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Completed

NCT Number: NCT00996320

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

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.

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Key information

Conditions

Sleep Deprivation Behavior Behavioral Symptoms Burnout, Professional Burnout, Psychological Depression Disorders of Excessive Somnolence Dyssomnias Mental Disorders Nervous System Diseases Neurologic Manifestations Occupational Diseases Occupational Stress Pathological Conditions, Signs and Symptoms Signs and Symptoms Sleep Disorders, Intrinsic Sleep Wake Disorders Stress, Psychological

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Providence St. Vincent Medical Center Intensive Care Unit

Portland, Oregon, 97225, United States

About this study

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.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Interns rotating at Providence St. Vincent Medical Center ICU

Exclusion criteria

  • Diagnosis of narcolepsy

Treatment and study plan

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.

Primary outcomes

  1. 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

Secondary outcomes

  1. Hours slept per night measured by actigraphy

    Time frame: Daily

  2. Pharmaceutical order error rate

    Time frame: Daily

  3. 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

  4. 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

  5. Hours worked per shift on the traditional and intervention schedules

    Time frame: Daily

Sponsors and collaborators

Lead sponsor

Providence Health & Services

Other

Collaborators

  • Providence Center for Outcomes Research and Education
  • Providence St. Vincent Department of Medicine

Registry information

Official study title

Effect of Reducing ICU Interns' Work Hours on Sleep, Intern Well-Being, and Medical Errors

Important dates

Study start
2008
Primary completion
2009
Study completion
2009
First posted
Oct 16, 2009
Registry last updated
Oct 16, 2009

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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