Please use this identifier to cite or link to this item: https://doi.org/10.3946/kjme.2019.137
Title: Perceptions of a night float system for intern doctors in an internal medicine program: An Asian perspective
Authors: Tan, BYQ
Ngiam, NJ
Chang, ZY
Tan, SMY
Shen, X
Mok, SF 
Subramanian, S
Ooi, SBS 
Kee, ACL 
Keywords: After-hours care
Medical education
Patient safety
Adult
After-Hours Care
Attitude of Health Personnel
Burnout, Professional
Female
Humans
Internal Medicine
Internship and Residency
Male
Medical Errors
Medical Staff, Hospital
Patient Safety
Personnel Staffing and Scheduling
Singapore
Surveys and Questionnaires
Young Adult
Issue Date: 1-Sep-2019
Publisher: Korean Society of Medical Education
Citation: Tan, BYQ, Ngiam, NJ, Chang, ZY, Tan, SMY, Shen, X, Mok, SF, Subramanian, S, Ooi, SBS, Kee, ACL (2019-09-01). Perceptions of a night float system for intern doctors in an internal medicine program: An Asian perspective. Korean Journal of Medical Education 31 (3) : 271-276. ScholarBank@NUS Repository. https://doi.org/10.3946/kjme.2019.137
Abstract: 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”.
Source Title: Korean Journal of Medical Education
URI: https://scholarbank.nus.edu.sg/handle/10635/206151
ISSN: 2005727X
20057288
DOI: 10.3946/kjme.2019.137
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