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Related Experiment Video

Updated: Jul 5, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
09:52

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

Rest during shift work in the emergency department.

Biswadev Mitra1, Peter A Cameron, Greg Mele

  • 1Emergency Department, Maroondah Hospital, Ringwood East, Melbourne, VIC, Australia. b.mitra@alfred.org.au

Australian Health Review : a Publication of the Australian Hospital Association
|May 2, 2008
PubMed
Summary

Implementing protected shift breaks for emergency department (ED) doctors significantly reduced tiredness and improved departmental performance. This pilot program demonstrated the positive impact of uninterrupted breaks on physician well-being and operational efficiency.

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Collecting Sleep, Circadian, Fatigue, and Performance Data in Complex Operational Environments
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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
09:52

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

Collecting Sleep, Circadian, Fatigue, and Performance Data in Complex Operational Environments
08:36

Collecting Sleep, Circadian, Fatigue, and Performance Data in Complex Operational Environments

Published on: August 8, 2019

Area of Science:

  • Emergency Medicine
  • Occupational Health
  • Healthcare Management

Background:

  • Emergency departments (EDs) face high demands, leading to potential physician fatigue.
  • Physician fatigue can negatively impact clinical performance and patient safety.
  • Current practices often lack structured protected time for physician breaks during shifts.

Purpose of the Study:

  • To pilot a program promoting uninterrupted shift breaks for ED doctors.
  • To analyze the effects of these breaks on physician tiredness and fatigue.
  • To evaluate the impact of breaks on key departmental performance indicators.

Main Methods:

  • A 4-week pilot study involving ED medical staff.
  • Phase 1: Baseline data collection via end-of-shift surveys.
  • Phase 2: Implementation of a 30-minute uninterrupted break policy, supported by a cover physician, educational sessions, and posters.

Main Results:

  • Survey response rate: 233 completed surveys.
  • Uninterrupted break utilization increased from 33% in Phase 1 to 60% in Phase 2.
  • Significantly lower subjective tiredness reported post-break (P < 0.001).
  • Fatigue levels showed a non-significant trend towards reduction (P = 0.060).
  • Significant improvements observed in select departmental key performance indicators.

Conclusions:

  • Protected shift breaks are feasible and beneficial for ED physicians.
  • Implementing breaks can mitigate physician tiredness and potentially improve departmental performance.
  • Further research is warranted to explore the long-term effects and broader implementation.