98: Declining Resident Productivity Over Time in the Emergency Department

Jeanmonod, Rebecca; Brook, Christopher; Winther, M.; Pathak, Soma; Boyd, Molly

doi:10.1016/j.annemergmed.2008.01.065

Cited by 2 publications

(2 citation statements)

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“…Research suggests that when working 12-hour shifts both nurses (Jeanmonod et al 2008) and doctors (Hart and Krall 2007) see fewer patients. In addition, the quality of care provided by nurses is reduced for those on 12-hour shifts (see, e.g., Bernreuter and Sullivan 1995;Fitzpatrick et al 1999;Todd et al 1989), as are direct nursing activities .…”

Section: Introductionmentioning

confidence: 98%

An experimental study of compressed work schedules in policing: advantages and disadvantages of various shift lengths

et al. 2011

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Objectives The objectives of this research were to test the impacts of three shift lengths (8-, 10-, and 12-hour) on performance, health, safety, quality of life, sleep, fatigue, alertness, off-duty employment, and overtime among police. Methods This study consisted of a randomized block experimental design. There were 275 participating officers from two large police departments. Data were collected as part of a multi-site clinical trial for which we employed the same protocols in both sites. The blocks included site and time of day of the shift. Unique measures of work performance, safety, and fatigue were collected using laboratorybased simulations collected during the end of the shifts, and self-report instruments were used to capture other outcomes such as health and quality of life. The analysis model we employed was a block randomized ANCOVA in which the pre-test dependent measures served as the covariate. ResultsThe results indicated that those working 10-hour shifts had a significantly higher quality of work life (f=.16) and averaged significantly more sleep (f=.19) than those on 8-hour shifts. Furthermore, those working 8-hour shifts averaged significantly more overtime (f=.42) than did those assigned to 10-and 12-hour shifts. In addition, officers working 12-hour shifts experienced greater levels of sleepiness (f=.20) and reported lower levels of alertness (f=.21) at work than officers on 8-hour shifts.benefits associated with 10-hour shifts did not inure to the 12-hour shifts. Although our study did not reveal any significant effects associated with objective measures of fatigue across shifts, the implementation of 12-hour shifts should be done only after careful consideration of some of the potential concerns. Limitations of this study include lack of information regarding the methods and costs associated with implementation of compressed schedules, and the low level of reliability for driving and shooting simulation exercises. Future research should examine the impact of overtime hours on fatigue, safety, and performance, and ways to more effectively regulate hours of work in policing.

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Section: Introductionmentioning

confidence: 98%

An experimental study of compressed work schedules in policing: advantages and disadvantages of various shift lengths

et al. 2011

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“…While public organizations adopting a compressed schedule have reported decreases in paid overtime (Facer and Wadsworth 2010), richer recruitment pools, and reductions in employee turnover (Vega and Gilbert 1997), the evidence on productivity gains is inconclusive. Some research has shown that compressed work schedules have no effect on productivity (see Baltes et al 1999;Bernreuter and Sullivan 1995;Campolo et al 1998), while others have demonstrated increasing levels of fatigue and decreasing levels of cognitive performance as shift length increases (see Rosa and Bonnet 1993;Rosa and Colligan 1992;Vega and Gilbert 1997), which raises concerns about safety and productivity (Hart and Krall 2007;Jeanmonod et al 2008). For instance, Sallinen et al (2005) found that for each additional hour at work, the odds for severe drowsiness increased by 9 percent.…”

Section: Compressed Work Weeks and Public Sector Workersmentioning

confidence: 99%

Small Town, Short Work Week: Evaluating the Effects of a Compressed Work Week Pilot in Zorra, Ontario, Canada

Spicer

Lyons

2022

State and Local Government Review

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On September 1, 2020, the Township of Zorra, Ontario, Canada began a compressed work week pilot project designed to add flexibility for its employees in the wake of the COVID-19 pandemic. Office-based employees who opted into the pilot were given either Monday or Friday off from work and then worked longer shifts for the four remaining days. This field note provides information on the program's design and implementation and reports on the findings of pre- and post-pilot surveys designed to gauge attitudes of workers toward the compressed work week. Results indicate that the pilot was received positively and managed to avoid concerns typically associated with compressed work weeks, namely increased fatigue and staffing challenges. In addition to the evaluation of the pilot, we also provide insight into how organizational scale can aid in the development and design of public sector workplace innovations.

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98: Declining Resident Productivity Over Time in the Emergency Department

Cited by 2 publications

References 0 publications

An experimental study of compressed work schedules in policing: advantages and disadvantages of various shift lengths

An experimental study of compressed work schedules in policing: advantages and disadvantages of various shift lengths

Small Town, Short Work Week: Evaluating the Effects of a Compressed Work Week Pilot in Zorra, Ontario, Canada

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