Implementation of a resident night float system in a surgery department in Korea for 6 months: electronic medical record-based big data analysis and medical staff survey

Yu, Hyeong Won; Choi, June Young; Park, Young Suk; Park, Hyung Sub; Choi, Young Rok; Ahn, Sang Hoon; Kang, Eunyoung; Oh, Heung‐Kwon; Kim, Eun Kyu; Cho, Jai Young; Kim, Duck Woo; Park, Do Joong; Yoon, Yoo Seok; Kang, Sung Bum; Kim, Hyung‐Ho; Han, Ho Seong; Lee, Taeseung

doi:10.4174/astr.2019.96.5.209

Cited by 11 publications

(26 citation statements)

References 19 publications

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“…Also, there were some doubts that the NF system may reduce the quality of residents' education [8] as well as the education opportunities due to decrease interactions and conferences during the NF system [17]. We found that education experiences and opportunities to learn procedures among pediatrics residents were in favor of the NF shifts.…”

Section: Discussion and Literature Reviewmentioning

confidence: 76%

“…Several studies tested the impact of the application of the Night Float (NF) system. In Korea in 2017, the NF system was implemented in a research study on surgery and emergency residents [8]. In Singapore, it was implemented on interns of internal medicine department [6].…”

Section: Discussion and Literature Reviewmentioning

confidence: 99%

“…The NF system is where residents take care of patients for 12-16 hours either during daytime or nighttime [7]. Or in some contexts in order to conduct the NF system, the residents are divided into two alternating groups where one group work at nighttime, and the other work in the daytime [8]. On the other hand, traditional on-call system is where doctors are responsible for receiving calls from the emergency department, or medical teaching unit for 24 hours [9].…”

Section: Introductionmentioning

confidence: 99%

“…Also, Europe has implemented residents' duty hour restrictions. In 2017, Korea has established the NF system for 6 months [8]. In Singapore, the NF system was applied for interns in the internal medicine department for a research study [6].…”

Section: Introductionmentioning

confidence: 99%

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Pediatric Resident’s Perception of Night Float System Compared to 24 Hours System, a Prospective Study

Alsohime

Alkhalaf

Almuzini

et al. 2020

Preprint

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Background: This study aims to evaluate the pediatric residents’ perceptions of the Night Float (NF) on-call system and its impact on their well-being, education and patient safety and compare it with the previous traditional 24-hour on-call system. Methods: This is a prospective study conducted in two pediatric residents training centers who applied the NF on call system as a pilot project. The senior residents enrolled in the two training centers were invited to participate in this study before changing the on-call system and 6 months after starting the new NF on-call system. A self-administered online questionnaire was distributed to them. A five-point Likert-type scale was used to rank the residents’ responses, covering three main domains; residents’ well-being, ability to deliver health care, and their medical education experience. Pre- and post-intervention scores were presented as means and compared using the t-test for paired samples. Results: A total of 42 residents participated in the survey. Of these, 24 (57.1%) were females. All participants were senior residents; 25 (59.6%) were third year residents while 17 (40.4%) were fourth year residents. Participants felt that most aspects of the three domains were improved by the introduction of the NF system. The NF system had less adverse health effect on the residents (Mean 2.37±1.01), compared to the 24 hours on-call system (Mean 4.19±0.60), P ˂0.001. The NF system had less exposure to personal harm, less negative impact on the quality of care, better work efficiency, reduced potential for medical error, more successful teaching and fewer disruptions to other rotations compared to the 24 hours on-call system, (P ˂0.001). Conclusion: In this study, we found that the NF on-call system positively impacts residents’ well-being, education and patient care. This pilot study demonstrates that the restricted duty hours are useful from pedagogic aspect and sets the ground for Pediatric residency training programs in Saudi Arabia to consider resident duty hour reform. Trial registration: Not applicable

