Assessing the Impact of a Change to the Work Schedule of Resident Physicians: a Mixed Methods Study

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-07-31

Study Completion Date

2012-06-30

Brief Summary

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The purpose of this study is to determine the impact of eliminating traditional resident work shifts (i.e. greater than 24 hours in length) on patient safety and resident educational outcomes. In addition, the investigators will explore with key stakeholders (patients and their families, nurses, resident physicians and attending physicians) their experiences when residents are undertaking shifts greater than 24 hours in length as compared to 16 hours or less.

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Detailed Description

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Conditions

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Patient Safety Resident Work Hours

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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Traditional work schedule

Residents in the intensive care unit perform overnight shifts in excess of 24 hrs every fourth night

Group Type NO_INTERVENTION

No interventions assigned to this group

Intervention work schedule

Residents in the Intensive Care Unit perform shifts less than 16 hours in length and have at least 8 hours off between shifts

Group Type ACTIVE_COMPARATOR

Intervention work shift

Intervention Type BEHAVIORAL

Shiftwork schedule with elimination of shifts greater than 16 hours in length and at least 8 hours off between shifts for all residents in the Intensive Care Unit

Interventions

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Intervention work shift

Shiftwork schedule with elimination of shifts greater than 16 hours in length and at least 8 hours off between shifts for all residents in the Intensive Care Unit

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Residents completing Intensive Care Unit rotations
* For focus groups and interviews, patients and families members admitted during the study period and nurses and attending physicians working during the study period