Online-Ressource | |
Titel: | Maximizing time from the constraining European Working Time Directive (EWTD) |
Titelzusatz: | the Heidelberg New Working Time Model |
Mitwirkende: | Schimmack, Simon |
Hinz, Ulf | |
Wagner, Andreas H. | |
Schmidt, Thomas | |
Strothmann, Hendrik | |
Büchler, Markus W. | |
Schmitz-Winnenthal, Friedrich Hubertus | |
Verf.angabe: | Simon Schimmack, Ulf Hinz, Andreas Wagner, Thomas Schmidt, Hendrik Strothmann, Markus W. Büchler and Hubertus Schmitz-Winnenthal |
Jahr: | 2014 |
Umfang: | 10 S. |
Illustrationen: | graph. Darst. |
Titel Quelle: | In: Health economics review |
Ort Quelle: | Heidelberg : Springer, 2011 |
Jahr Quelle: | 2014 |
Band/Heft Quelle: | 4(2014), Artikel-ID 14, Seite 1-10 |
ISSN Quelle: | 2191-1991 |
Abstract: | Background: The introduction of the European Working Time Directive (EWTD) has greatly reduced training hours of surgical residents, which translates into 30% less surgical and clinical experience. Such a dramatic drop in attendance has serious implications such compromised quality of medical care. As the surgical department of the University of Heidelberg, our goal was to establish a model that was compliant with the EWTD while avoiding reduction in quality of patient care and surgical training. Methods: We first performed workload analyses and performance statistics for all working areas of our department (operation theater, emergency room, specialized consultations, surgical wards and on-call duties) using personal interviews, time cards, medical documentation software as well as data of the financial- and personnel-controlling sector of our administration. Using that information, we specifically designed an EWTD-compatible work model and implemented it. Results: Surgical wards and operating rooms (ORs) were not compliant with the EWTD. Between 5 pm and 8 pm, three ORs were still operating two-thirds of the time. By creating an extended work shift (7:30 am-7:30 pm), we effectively reduced the workload to less than 49% from 4 pm and 8 am, allowing the combination of an eight-hour working day with a 16-hour on call duty; thus, maximizing surgical resident training and ensuring patient continuity of care while maintaining EDTW guidelines. Conclusion: A precise workload analysis is the key to success. The Heidelberg New Working Time Model provides a legal model, which, by avoiding rotating work shifts, assures quality of patient care and surgical training. |
DOI: | doi:10.1186/s13561-014-0014-6 |
URL: | Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt. Volltext ; Verlag: http://dx.doi.org/10.1186/s13561-014-0014-6 |
Volltext: http://link.springer.com/content/pdf/10.1186/s13561-014-0014-6.pdf | |
DOI: https://doi.org/10.1186/s13561-014-0014-6 | |
10419/150454 | |
Datenträger: | Online-Ressource |
Sprache: | eng |
K10plus-PPN: | 826334784 |
Verknüpfungen: | → Zeitschrift |