Exploring the Relationship between Location and Behaviour in Out of Hours Hospital Care

  • Michael Brown
  • James Pinchin
  • Jesse Blum
  • Sarah Sharples
  • Dominic Shaw
  • Gemma Housley
  • Sam Howard
  • Susan Jackson
  • Martin Flintham
  • Kelly Benning
  • John Blakey
Part of the Communications in Computer and Information Science book series (CCIS, volume 435)

Abstract

‘Out of Hours’ (OoH) hospital care involves a small number of doctors covering a very large number of patients. These doctors are working in stressful environments, performing complex tasks and making difficult task prioritisation decisions, yet little data exists to aid in improving the working practices or to ensure junior doctors are adequately prepared for OoH working. Historically, this has been owing to complex and expensive processes to capture this data; however recent advances in indoor positioning technologies has the potential to automate and improve the capture and availability of data that may help alleviate the burden of OoH care on at a personal and hospital level. This paper describes our work to combine cutting edge indoor positioning technologies from OoH working with and a newly deployed in-ward electronic tasking system. Here we describe data collection via traditional methods, clinical tasking systems, and indoor positioning solutions. We further describe our understanding from such data of the effect of physical layout and current working practices on task completion and time spent in transit, which ultimately may inform improvements to working practice within OoH care. Finally we discuss potential relevance to other work domains.

Keywords

Human Factors Indoor Positioning Out of Hours Task Prioritisation Clinical 

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References

  1. 1.
    Adams, A.S., Soumerai, S.B., Lomas, J., Ross-Degnan, D.: Evidence of self-report bias in assessing adherence to guidelines. International Journal for Quality in Health Care 11(3), 187–192 (1999)CrossRefGoogle Scholar
  2. 2.
    Blakey, J.D., Fearn, A., Shaw, D.E.: What drives the ‘August effect’? A observational study of the effect of junior doctor changeover on out of hours work. JRSM Short Reports 4(8), 2042533313489823 (2013)Google Scholar
  3. 3.
    Blakey, J.D., Guy, D., Simpson, C., Fearn, A., Cannaby, S., Wilson, P., Shaw, D.: Multimodal observational assessment of quality and productivity benefits from the implementation of wireless technology for out of hours working. BMJ Open 2(2) (2012)Google Scholar
  4. 4.
    Brown, M., Pinchin, J.: Exploring Human Factors in Indoor Navigation. In: The European Navigation Conference 2013, Vienna, Austria (2013)Google Scholar
  5. 5.
    Brown, M., Pinchin, J., Hide, C.: Opening Indoors: The Advent of Indoor Positioning. In: Contemporary Ergonomics and Human Factors. CRC Press, London (2013)Google Scholar
  6. 6.
    Brown, M., Syrysko, P., Sharples, S., Shaw, D., Le Jeune, I., Fioratou, E., Blakey, J.: Developing a Simulator to Help Junior Doctors Deal with Night Shifts. In: Contemporary Ergonomics and Human Factors. CRC Press, London (2013)Google Scholar
  7. 7.
    Charmaz, K., Olesen, V.: Ethnographic research in medical sociology its foci and distinctive contributions. Sociological Methods & Research 25(4), 452–494 (1997)CrossRefGoogle Scholar
  8. 8.
    Mintzberg, H.: Structured observation as a method to study managerial work. Journal of Management Studies 7(1), 87–104 (1970)CrossRefGoogle Scholar
  9. 9.
    Pinchin, J., Brown, M., Blum, J., Shaw, D., Blakey, J.: 2014 IEEE/ION Position, Location and Navigation Symposium (2014)Google Scholar
  10. 10.
    Pinchin, J., Brown, M., Flintham, M., Sharples, S., Shaw, D., Housley, G., Blakey, J.: Location Analysis for Hospital Doctors Working Out of Hours. In: Proceeding of the 2013 Digital Economy Conference, Salford, UK (2013)Google Scholar
  11. 11.
    Pinchin, J., Hide, C., Moore, T.: A particle filter approach to indoor navigation using a foot mounted inertial navigation system and heuristic heading information. In: International Conference on Indoor Positioning and Indoor Navigation, IPIN (2012)Google Scholar
  12. 12.
    The Royal College of Physicians. Hospitals on the edge? The time for Action. The Royal College of Physicians, London (2012)Google Scholar

Copyright information

© Springer International Publishing Switzerland 2014

Authors and Affiliations

  • Michael Brown
    • 1
  • James Pinchin
    • 1
  • Jesse Blum
    • 1
  • Sarah Sharples
    • 1
  • Dominic Shaw
    • 1
  • Gemma Housley
    • 1
  • Sam Howard
    • 1
  • Susan Jackson
    • 1
  • Martin Flintham
    • 1
  • Kelly Benning
    • 1
  • John Blakey
    • 1
  1. 1.Horizon Digital Economy ResearchUniversity of NottinghamNottinghamUK

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