CClinicalTrials.gg
CompletedNCT00996320Updated Oct 16, 2009

Work Hour Reductions, Medical Errors, and Intern Well-Being at Providence St. Vincent Medical Center Intensive Care Unit

An interventional study of Reduced work hour schedule in Sleep Deprivation and Depression, sponsored by Providence Health & Services. Completed at 1 site in United States. Per ClinicalTrials.gov, last updated 2009-10-16.

Sponsored by Providence Health & Services · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
22
Allocation
Randomized
Sex
All
01

Study summary

The purpose of this study is to determine whether reducing intern work hours and eliminating extended shifts in the intensive care unit will reduce prescribing errors and improve intern well-being.

Read the detailed description

Each intern enrolled will complete three 4-week rotations in the intensive care unit (ICU) at Providence St. Vincent Medical Center. Each intern will complete at least one traditional schedule and one intervention schedule. The traditional schedule consists of an 80-hour work week with overnight call every third night. The longest shift on the traditional schedule is 30 hours. The intervention schedule consists of a 60-hour work week which eliminates overnight call by assigning a variety of shifts ranging from 8 to 16 hours in length.

02

Conditions studied

  • Sleep Deprivation
  • Depression

Keywords

  • Internship and Residency
  • Medical Errors
  • Burnout, Professional
  • Burnout
  • Depression
  • Actigraphy
  • Personnel Staffing and Scheduling
  • Sleep Deprivation
  • Workload
  • Humans
  • Adult
  • Male
  • Female
  • Intensive Care Units
  • Prospective Studies
  • Crossover Studies
  • Work Schedule Tolerance
  • Disorders of Excessive Somnolence
  • Guideline Adherence
  • Internal Medicine Education
03

In context

Sleep Deprivation

300 studies on the registry are indexed under Sleep Deprivation; 60 are open to participants now.

This study's enrollment of 22 is below the median of 45 across 248 interventional studies indexed under Sleep Deprivation.

Browse Sleep Deprivation studies →

Lead sponsor

Providence Health & Services is the lead sponsor of 83 studies on the registry; 6 are open to participants now.

Of its 10 completed or terminated interventional studies of FDA-regulated products, 8 (80%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Interns rotating at Providence St. Vincent Medical Center ICU

Exclusion criteria

Exclusion Criteria:

  • Diagnosis of narcolepsy
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Single (Outcomes assessor)
Enrollment
22 participants (actual)

Study arms

  • Experimental
    Intervention Schedule

    Interns on the intervention schedule work the a modified ICU schedule averaging about 60 hours per week over 4 weeks, with maximum scheduled shift length 16 hours.

    Other: Reduced work hour schedule

  • No intervention
    Traditional Schedule

    Interns on the traditional schedule work the usual ICU schedule averaging about 80 hours per week over 4 weeks, with maximum shift length 30 hours.

Interventions

  • OtherReduced work hour schedule

    Interns on the intervention schedule work an average of 60 hours per week over 4 weeks, with maximum shift length 16 hours.

06

What researchers measure

Primary outcomes

  1. Multiple Sleep Latency Test

    Time frame: Measured once a month for each intern while on ICU rotation, at least 14 days into the scheduled 28 day cycle

Secondary outcomes

  1. Hours slept per night measured by actigraphy

    Time frame: Daily

  2. Pharmaceutical order error rate

    Time frame: Daily

  3. Burnout measured by Maslach Burnout Inventory

    Time frame: Measured once per month for each intern while on ICU rotation, at least 14 days into the 28 day rotation

  4. Beck Depression Inventory, Second Edition (BDI-II)

    Time frame: Measured once per month for each intern while on ICU rotation, at least 14 days into the 28 day rotation

  5. Hours worked per shift on the traditional and intervention schedules

    Time frame: Daily

07

Study locations

1 site
  • Providence St. Vincent Medical Center Intensive Care Unit
    Portland, Oregon 97225, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 16, 2009, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00996320
Lead sponsor
Providence Health & Services
Collaborators
Providence St. Vincent Department of Medicine, Providence Center for Outcomes Research and Education
First posted
Oct 16, 2009
Start date
Jun 2008
Primary completion
Jun 2009
Completion
Jun 2009
Last update
Oct 16, 2009

Study contacts

Michelle L Schoepflin Sanders, MD
principal investigator · Providence St. Vincent Medical Center

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Oct 2009. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion