title: Resident Workflow and Psychiatric Emergency Consultation: Identifying Factors for Quality Improvement in a Training Environment.
abstract: OBJECTIVE
  Quality improvement to optimize workflow has the potential to mitigate resident burnout and enhance patient care. This study applied mixed methods to identify factors that enhance or impede workflow for residents performing emergency psychiatric consultations.
  
  
  METHODS
  The study population consisted of all psychiatry program residents (55 eligible, 42 participating) at the Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles. The authors developed a survey through iterative piloting, surveyed all residents, and then conducted a focus group. The survey included elements hypothesized to enhance or impede workflow, and measures pertaining to self-rated efficiency and stress. Distributional and bivariate analyses were performed. Survey findings were clarified in focus group discussion.
  
  
  RESULTS
  This study identified several factors subjectively associated with enhanced or impeded workflow, including difficulty with documentation, the value of personal organization systems, and struggles to communicate with patients' families.
  
  
  CONCLUSIONS
  Implications for resident education are discussed.
authors.affiliation: University of California, Los Angeles, CA, USA. trblair@mednet.ucla.edu.
authors.forename: Thomas
authors.identifier: http://orcid.org/0000-0003-4250-3784
authors.initials: T
authors.lastname: Blair
authors.affiliation: University of California, Los Angeles, CA, USA.
authors.forename: Zev
authors.initials: Z
authors.lastname: Wiener
authors.affiliation: University of California, Los Angeles, CA, USA.
authors.forename: Ariel
authors.initials: A
authors.lastname: Seroussi
authors.affiliation: University of California, Los Angeles, CA, USA.
authors.forename: Lingqi
authors.initials: L
authors.lastname: Tang
authors.affiliation: University of California, Los Angeles, CA, USA.
authors.forename: Jennifer
authors.initials: J
authors.lastname: O'Hora
authors.affiliation: University of California, Los Angeles, CA, USA.
authors.forename: Erick
authors.initials: E
authors.lastname: Cheung
mesh_terms: D000328:Adult; D004637:Emergency Services, Psychiatric / Q000458:organization & administration / Q000592:standards*; D005260:Female; D006801:Humans; D007396:Internship and Residency / Q000458:organization & administration / Q000592:standards*; D008297:Male; D011570:Psychiatry / Q000193:education*; D058996:Quality Improvement / Q000458:organization & administration / Q000592:standards*; D057188:Workflow
keywords: Emergency psychiatry; Night call; Quality improvement; Resident education