Pediatric residents’ perceptions of the impact of the 24-hour on-call system on their well-being and education and patient safety

Alsohime, Fahad

doi:10.15537/smj.2019.10.24548

Cited by 7 publications

(13 citation statements)

References 30 publications

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“…A study was conducted in Saudi Arabia supported the same nding in which the 24hour on-call system had a negative outcome on the residents' health, education, and safety of the patients. It suggested to investigate the impact of the duration of time residents spend in the hospital on their clinical performance, education, and quality of patient management [1]. Our study, showed that NF system had signi cant improvement in these three aspects.…”

Section: Discussion and Literature Reviewmentioning

confidence: 72%

“…The Saudi Commission for Health Specialties introduced some guidelines regarding duty hour's regulations including the 24-hour on-call traditional shift system. The number of on-calls for pediatric residents in the rst two years of the training program should not exceed 7 on-calls every month while for residents in the third and fourth year of the program should not exceed 6 every month according to Pediatric Residency Training Program Manual [1].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

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: 72%

Section: Introductionmentioning

confidence: 99%

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

“…A study was conducted in Saudi Arabia supported the same nding in which the 24hour on-call system had a negative outcome on the residents' health, education, and safety of the patients. It suggested to investigate the impact of the duration of time residents spend in the hospital on their clinical performance, education, and quality of patient management [1]. Our study, showed that NF system was perceived with signi cant improvement in these three aspects.…”

Section: Perceptions Of the Impact Of The Night Float Systemmentioning

confidence: 75%

“…Furthermore, an increase in incidence in burnout and suicide attempts among physicians have been reported. As a result, several countries have established a new system of work coverage called the Night Float (NF) shifts system and abandon the traditional 24-hours on-call system [1][2][3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

“…Additionally, the average duration of the on-calls should be 24 hours and residents should be off-duty maximally by midday on the day following their call. [1] In this study, we evaluated the experience of pediatric senior residents with the duty hours after implementing the NF system as a pilot project in two pediatric residency training centers in Saudi Arabia and compared it to the traditional 24-hour on-call system in term of the senior residents' perceived effect on their health, education, patients care and safety.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

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

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 (PGY-3 & PGY-4) 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 (1 means strongly disagree & 5 means strongly agree), 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 was perceived to have 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 was perceived to have 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: The senior residents’ perception about the 24-hour on-call system has shown a negative impact on the residents’ well-being and education of residents and patient safety compared to an on-call system with more restrictive duty hours. The perception of the restricted duty hours was perceived to be less harmful, more useful from pedagogic aspect and has positive impact on the quality of delivered health care services.

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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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Pediatric residents’ perceptions of the impact of the 24-hour on-call system on their well-being and education and patient safety

Abstract: Impact of the 24-hour on-call system on pediatric residents ... Alsohime

Cited by 7 publications

References 30 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

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

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Pediatric residents’ perceptions of the impact of the 24-hour on-call system on their well-being and education and patient safety

Abstract: Impact of the 24-hour on-call system on pediatric residents ... Alsohime

Cited by 7 publications

References 30 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

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

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

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