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

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          Abstract

          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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          Most cited references11

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          Pratical statistics for medical reseach

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            Arbeitspsychologie

            E Ulich (2005)
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              Technological innovations in data collection: acceptance, data quality, and costs

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                Author and article information

                Journal
                J Occup Med Toxicol
                Journal of Occupational Medicine and Toxicology (London, England)
                BioMed Central
                1745-6673
                2008
                18 December 2008
                : 3
                : 35
                Affiliations
                [1 ]Institute of Occupational Medicine, Charité – Universitätsmedizin Berlin, Free University and Humboldt University, Thielallee 69-73, 14195 Berlin, Germany
                [2 ]Department of Respiratory Medicine, Hannover Medical School, Carl-Neuberg-Straße 1, 30625 Hannover, Germany
                [3 ]Department of Medicine/Psychosomatics, Charité – Universitätsmedizin Berlin, Free University and Humboldt University, Luisenstrasse 13a, 10117 Berlin, Germany
                [4 ]The Federal Institute for Occupational Safety and Health, Nöldnerstr. 40-42, 10317 Berlin, Germany
                [5 ]City Hospital Emil von Behring/Lungenklinik Heckeshorn, Walterhöferstrasse 11, 14165 Berlin, Germany
                [6 ]Institution for Statutory Accident Insurance in the Health and Welfare Services, Pappelallee 35/37, 22089 Hamburg, Germany
                Article
                1745-6673-3-35
                10.1186/1745-6673-3-35
                2628342
                19094213
                dec29689-6718-4e3e-b888-4806b795b631
                Copyright © 2008 Mache et al; licensee BioMed Central Ltd.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 14 November 2008
                : 18 December 2008
                Categories
                Methodology

                Occupational & Environmental medicine
                Occupational & Environmental medicine

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