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Related Experiment Videos

Improving resident work environment: evaluation of a novel cooperative program.

Myriam J Curet1, Timothy R McAdams

  • 1Department of Surgery, Stanford Hospital, Stanford, CA 94305, USA.

Surgery
|August 30, 2003
PubMed
Summary

A new cooperative program significantly reduced nonurgent pages for surgical interns. This intervention also increased uninterrupted sleep or study time, improving the overall resident work environment.

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Area of Science:

  • Medical Education
  • Surgical Residency
  • Healthcare Communication

Background:

  • Improving surgical resident work environments is a key faculty concern.
  • Excessive nonurgent pages disrupt resident rest and study time.
  • Effective nurse-resident communication is crucial for workflow optimization.

Purpose of the Study:

  • To evaluate a cooperative program's effectiveness in reducing nonurgent pages.
  • To assess the program's ability to create protected rest/study time for interns.
  • To improve the surgical resident work environment through enhanced communication.

Main Methods:

  • Collaborative discussions with nurses and interns identified communication improvements.
  • Implemented a notebook system for nonurgent issues and post-shift check-ins.

Related Experiment Videos

  • Interns logged pages pre- and post-intervention; data analyzed using t-tests.

    • Main Results:

    • A significant decrease in total pages received by interns post-intervention (P <.01).
    • Increased frequency of a 4-hour block without pages on call nights (100% vs 25%, P <.01).
    • The percentage of necessary calls rose from 50% to 70% during day shifts (P <.01).

    Conclusions:

    • The cooperative program effectively reduced nonurgent pages for surgical interns.
    • The intervention successfully generated more uninterrupted sleep/study time for residents.
    • This initiative demonstrably improved the surgical resident work environment.