Effect of Reducing ICU Interns' Work Hours on Sleep, Intern Well-Being, and Medical Errors
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 22
- 试验地点
- 2
- 主要终点
- Multiple Sleep Latency Test
研究概览
简要总结
The purpose of this study is to determine whether reducing intern work hours and eliminating extended shifts in the intensive care unit will reduce prescribing errors and improve intern well-being.
详细描述
Each intern enrolled will complete three 4-week rotations in the intensive care unit (ICU) at Providence St. Vincent Medical Center. Each intern will complete at least one traditional schedule and one intervention schedule. The traditional schedule consists of an 80-hour work week with overnight call every third night. The longest shift on the traditional schedule is 30 hours. The intervention schedule consists of a 60-hour work week which eliminates overnight call by assigning a variety of shifts ranging from 8 to 16 hours in length.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Prevention
- 盲法
- Single (Outcomes Assessor)
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Interns rotating at Providence St. Vincent Medical Center ICU
排除标准
- •Diagnosis of narcolepsy
结局指标
主要结局
Multiple Sleep Latency Test
时间窗: Measured once a month for each intern while on ICU rotation, at least 14 days into the scheduled 28 day cycle
次要结局
- Hours slept per night measured by actigraphy(Daily)
- Pharmaceutical order error rate(Daily)
- Burnout measured by Maslach Burnout Inventory(Measured once per month for each intern while on ICU rotation, at least 14 days into the 28 day rotation)
- Beck Depression Inventory, Second Edition (BDI-II)(Measured once per month for each intern while on ICU rotation, at least 14 days into the 28 day rotation)
- Hours worked per shift on the traditional and intervention schedules(Daily)