Development and evaluation of a computer-based medical work assessment programme

Background: There are several ways to conduct a job task analysis in medical work environments including pencil-paper observations, interviews and questionnaires. However these methods implicate bias problems such as hig
Background: There are several ways to conduct a job task analysis in medical work environments including pencil-paper observations, interviews and questionnaires. However these methods implicate bias problems such as high inter-individual deviations and risks of misjudgement. Computer-based observation helps to reduce these problems. The aim of this paper is to give an overview of the development process of a computer-based job task analysis instrument for real-time observations to quantify the job tasks performed by physicians working in different medical settings. In addition reliability and validity data of this instrument will be demonstrated.

Methods: This instrument was developed in consequential steps. First, lists comprising tasks performed by physicians in different care settings were classified. Afterwards content validity of task lists was proved. After establishing the final task categories, computer software was programmed and implemented in a mobile personal computer. At least inter-observer reliability was evaluated. Two trained observers recorded simultaneously tasks of the same physician.

Results: Content validity of the task lists was confirmed by observations and experienced specialists of each medical area. Development process of the job task analysis instrument was completed successfully. Simultaneous records showed adequate interrater reliability.

Conclusion: Initial results of this analysis supported the validity and reliability of this developed method for assessing physicians' working routines as well as organizational context factors. Based on results using this method, possible improvements for health professionals' work organisation can be identified.
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Metadaten
Author:Stefanie Mache, Cristian Scutaru, Karin Vitzthum, Alexander Gerber, David Quarcoo, Tobias Welte, Torsten T. Bauer, Michael Spallek, Andreas Seidler, Albert Nienhaus, Burghard F. Klapp, Jan David Alexander Groneberg
URN:urn:nbn:de:hebis:30:3-258959
DOI:http://dx.doi.org/10.1186/1745-6673-3-35
ISSN:1745-6673
Pubmed Id:http://www.ncbi.nlm.nih.gov/pubmed?term=19094213
Parent Title (English):Journal of occupational medicine and toxicology
Publisher:BioMed Central
Place of publication:London
Document Type:Article
Language:English
Date of Publication (online):2008/12/18
Date of first Publication:2008/12/18
Publishing Institution:Univ.-Bibliothek Frankfurt am Main
Release Date:2012/08/31
Volume:3
Issue:3:35
Pagenumber:5
First Page:1
Last Page:5
Institutes:Medizin
Dewey Decimal Classification:610 Medizin und Gesundheit
Sammlungen:Universitätspublikationen
Licence (German):License LogoCreative Commons - Namensnennung 2.0

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