In the 2001 report, Crossing the Quality Chasm: A New Health System for the 21st Century, the Institute of Medicine (IOM) describes “the prevailing model of health care delivery
[as] complicated, comprising layers of processes and handoffs that patients and families
find bewildering and clinicians view as wasteful . . . and fail[ing] to build on the
strengths of all health professionals involved to ensure that care is timely, safe,
and appropriate.”
1
The IOM described 6 aims for improvement: safety, effectiveness, patient-centeredness,
timeliness, efficiency, and equality in patient care. With this in mind, this competency
for organizing and prioritizing responsibilities to provide patient care that is safe,
effective, and efficient finds important relationships with several other competencies
in all competency domains. Given the broad and deep relationships to other competencies
that address the provision of patient care that is safe, effective, and efficient
(second half of the current competency), this competency will focus on the skills
needed for organization and prioritization of this care (first half of the current
competency) from the perspective of how these skills can lead to care that is safe,
effective, and efficient.To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Academic PediatricsAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Crossing the Quality Chasm: A New Health System for the 21st Century.National Academies Press, Washington, DC2001
- The Seven Habits of Highly Effective People.Simon & Schuster, New York, NY1989
- Interrupted care: the effects of paging on pediatric resident activities.Am J Dis Child. 1992; 146: 806-808
- Implementation and evaluation of an alphanumeric paging system on a resident inpatient teaching service.J Hosp Med. 2009; 4: E34-E40
- How hospitalists spend their time: insights on efficiency and safety.J Hosp Med. 2006; 1: 88-93
- The multitasking clinician: decision-making and cognitive demand during and after team handoffs in emergency care.Int J Med Inform. 2007; 76: 801-811
- Emergency department workplace interruptions: are emergency physicians “interrupt-driven” and “multitasking”?.Acad Emerg Med. 2000; 7: 1239-1243
- An assessment of emergency medicine residents' ability to perform in a multitasking environment.Acad Med. 2009; 84: 1289-1294
- Work interrupted: a comparison of workplace interruptions on emergency department and primary care offices.Ann Emerg Med. 2001; 38: 146-151
- Interruptions in a level one trauma center: a case study.Int J Med Inform. 2008; 77: 235-241
- Timespace in the workplace: dealing with interruptions.in: Proceedings of the Conference in Human Factors on Computing Systems. Association for Computing Machinery, New York, NY1995
Article Info
Identification
Copyright
© 2014 American Board of Pediatrics and Accreditation Council for Graduate Medical Association. Published by Elsevier Inc. All rights reserved.
