J Biomed Inform - Time motion studies in healthcare: what are we talking about?

Tópicos

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Resumo

Time motion studies were first described in the early 20th century in industrial engineering, referring to a quantitative data collection method where an external observer captured detailed data on the duration and movements required to accomplish a specific task, coupled with an analysis focused on improving efficiency. Since then, they have been broadly adopted by biomedical researchers and have become a focus of attention due to the current interest in clinical workflow related factors. However, attempts to aggregate results from these studies have been difficult, resulting from a significant variability in the implementation and reporting of methods. While efforts have been made to standardize the reporting of such data and findings, a lack of common understanding on what "time motion studies" are remains, which not only hinders reviews, but could also partially explain the methodological variability in the domain literature (duration of the observations, number of tasks, multitasking, training rigor and reliability assessments) caused by an attempt to cluster dissimilar sub-techniques. A crucial milestone towards the standardization and validation of time motion studies corresponds to a common understanding, accompanied by a proper recognition of the distinct techniques it encompasses. Towards this goal, we conducted a review of the literature aiming at identifying what is being referred to as "time motion studies". We provide a detailed description of the distinct methods used in articles referenced or classified as "time motion studies", and conclude that currently it is used not only to define the original technique, but also to describe a broad spectrum of studies whose only common factor is the capture and/or analysis of the duration of one or more events. To maintain alignment with the existing broad scope of the term, we propose a disambiguation approach by preserving the expanded conception, while recommending the use of a specific qualifier "continuous observation time motion studies" to refer to variations of the original method (the use of an external observer recording data continuously). In addition, we present a more granular naming for sub-techniques within continuous observation time motion studies, expecting to reduce the methodological variability within each sub-technique and facilitate future results aggregation.

Resumo Limpo

time motion studi first describ earli th centuri industri engin refer quantit data collect method extern observ captur detail data durat movement requir accomplish specif task coupl analysi focus improv effici sinc broad adopt biomed research becom focus attent due current interest clinic workflow relat factor howev attempt aggreg result studi difficult result signific variabl implement report method effort made standard report data find lack common understand time motion studi remain hinder review also partial explain methodolog variabl domain literatur durat observ number task multitask train rigor reliabl assess caus attempt cluster dissimilar subtechniqu crucial mileston toward standard valid time motion studi correspond common understand accompani proper recognit distinct techniqu encompass toward goal conduct review literatur aim identifi refer time motion studi provid detail descript distinct method use articl referenc classifi time motion studi conclud current use defin origin techniqu also describ broad spectrum studi whose common factor captur andor analysi durat one event maintain align exist broad scope term propos disambigu approach preserv expand concept recommend use specif qualifi continu observ time motion studi refer variat origin method use extern observ record data continu addit present granular name subtechniqu within continu observ time motion studi expect reduc methodolog variabl within subtechniqu facilit futur result aggreg

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