National Healthcare Quality and Disparities Report
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
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1 to 1 of 1 Research Studies DisplayedBatt RJ, Kc DS, Stats BR
The effects of discrete work shifts on a nonterminating service system.
The authors showed that in emergency departments (EDs), the patients’ rate of service completion varies over the course of the physician shift. Furthermore, patients that have experienced a physician handoff have a higher rate of service completion than non-handed-off patients. The authors also demonstrated that patients that have been handed off are more likely to revisit the ED within three days, which suggests that patient handoffs lower clinical quality. Finally, the authors used simulation to demonstrate that shift length and new‐patient cutoff rules can be used to reduce handoffs, but at the expense of system throughput.
AHRQ-funded; HS024558.
Citation: Batt RJ, Kc DS, Stats BR .
The effects of discrete work shifts on a nonterminating service system.
Prod Oper Manag 2019 Jun;28(6):1528-44. doi: 10.1111/poms.12999..
Keywords: Emergency Department, Healthcare Delivery, Quality of Care, Workflow