Safety, Fatigue, and Continuity in the Intensive Care Unit (ICU)
Safety, Fatigue, and Continuity in the ICU: a Pragmatic Mixed-methods Study
研究概览
地位
条件
详细说明
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.
研究类型
注册 (实际的)
联系人和位置
学习地点
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-
Ontario
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Toronto、Ontario、加拿大
- Mount Sinai Hospital
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Toronto、Ontario、加拿大
- The Hospital for Sick Children
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Toronto、Ontario、加拿大
- St Michael's Hospital
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-
参与标准
资格标准
适合学习的年龄
- 孩子
- 成人
- 年长者
接受健康志愿者
有资格学习的性别
取样方法
研究人群
描述
Inclusion Criteria:
- All residents at participating ICUs starting a rotation in Fall 2008
- Staff members supervising and/or working with participating residents
- Patients/family members under the care of the participating residents
- Patients admitted to participating ICUs
Exclusion Criteria:
- Lack of informed consent
学习计划
研究是如何设计的?
设计细节
- 观测模型:队列
- 时间观点:预期
研究衡量的是什么?
主要结果指标
结果测量 |
大体时间 |
---|---|
疲劳
大体时间:6个月
|
6个月
|
Continuity of patient care
大体时间:6 months
|
6 months
|
次要结果测量
结果测量 |
大体时间 |
---|---|
不良事件
大体时间:6个月
|
6个月
|
Preventable adverse events
大体时间:6 months
|
6 months
|
Feasibility
大体时间:6 months
|
6 months
|
合作者和调查者
调查人员
- 首席研究员:Chris Parshuram, MBChB, PhD、The Hospital for Sick Children
- 首席研究员:Jan Friedrich, MD、Unity Health Toronto
- 首席研究员:Thomas Stewart, MD、Mount Sinai Hospital
出版物和有用的链接
研究记录日期
研究主要日期
学习开始
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (估计)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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