Nighthawk: Making Night Float Education and Patient Safety Soar

Sadowski, Brett; Medina, Hector A; Hartzell, Joshua D.; Shimeall, William T.

doi:10.4300/jgme-d-17-00259.1

Cited by 7 publications

(6 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although the NF system is ubiquitous in the Western setting, it is less prominent both locally and in the region, perhaps influenced by traditional cultural norms of long working hours [15]. The implementation and structure of the NF system took into account the feedback and concerns of the junior doctors, an approach that had been described to be effective [16]. The effect of a NF system to fulfil the ACGME-I duty-hour restrictions was therefore important to assess in this relatively inexperienced group, in the domains of patient care, medical training and physician well-being.…”

Section: Discussionmentioning

confidence: 99%

Perceptions of a night float system for intern doctors in an internal medicine program: an Asian perspective

et al. 2019

View full text Add to dashboard Cite

Long duty hours have been associated with significant medical errors, adverse events, and physician “burn-out”. An innovative night float (NF) system has been implemented in our internal medicine program to reduce the negative effects of long duty hours associated with conventional full-call systems. However, concerns remain if this would result in inadequate training for interns. We developed a structured questionnaire to assess junior doctors’ perceptions of the NF system compared to full calls, in areas of patient safety, medical training, and well-being. Ninety-seven (71%) of the 137 doctors polled responded. Ninety-one (94%) felt the NF system was superior to the full call system. A strong majority felt NF was beneficial for patient safety compared to full call (94% vs. 2%, p<0.001). The NF system was also perceived to reduce medical errors (94% vs. 2%, p<0.001) and reduce physician “burn-out” (95% vs. 5%, p<0.001). Beyond being a practical solution to duty-hour limitations, there was a significant perceived benefit of the NF system compared to the full call in terms of overall satisfaction, patient safety, reducing medical errors and physician “burn-out”.

show abstract

Section: Discussionmentioning

confidence: 99%

Perceptions of a night float system for intern doctors in an internal medicine program: an Asian perspective

et al. 2019

View full text Add to dashboard Cite

show abstract

“…A study by Sadowski et al showed that patient safety was enhanced in an NF system when a list of clinical events that necessitated escalation to the consultant was adopted. (17) Defilippis et al separately described a viable on-site attending physician model that improved resident education and quality of patient care. (18) There were limitations to this study.…”

Section: Discussionmentioning

confidence: 99%

Nationwide survey comparing residents’ perceptions of overnight duty systems in Singapore: night float versus full overnight call

Loo

Chin

et al. 2020

smedj

View full text Add to dashboard Cite

“…We found that the perception of educational experiences and opportunities to learn procedures among senior pediatrics residents were in favor of the NF shifts. Furthermore, one of the proposed solutions to augment the NF with an intern to assist the on-call and a senior resident ( labeled as the "nighthawk") to supervise inpatient care and improve communication for a better teaching during the NF system [17].…”

Section: Perceptions Of the Impact Of The Night Float Systemmentioning

confidence: 99%

“…However, multiple studies have shown controversial results regarding the implementation of the NF shifts system [2]. In contrast, one of the drawbacks was reduced autonomy for cross-coverage interns [17]. Furthermore, decreased residents' opportunity for education and learning [18].…”

Section: Introductionmentioning

confidence: 99%

Pediatric Resident’s Perception of Night Float System Compared to 24 Hours System, a Prospective Study 

Alsohime

Alkhalaf

Almuzini

et al. 2020

Preprint

View full text Add to dashboard Cite

Background:This study aims to evaluate the pediatric residents’ perceptions of the Night Float (NF) on-call system and its impact on their well-being, education and patient safety and compare it with the previous traditional 24-hour on-call system. Methods: This is a prospective study conducted in two pediatric residents training centers who applied the NF on call system as a pilot project. The senior residents (PGY-3 & PGY-4) enrolled in the two training centers were invited to participate in this study before changing the on-call system and 6 months after starting the new NF on-call system. A self-administered online questionnaire was distributed to them. A five-point Likert-type scale was used to rank the residents’ responses (1 means strongly disagree & 5 means strongly agree), covering three main domains; residents’ well-being, ability to deliver health care, and their medical education experience. Pre- and post-intervention scores were presented as means and compared using the t-test for paired samples.Results: A total of 42 residents participated in the survey. Of these, 24 (57.1%) were females. All participants were senior residents; 25 (59.6%) were third year residents while 17 (40.4%) were fourth year residents. Participants felt that most aspects of the three domains were improved by the introduction of the NF system. The NF system was perceived to have less adverse health effect on the residents (Mean 2.37±1.01), compared to the 24 hours on-call system (Mean 4.19±0.60), P ˂0.001. The NF system was perceived to have less exposure to personal harm, less negative impact on the quality of care, better work efficiency, reduced potential for medical error, more successful teaching and fewer disruptions to other rotations compared to the 24 hours on-call system, (P ˂0.001).Conclusion: The senior residents’ perception about the 24-hour on-call system has shown a negative impact on the residents’ well-being and education of residents and patient safety compared to an on-call system with more restrictive duty hours. The perception of the restricted duty hours was perceived to be less harmful, more useful from pedagogic aspect and has positive impact on the quality of delivered health care services.

show abstract

Nighthawk: Making Night Float Education and Patient Safety Soar

Abstract: A nighthawk rotation, a must-call list, and reducing conflict in night team members' roles improved resident satisfaction with supervision and the night medicine rotation, resulting in increased communication.

Cited by 7 publications

References 13 publications

Perceptions of a night float system for intern doctors in an internal medicine program: an Asian perspective

Perceptions of a night float system for intern doctors in an internal medicine program: an Asian perspective

Nationwide survey comparing residents’ perceptions of overnight duty systems in Singapore: night float versus full overnight call

Pediatric Resident’s Perception of Night Float System Compared to 24 Hours System, a Prospective Study

Contact Info

Product

Resources

About

Nighthawk: Making Night Float Education and Patient Safety Soar

Abstract: A nighthawk rotation, a must-call list, and reducing conflict in night team members' roles improved resident satisfaction with supervision and the night medicine rotation, resulting in increased communication.

Cited by 7 publications

References 13 publications

Perceptions of a night float system for intern doctors in an internal medicine program: an Asian perspective

Perceptions of a night float system for intern doctors in an internal medicine program: an Asian perspective

Nationwide survey comparing residents’ perceptions of overnight duty systems in Singapore: night float versus full overnight call

Pediatric Resident’s Perception of Night Float System Compared to 24 Hours System, a Prospective Study&nbsp;

Contact Info

Product

Resources

About

Pediatric Resident’s Perception of Night Float System Compared to 24 Hours System, a Prospective Study