Radical solutions found to meet limits on junior doctors' hours

This Friday (1 August 2003) UK regulations on junior doctors' working hours become a contractual right, but meeting these regulations will need radical solutions, argue researchers in this week's BMJ.

The team, based at Great Ormond Street Hospital for Children, set out to redesign the night rota to improve compliance with regulations on working hours, without compromising patient care, medical training, or quality of life of the junior doctors.

They created a new type of senior nurse labelled 'clinical site practitioners' (CSP) with a unique role. Under the new structure CSPs provide leadership, expert clinical advice and management support through a rapid response service to all areas of the hospital, 24 hours a day, seven days a week. The CSP's found that they could manage 70% of calls that traditionally would have been answered by a doctor.

Before the study, night cover was provided through partial shift rotas involving 11 doctors and one senior nurse. Instead, they introduced a full night shift team comprising three middle grade doctors, two senior nurses (CSPs), and a fourth sleeping doctor as back-up for emergencies.

The new rota increased compliance with regulations on working hours from 33% to 77%. Workload changed little and was well within the capacity of the new night team. Most staff were happy with the new rota and the safety of patients was not compromised.

Meeting requirements on junior doctors' hours cannot be achieved by manipulating rotas that maintain existing tiers of cover and work practices, say the authors. They require changes to roles, processes, work practices and attitudes throughout the organisation.

Whilst the authors are committed to achieving safe hours for junior doctors, they also warn that the current inflexible systems for monitoring compliance with targets are putting professionalism at risk.


Contact: Emma Dickinson
BMJ-British Medical Journal

Page: 1

Related medicine news :

1. Radically new anti-rejection drug shown to offer safe control of immune system in Stanford study
2. Radical solutions needed to tackle NHS nursing shortage
3. Radical solutions needed to address health inequalities
4. "Radical" Discovery Advances Medicine and Plastics
5. Radically New Type Of Surgery Tested On First Patient
6. Government solutions wont cure kids obesity, survey says
7. Overweight, boozy and depressed: Why we need healthy new years resolutions
8. ESA presents space solutions at post-Kyoto climate summit
9. Space solutions for health
10. Researchers seek solutions to impending U.S. long-term care facility staffing crisis
11. Chemists show proteins behave differently inside cells than they do in water solutions

Post Your Comments:

(Date:10/16/2018)... ... October 16, 2018 , ... Bastyr University ... Academy of Integrative Health and Medicine’s (AIHM) Visionary Award for his passionate efforts ... Dr. Pizzorno was selected as AIHM’s recipient of the Visionary Award due to ...
(Date:10/16/2018)... Del. (PRWEB) , ... October 16, 2018 , ... ... of First Healthcare Compliance, an attorney experienced in employment law, writes frequently on ... other publications. Recently, she authored a chapter in the Health Care Compliance Professional's ...
(Date:10/16/2018)... ... October 16, 2018 , ... BlueCloud ... by patient-survivors, and The Avoca Group, Inc., a life sciences consulting firm ... today announced its mutual collaboration that will make Avoca’s industry research results, ...
(Date:10/13/2018)... NEW YORK (PRWEB) , ... October 13, 2018 , ... ... will show the world that it IS possible to end hunger by 2030 by ... to bring volunteers from several of their 28 U.S. based locations and five international ...
(Date:10/11/2018)... Fla. (PRWEB) , ... October 11, 2018 , ... ... integrity to a diverse range of healthcare organizations nationwide, announced today the launch ... essential information on the Company’s portfolio of services while offering a more comprehensive ...
Breaking Medicine News(10 mins):
(Date:10/13/2018)... ... October 12, 2018 , ... David Young was ... was used in the Lockheed F22 Aircraft. Today, he announces the invention of ... which can lead to sudden cardiac death (SCD). , The Two-Dimensional Arrhythmia Monitor ...
(Date:10/13/2018)... ... ... In the world of contract manufacturing, Ion Labs is currently in a ... a game-changing year for Ion Labs . Expansions in the form of personnel, ... Labs attributes its growth to its responsiveness to customer inquiries, staying in close communication ...
(Date:10/11/2018)... ... October 11, 2018 , ... ... communications, billing, and payments solutions, announced today that it has completed the ... a premier healthcare provider of patient revenue cycle engagement, billing, and payments ...
Breaking Medicine Technology:
Cached News: