Intensive Care Unit Resident Scheduling Trial
Many patients, doctors and others worry that tired doctors provide worse patient care, may not learn well and become burnt-out. In response to these concerns, some countries changed their laws to limit work-hours for doctors in training ('residents'). In Canada, most residents work six or seven 24-30h shifts each month
| Condition(s) | Patient Safety, Well-being, Education |
|---|---|
| Status | Recruiting |
| Phase | NA |
| Study type | Interventional |
| Summary | Many patients, doctors and others worry that tired doctors provide worse patient care, may not learn well and become burnt-out. In response to these concerns, some countries changed their laws to limit work-hours for doctors in training ('residents'). In Canada, most residents work six or seven 24-30h shifts each month. A recent Canadian report ordered by Health Canada said that making good decisions about resident work-hour rules was "significantly limited by quality evidence, especially evidence directly attributable to the Canadian context." Creating this evidence is the main goal of this research. The pilot study in 2 intensive care units(ICU) found that shorter shifts may be worse for patients, and for residents were more tiring than expected but improved wellbeing. Learning was not a |
| Who can participate | Inclusion Criteria for ICUs: * Admit adult patients (≥18 years); * Are anticipated to have sufficient rotating residents from Royal College of Physicians and Surgeons of Canada -accredited training programs to provide overnight in-house coverage for at least 20 overnight periods in 28 days; and * Are willing to participate in the study (schedule randomization, measurements). Inclusion Criteria for Patients: • Patients admitted to ICU during either period of the study. Inclusion Criteria for Residents: * Are enrolled in an accredited specialty training program of the Royal College of Physicians and Surgeons of Canada (internal or emergency medicine, surgery, anaesthesia, other, but not critical care medicine), * Are able to perform overnight in-house duty with supervision from critical care |
| Ages | 18 Years |
| Sex | All |
| Lead sponsor | The Hospital for Sick Children |
| Locations | Toronto, Ontario, Canada; Toronto, Ontario, Canada; Toronto, Ontario, Canada; Toronto, Ontario, Canada; Toronto, Ontario, Canada |
| Start date | 2019-11-18 |
| NCT ID | NCT04176094 |
| Official listing | https://clinicaltrials.gov/study/NCT04176094 |