Skip to Content

Limiting Resident Shifts Cuts Attentional Failures in PICU

MONDAY, Feb. 22, 2021 -- Resident-physicians have a higher number of attentional failures on an extended-duration work roster (EDWR), with shifts of 24+ hours, than on a rapid cycling work roster (RCWR), which limits shifts to 16 hours, according to a study published online Feb. 22 in Pediatrics.

Shadab A. Rahman, Ph.D., M.P.H., from Brigham and Women's Hospital in Boston, and colleagues analyzed data from 294 resident-physicians from a multicenter clinical trial of six U.S. pediatric intensive care units. Resident-physicians worked four-week EDWRs, with shifts of 24+ hours every third or fourth shift, or worked RCWRs, with most shifts being 16 consecutive hours or less.

The researchers found that compared with the RCWR, the mean number of attentional failures was significantly higher on the EDWR (6.8 ± 1.0 versus 2.9 ± 0.7). Significantly higher reaction time and subjective alertness were also seen (by about 18 percent and about 9 percent, respectively). Across the four-week rotation, these differences were sustained. There was an association noted for attentional failure with resident-physician-related serious medical errors. The rate of serious medical errors was higher under the RCWR, but the RCWR had a protective effect on this rate after adjustment for workload (rate ratio, 0.48).

"We found that the substantial impairment in objective performance and subjective sleepiness inherent in an EDWR is significantly improved by implementation of a RCWR that limits shift duration, including a significant reduction in attentional failures," the authors write.

Several authors disclosed financial ties to the biopharmaceutical industry.

Abstract/Full Text (subscription or payment may be required)

Editorial (subscription or payment may be required)

© 2021 HealthDay. All rights reserved.

Posted: February 2021

Read this next

Markers of Puberty Differ in Girls With More Body Fat

FRIDAY, Feb. 26, 2021 -- Girls with higher total body fat (TBF) have differences in hormonal and clinical markers of puberty in late puberty, according to a study published online...

Physician's Briefing Weekly Coronavirus Roundup

Here is what the editors at Physician's Briefing chose as the most important COVID-19 developments for you and your practice for the week of Feb. 22 to 26, 2021. This roundup...

Digital Self-Monitoring Linked to Weight Loss for Adults

FRIDAY, Feb. 26, 2021 -- Digital self-monitoring is associated with weight loss in behavioral interventions for overweight or obesity, according to a review published online Feb....

More News Resources

Subscribe to our Newsletter

Whatever your topic of interest, subscribe to our newsletters to get the best of in your inbox.