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Section: Discussion and Literature Reviewmentioning

confidence: 76%

Section: Discussion and Literature Reviewmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Pediatric Resident’s Perception of Night Float System Compared to 24 Hours System, a Prospective Study

Alsohime

Alkhalaf

Almuzini

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Therefore, the regulation was implemented and teaching hospitals in Korea were given a hours; and minimum off-duty time between duty shifts should be guaranteed 10 hours. Despite the implementation of this regulation, there has been a report evaluating the superiority of a night float system with regard to duty hours [5].…”

Section: Introductionmentioning

confidence: 99%

The perception of medical residents and faculty members on resident duty hour regulation

Han

Chung

2020

Korean J Med Educ

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This study investigated the perceptions of medical residents and faculty members before the implementation of the duty hour regulation in December 2017. Methods: A survey was administered to 263 residents and 358 faculty members in the Chonnam National University Hospital. The subjects were given a self-administered structured questionnaire designed to measure their perspectives on duty hour regulation. They were also asked to answer an open-ended question regarding their expectations or concerns regarding duty hour regulation. The response rates were 50.2% for residents and 24.0% for faculty members. Results: Residents and faculty members regarded the improvement of junior residents' well-being favorably, but had conflicting views regarding senior residents. Residents expressed difficulty in completing unchanged workloads within the limited time, while faculty members were more concerned about worsening patient safety due to the discontinuity of care and insufficient resident education. Conclusion: Medical residents and faculty members had differing concerns regarding duty hour regulation. Further studies and the development of future policies should be considered to improve resident education and patient safety within the limited duty hour regulation.

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Pediatric resident’s perception of night float system compared to 24 hours system, a prospective study

et al. 2021

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Background The study aims to evaluate the perceptions of pediatric residents under the night float (NF) on-call system and its impact on well-being, education, and patient safety compared with the traditional 24-h on-call system. Methods The study is prospective in nature and conducted on two pediatric resident training centers who apply the NF on-call system as a pilot project. Senior residents (PGY-3 and PGY-4) enrolled in the two training centers were invited to participate before and 6 months after the implementation of the change in the on-call system. A self-administered online questionnaire was distributed. Responses were rated using a five-point Likert-type scale (1 = strongly disagree; 5 = strongly agree). The items covered three main domains, namely, residents’ well-being, ability to deliver healthcare, and medical education experience. Pre- and post-intervention scores were presented as means and compared by t-test for paired samples. Results A total of 42 residents participated in the survey (female = 24; 57.1%). All participants were senior residents; 25 (59.6%) were third-year residents (PGY-3), whereas 17 (40.4%) were fourth-year residents (PGY-4). The participants reported that many aspects of the three domains were improved with the introduction of the NF system. The system was perceived to exert less adverse health effect on the residents (mean: 2.37 ± 1.01) compared with the 24-h on-call system (mean: 4.19 ± 0.60; P < 0.001). In addition, the NF system was perceived to lead to less exposure to personal harm and result in less negative impact on quality of care, better work efficiency, reduced potential for medical errors, more successful teaching, and less disruptions to other rotations compared with the 24 h on-call system (P < 0.001). Conclusion The perception of senior residents toward the 24-h on-call system pertains to negative impacts on well-being, education, and patient safety compared with on-call systems with restrictive duty hours, such as the NF system, which is perceived to be less harmful, to exert positive impacts on the quality of delivered healthcare services, and more useful from pedagogic aspect.

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Implementation of a resident night float system in a surgery department in Korea for 6 months: electronic medical record-based big data analysis and medical staff survey

Cited by 11 publications

References 19 publications

Pediatric Resident’s Perception of Night Float System Compared to 24 Hours System, a Prospective Study

Pediatric Resident’s Perception of Night Float System Compared to 24 Hours System, a Prospective Study

The perception of medical residents and faculty members on resident duty hour regulation

Pediatric resident’s perception of night float system compared to 24 hours system, a prospective study

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