Work

Pediatric trainees systematically under-report duty hour violations compared to electronic health record defined shifts

Year: 2019

Type: article

Abstract: Duty hour monitoring is required in accredited training programs, however trainee self-reporting is onerous and vulnerable to bias. The objectives of this study were to use an automated, validated algorithm to measure duty hour violations of pediatric trainees over a full academic year and compare to self-reported violations. Duty hour violations calculated from electronic health record (EHR) logs varied significantly by trainee role and rotation. Block-by-block differences show 36.8% (222/603) of resident-blocks with more EHR-defined violations (EDV) compared to self-reported violations (SRV), demonstrating systematic under-reporting of duty hour violations. Automated duty hour tracking could provide real-time, objective assessment of the trainee work environment, allowing program directors and accrediting organizations to design and test interventions focused on improving educational quality.

Source: PLoS ONE

DOI: 10.1371/journal.pone.0226493

Authors: Adam C. Dziorny, Evan W. Orenstein, Robert B. Lindell, Nicole A. Hames, Nicole Washington, Bimal Desai

Institutions: Children's Hospital of Philadelphia, University of Pennsylvania, Emory University, Children's Healthcare of Atlanta

Language: English

Topic: Hospital Admissions and Outcomes

Subfield: Emergency Medicine

Field: Medicine

Domain: Health Sciences

SDGs: Good health and well-being, Quality education

Open Access status: gold

Estimated APC paid: $1,595