Use of a Real-Time Locating System to Assess Internal Medicine Resident Location and Movement in the Hospital

Three Missed Critical Nursing Care Processes on Labor and Delivery Units During the COVID-19 Pandemic

“…Novel methods to more accurately measure the amount of time a nurse spends at the bedside are necessary for future research on missed perinatal nursing care. For example, real-time locating systems may offer an opportunity to capture workflows ( Rosen et al., 2022 )…”

Real-Time Location Systems for Quality Improvement: Promises, Challenges, and Recommendations

“…RTLS data have revealed important individual differences in how residents spend time at the bedside and differences across services. 3 Although we currently do not have a detailed understanding of why or how individuals and services could change their practices to improve, we are engaging residents and physicians using RTLS data visualizations to facilitate…”

“…However, residents spend very little of their time with patients. RTLS data have revealed important individual differences in how residents spend time at the bedside and differences across services 3. Although we currently do not have a detailed understanding of why or how individuals and services could change their practices to improve, we are engaging residents and physicians using RTLS data visualizations to facilitate discussions about what would have to happen for time at the bedside to play a more prominent role in resident learning.…”

Improving Health Care Quality Measurement to Combat Clinician Burnout

“…Although the causes are multifactorial, administrative burdens from poorly designed systems and ineffective regulatory policies are central to clinician frustration, with time-motion studies demonstrating that physicians now spend less than 15% of their day in direct patient contact. 2 Representing most US physicians, employed physicians face an externalization of the locus of control over the clinical practice environment and loss of autonomy. In this Viewpoint, we explore a critical source of administrative burden and physician frustration, the explosive growth of health care quality metrics, and how improving these metrics could combat clinician burnout.…”

“…Burnout decreases quality of care through effects on patient safety and satisfaction, physician turnover, and reduced productivity. Although the causes are multifactorial, administrative burdens from poorly designed systems and ineffective regulatory policies are central to clinician frustration, with time-motion studies demonstrating that physicians now spend less than 15% of their day in direct patient contact . Representing most US physicians, employed physicians face an externalization of the locus of control over the clinical practice environment and loss of autonomy.…”