Work Hour Reductions, Medical Errors, and Intern Well-Being at Providence St. Vincent Medical Center Intensive Care Unit

NCT00996320 | Completed

• 1 other identifier: IRB 08-74B
• Study Type: interventional
• Target: 22
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Sleep Deprivation; Depression

Keywords

Internship and Residency; Medical Errors; Burnout, Professional; Burnout; Depression; Actigraphy; Personnel Staffing and Scheduling; Sleep Deprivation; Workload; Humans; Adult; Male; Female; Intensive Care Units; Prospective Studies; Crossover Studies; Work Schedule Tolerance; Disorders of Excessive Somnolence; Guideline Adherence; Internal Medicine Education

Outcome Measures

Primary Outcomes (1)

• Multiple Sleep Latency Test

  Measured once a month for each intern while on ICU rotation, at least 14 days into the scheduled 28 day cycle

Secondary Outcomes (5)

• 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

Study Arms (2)

Intervention Schedule

EXPERIMENTAL

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

Traditional Schedule

NO INTERVENTION

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.

Interventions

Reduced work hour schedule OTHER

Interns on the intervention schedule work an average of 60 hours per week over 4 weeks, with maximum shift length 16 hours.

Intervention Schedule

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Interns rotating at Providence St. Vincent Medical Center ICU

You may not qualify if:

• Diagnosis of narcolepsy

Sponsors & Collaborators

• Providence Health & Services: lead
• Providence St. Vincent Department of Medicine: collaborator
• Providence Center for Outcomes Research and Education: collaborator

Study Sites (1)

Providence St. Vincent Medical Center Intensive Care Unit

Portland, Oregon, 97225, United States

Location

MeSH Terms

Conditions

Sleep Deprivation; Depression; Burnout, Professional; Burnout, Psychological; Disorders of Excessive Somnolence

Condition Hierarchy (Ancestors)

Dyssomnias; Sleep Wake Disorders; Nervous System Diseases; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Mental Disorders; Behavioral Symptoms; Behavior; Occupational Stress; Occupational Diseases; Stress, Psychological; Sleep Disorders, Intrinsic

Study Officials

• Michelle L Schoepflin Sanders, MD

  Providence St. Vincent Medical Center

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: PREVENTION
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: August 28, 2009
• First Posted: October 16, 2009
• Study Start: June 1, 2008
• Primary Completion: June 1, 2009
• Study Completion: June 1, 2009
• Last Updated: October 16, 2009

Record last verified: 2009-10

Locations

US (1)