Even the Stretchiest Rubber Bands Will Snap

The increased pressures for efficiency, coupled with administrative creep and burdensome electronic health records are strongly association with burnout. What can leaders in radiology to do? First, stop stretching your workers to their breaking point. In a New York Times Op ed physician-writer Danielle Ofri characterizes the relentless escalation of demands on physicians and nurses untenable. There are many sources of the escalation of demands, but she pins a significant proportion of distress on the electronic health record which requires “mind numbing and voluminous” data entry by  healthcare providers working within systems that have not increased administrative supports, but instead exploit the ethics of health care providers whose time is treated as infinitely elastic. Adding reading room coordinators and physician extenders are just two examples of resources that, in the spirit of Lillian Gilbreth, focus on addressing sources of fatigue for radiology teams. Even better would be designing informatics solutions that take into account the experience of the user, including the impact of on human relationships. Reducing interruptions,distributing the workload, and preserving the essential relationship architecture of jobs which are increasingly dehumanized are good places for any radiology department to start. Without a doubt, even the best rubber bands eventually snap.

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