pediatric subspecialty outpatient clinic.
title_fullStr	Review of interruptions in a pediatric subspecialty outpatient clinic.
title_full_unstemmed	Review of interruptions in a pediatric subspecialty outpatient clinic.
title_sort	review of interruptions in a pediatric subspecialty outpatient clinic.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/39ebb58f922d492caf5d35a46a6a73e0
work_keys_str_mv	AT tylerlee reviewofinterruptionsinapediatricsubspecialtyoutpatientclinic AT hinetterosario reviewofinterruptionsinapediatricsubspecialtyoutpatientclinic AT elizabethcifuentes reviewofinterruptionsinapediatricsubspecialtyoutpatientclinic AT jiaweicui reviewofinterruptionsinapediatricsubspecialtyoutpatientclinic AT emeryclin reviewofinterruptionsinapediatricsubspecialtyoutpatientclinic AT victoriaamiller reviewofinterruptionsinapediatricsubspecialtyoutpatientclinic AT henryclin reviewofinterruptionsinapediatricsubspecialtyoutpatientclinic
_version_	1718375117313015808

Review of interruptions in a pediatric subspecialty outpatient clinic.

Ejemplares similares