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Ergonomics & Human factors 2018

Archives of Medicine

ISSN: 1989-5216

Page 42

July 26-27, 2018

Rome, Italy



Edition of International Conference on

Ergonomics &

Human Factors


The Transfer of Tasks (TofT) initiative, an industrial

relations agreement, involves the transfer of phlebotomy and

cannulation tasks from non-consultant hospital doctors (NCHDs)

to nurses in acute Irish hospitals. It aims to facilitate timely,

effective patient interventions. This national strategy was first

enacted in 2016. St. James’s Hospital, Dublin instigated the

process in May 2017 with a local implementation team delivering

standardized training. We conducted a study to determine the

impact of nurse training on NCHD task workload.


A prospective study gathered data on the number of

phlebotomy and cannulation tasks per hospital ward performed

by NCHDs over a three-week period from March 5


to March 25


2018. Average times per task were obtained using observational

methods. Point prevalence analysis of nurse training rates was

performed at the end of data collection. Indices related to ward-

based nursing work demands were obtained concurrently. Wards

not involved in the TofT initiative were excluded.


Eighteen wards were included in the study. 464

phlebotomy and 326 cannulation tasks were performed by

NCHDs (n=42) over a three-week period. Average times per

task were 10 minutes and 15 seconds (SD 5 minutes and 51

seconds) per phlebotomy task and 11 minutes and 8 seconds

(SD 3 minutes and 11 seconds) per cannulation task respectively.

Nursing training rates did not consistently correlate with number

of tasks performed by NCHDs. Reduced ward-based nursing work

demands were not significantly associated with a reduction in

tasks performed by NCHDs.


In spite of intensive training, organizational

management oversight and a standardized national initiative,

nursing training ratesarenot consistently inversely correlatedwith

the number of tasks performed by NCHDs. Human factors like

interpersonal relationships, attitudes towards task reallocation

and job-design factors may impact upon the implementation of


Recent Publications

1. Transfer of Tasks from NCHDs to Nurses [Internet].

2016 [cited 24 April 2018]. Available



2. Lansdowne Road Agreement (LRA) Q&A on Transfer

of Tasks [Internet].

. 2016 [cited 24

April 2018]. Available from:



3. Faller E et al. (2016) Immune thrombocytopenia

purpura associated with multiple myeloma. Annals of

Hematology. 95(8):1371-1372.


Lucy Chapman was elected a Scholar in Medicine of Trinity College Dublin,

Republic of Ireland in 2010 and subsequently graduated in 2013 in the 93


centile. She is pursuing aMasters in Health Informatics inMedicine of Trinity

College and has a keen interest in quality improvement in healthcare. Cur-

rently, she is a Physician Lead on the implementation of an electronic med-

ical record at St. James’s Hospital and is pursuing future specialist medical

training in the area of geriatric medicine


[email protected]

Transfer of tasks: the impact of human factors on medical

task reallocation

Lucy Chapman


, Domhnall McGlacken Byrne



Emily Tone



St. James’s Hospital, Republic of Ireland


Trinity College Dublin, Republic of Ireland

Lucy Chapman et al., Arch Med 2018, Volume 10

DOI: 10.21767/1989-5216-C1-002