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Sponsored by: |
The Hospital for Sick Children |
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Information provided by: | The Hospital for Sick Children |
ClinicalTrials.gov Identifier: | NCT00679809 |
The purpose of this study is to describe the features of continuity and quantify fatigue in three ICU resident work schedules, estimate the frequency of preventable adverse events, and inform the design and demonstrate the feasibility of a future multi-centre study.
Condition |
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Fatigue |
Study Type: | Observational |
Study Design: | Cohort, Prospective |
Official Title: | Safety, Fatigue, and Continuity in the ICU: a Pragmatic Mixed-Methods Study |
Estimated Enrollment: | 36 |
Study Start Date: | October 2008 |
Estimated Study Completion Date: | June 2009 |
Estimated Primary Completion Date: | March 2009 (Final data collection date for primary outcome measure) |
The overall goal of our research is to describe the optimal scheduling pattern for frontline physicians working in ICUs. Our hypothesis is that call schedule associated reductions in fatigue are counterbalanced by reductions in continuity, resulting in no change in the safety of patients.
This is a prospective before-after, two-centre study using a mixed-methods design. We will apply 3 work schedules, each for a period of 2 months over a 6 month period in the adult medical-surgical ICUs at two university affiliated hospitals in Toronto. In this mixed methods approach, quantitative and qualitative data will be collected concurrently, analysed separately, and their results compared, to produce an integrated interpretation of the impact of work schedule on the relationship between continuity and fatigue.
This will evaluate healthcare continuity and fatigue, describe adverse events in ICUs, identify the two best resident schedules for subsequent comparison, and demonstrate the feasibility of a future multi-centre study of physician scheduling.
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Sampling Method: | Probability Sample |
Residents will be on their 2-month ICU rotations at one of two university affiliated hospitals in Toronto medical-surgical ICU. Residents in these ICU rotations are from internal medicine, surgery, emergency medicine and anesthesia training programs, and are supported by 2-3 critical care fellows, and 1 staff physician
Inclusion Criteria:
Exclusion Criteria:
Canada, Ontario | |
The Hospital for Sick Children | Not yet recruiting |
Toronto, Ontario, Canada | |
Contact: Chris Parshuram, MD (416)813-6504 christopher.parshuram@sickkids.ca | |
St Michael's Hospital | Recruiting |
Toronto, Ontario, Canada | |
Contact: Jan Friedrich, MD 416-864-6060 ext 3197 friedrichj@smh.toronto.on.ca | |
Mount Sinai Hospital | Recruiting |
Toronto, Ontario, Canada | |
Contact: Thomas Stewart, MD (416)586-4480 tom.stewart@utoronto.ca |
Principal Investigator: | Chris Parshuram, MBChB, PhD | The Hospital for Sick Children |
Principal Investigator: | Jan Friedrich, MD | St. Michael's Hospital, Toronto |
Principal Investigator: | Thomas Stewart, MD | MOUNT SINAI HOSPITAL |
Responsible Party: | The Hospital for Sick Children ( Chris Parshuram/Principal Investigator ) |
Study ID Numbers: | 1000011945 |
Study First Received: | May 15, 2008 |
Last Updated: | March 5, 2009 |
ClinicalTrials.gov Identifier: | NCT00679809 History of Changes |
Health Authority: | Canada: Ethics Review Committee |
Resident Safety Fatigue Continuity ICU |
Signs and Symptoms Fatigue |
Signs and Symptoms Fatigue |