Work Hour Reductions, Medical Errors, and Intern Well-Being at Providence St. Vincent Medical Center Intensive Care Unit
This study has been completed.
Sponsor:
Providence Health & Services
Collaborators:
Providence St. Vincent Department of Medicine
Providence Center for Outcomes Research and Education
Information provided by:
Providence Health & Services
ClinicalTrials.gov Identifier:
NCT00996320
First received: August 28, 2009
Last updated: October 15, 2009
Last verified: October 2009
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Purpose
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.
| Condition | Intervention |
|---|---|
|
Sleep Deprivation Depression |
Other: Reduced work hour schedule |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Crossover Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Prevention |
| Official Title: | Effect of Reducing ICU Interns' Work Hours on Sleep, Intern Well-Being, and Medical Errors |
Resource links provided by NLM:
Further study details as provided by Providence Health & Services:
Primary Outcome Measures:
- Multiple Sleep Latency Test [ Time Frame: Measured once a month for each intern while on ICU rotation, at least 14 days into the scheduled 28 day cycle ] [ Designated as safety issue: No ]
Secondary Outcome Measures:
- Hours slept per night measured by actigraphy [ Time Frame: Daily ] [ Designated as safety issue: No ]
- Pharmaceutical order error rate [ Time Frame: Daily ] [ Designated as safety issue: No ]
- Burnout measured by Maslach Burnout Inventory [ Time Frame: Measured once per month for each intern while on ICU rotation, at least 14 days into the 28 day rotation ] [ Designated as safety issue: No ]
- Beck Depression Inventory, Second Edition (BDI-II) [ Time Frame: Measured once per month for each intern while on ICU rotation, at least 14 days into the 28 day rotation ] [ Designated as safety issue: No ]
- Hours worked per shift on the traditional and intervention schedules [ Time Frame: Daily ] [ Designated as safety issue: No ]
| Enrollment: | 22 |
| Study Start Date: | June 2008 |
| Study Completion Date: | June 2009 |
| Primary Completion Date: | June 2009 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Intervention Schedule
Interns on the intervention schedule work the a modified ICU schedule averaging about 60 hours per week over 4 weeks, with maximum scheduled shift length 16 hours.
|
Other: Reduced work hour schedule
Interns on the intervention schedule work an average of 60 hours per week over 4 weeks, with maximum shift length 16 hours.
|
|
No Intervention: Traditional Schedule
Interns on the traditional schedule work the usual ICU schedule averaging about 80 hours per week over 4 weeks, with maximum shift length 30 hours.
|
Detailed Description:
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.
Eligibility| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Criteria
Inclusion Criteria:
- Interns rotating at Providence St. Vincent Medical Center ICU
Exclusion Criteria:
- Diagnosis of narcolepsy
Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00996320
Locations
| United States, Oregon | |
| Providence St. Vincent Medical Center Intensive Care Unit | |
| Portland, Oregon, United States, 97225 | |
Sponsors and Collaborators
Providence Health & Services
Providence St. Vincent Department of Medicine
Providence Center for Outcomes Research and Education
Investigators
| Principal Investigator: | Michelle L Schoepflin Sanders, MD | Providence St. Vincent Medical Center |
More Information
No publications provided
| Responsible Party: | Michelle Schoepflin Sanders MD, Providence St. Vincent Department of Medicine |
| ClinicalTrials.gov Identifier: | NCT00996320 History of Changes |
| Other Study ID Numbers: | IRB 08-74B |
| Study First Received: | August 28, 2009 |
| Last Updated: | October 15, 2009 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Providence Health & Services:
|
Sleep Deprivation Internship and Residency Medical Errors Burnout, Professional Burnout Depression Actigraphy Personnel Staffing and Scheduling Workload Humans |
Adult Male Female Intensive Care Units Prospective Studies Crossover Studies Work Schedule Tolerance Disorders of Excessive Somnolence Guideline Adherence Internal Medicine Education |
Additional relevant MeSH terms:
|
Sleep Deprivation Depression Depressive Disorder Behavioral Symptoms Mood Disorders Mental Disorders |
Dyssomnias Sleep Disorders Nervous System Diseases Neurologic Manifestations Signs and Symptoms |
ClinicalTrials.gov processed this record on June 17, 2013