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Article
September 1927

HUMAN FACTORS IN CLINIC MANAGEMENT: A STUDY MADE IN THE SURGICAL AND FRACTURE CLINICS OF THE OUTPATIENT DEPARTMENT OF PRESBYTERIAN HOSPITAL

Arch Surg. 1927;15(3):443-477. doi:10.1001/archsurg.1927.01130210128008
Abstract

FOREWORD  The study of the management of patients in minor surgical care, made in the outpatient department of the Presbyterian Hospital with the cooperation of the Committee on Dispensary Development, illustrates a valuable method for the investigation of the problems of clinic management. It presents, on a statistical basis, certain known faults, considered of minor importance and more or less inevitable with the ever-changing staff of a teaching clinic. The frequency of their occurrence and the amount of harm that they cause had not been realized.The study shows the degree of disorganization and delay due to teaching as practiced simultaneously with treatment. We have therefore increased the number of surgeons on duty and thus freed the instructor from responsibility for the treatment of patients during the period of teaching. At the same time it was discovered that it was unsafe to assign responsibility to interns, and they are now

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