A quiet place:The impact of the word"quiet"on clinical workload

作     者：Beatrice C.Go Kevin Chorath Amy Schettino Vincent Anagnos Ivy Maina Laura Henry Lukas Dumberger Neel Sangal Vasiliki Triantafillou Solomon Husain Chad Sudoko Evan Cretney Karthik Rajasekaran Beatrice C. Go;Kevin Chorath;Amy Schettino;Vincent Anagnos;Ivy Maina;Laura Henry;Lukas Dumberger;Neel Sangal;Vasiliki Triantafillou;Solomon Husain;Chad Sudoko;Evan Cretney;Karthik Rajasekaran

作者机构：Department of OtorhinolaryngologyUniversity of PennsylvaniaPhiladelphiaPennsylvaniaUSA Department of OtorhinolaryngologyLeonard Davis Institute of Health EconomicsUniversity of PennsylvaniaPhiladelphiaPennsylvaniaUSA 

出 版 物：《World Journal of Otorhinolaryngology-Head and Neck Surgery》 (世界耳鼻咽喉头颈外科杂志（英文）)

年 卷 期：2023年第9卷第1期

页      面：91-96页

核心收录：

学科分类：12[管理学] 1204[管理学-公共管理] 120402[管理学-社会医学与卫生事业管理(可授管理学、医学学位)] 1004[医学-公共卫生与预防医学(可授医学、理学学位)] 10[医学] 

基　　金：None 

主　　题：burnout call schedule quiet resident workload wellness 

摘      要：Purpose:This study aimed to determine the impact of uttering the wordquieton clinical workload during the overnight otolaryngology call shift and understand the factors contributing to resident *** and Methods:A multicenter,single-blind,randomized-controlled trial was conducted.A total of 80 overnight call shifts covered by a pool of 10 residents were randomized to the quiet or to the control *** the start of shift,residents were asked to state aloud,Today will be a quiet night(quiet group)orToday will be a good night(control group).Clinical workload,as measured by number of consults,was the primary *** measures included number of sign-out tasks,unplanned inpatient and operating room visits,number of phone calls and hours of sleep,and self-perceived ***:There was no difference in the number of total(P=0.23),nonurgent(P=0.18),and urgent(P=0.18)*** at signout,total phone calls,unplanned inpatient visits,and unplanned operating room visits did not differ between the control and quiet *** there were more unplanned operating room visits in the quiet group(29,80.6%)compared to the control group(34,94.4%),this was not found to be significant(P=0.07).The majority of residents reported feelingnot busyduring control nights(18,50.0%)compared to feelingsomewhat busyduring quiet nights(17,47.2%;P=0.42).Conclusion:Contrary to popular belief,there is no clear evidence that uttering the wordquietsignificantly increases clinical workload.