Navigation Links
Junior doctor changeover likely to drive August reduction in quality and safety of patient care

London (31 July 2013). New research suggests that failure by junior doctors in their annual changeover period to identify deteriorating patients and poor prioritisation skills are likely to drive a reduction in the quality and safety of patient care. Next Wednesday 7 August thousands of newly qualified doctors will take up their first hospital jobs and junior doctors will become a grade more senior. This period is associated with worse clinical outcomes than the rest of the year. Researchers writing in JRSM Short Reports, the open-access offshoot to the Journal of the Royal Society of Medicine, found that there was a significant increase in the number of urgent medical tasks after changeover, but that new junior doctors completed routine tasks quicker than their more experienced predecessors. The researchers analysed data from the wireless system for the management of out-of-hours workflow at City Hospital and the Queen's Medical Centre, Nottingham.

Leading the research team, Dr John Blakey of the Liverpool School of Tropical Medicine, said: "The abrupt change to the provision of care by junior doctors who are inexperienced, or who are less experienced for their level of seniority, presents clear potential for a reduction in the quality and safety of patient care." Referred to as the 'August effect', the situation causes great concern amongst the medical community, especially in the light of reports suggesting medical students are poorly prepared for their first post.

The researchers found there was no change in the overall volume of work requested of junior doctors but that there was a significant increase in the volume of requests for more urgent and serious problems. "This amounts to a considerable cumulative duration of unresolved patient risk per month", said Dr Blakey. He added: "New junior doctors also completed routine tasks more quickly than their predecessors. This is because they appear to work through tasks based more on their proximity rather than how urgent they are."

The new study lends empirical evidence to qualitative research investigating whether junior doctors are prepared for the practicalities and complexities of their first posting, say the researchers. They suggest improved training, supervision and quality control could reduce omissions, errors, failure to recognise deterioration and poor task prioritisation skills.


Contact: Rosalind Dewar
SAGE Publications

Related medicine news :

1. Top Nationally-ranked Junior Tennis Players Seek Elite Training to Prep for College Scouting: 2013 Summer National Championship Events
2. Annals and ACP announce recipients of Junior Investigator Recognition Awards
3. Centercourt Athletic Club of Marlboro Opens To Grow Junior & Adult Tennis Programs
4. Loyola names Junior and Senior Scientists of the Year
5. New VSL#3® JUNIOR probiotic for children now available
6. Doctors Launch New Website to Support Popular iTunes App babyQ, Help Pregnant Women Worldwide Improve Maternal and Fetal Health
7. Arizona Marijuana Doctor Helps Scottsdale Patients Achieve Green Wellness in the Copper State
8. Federal Laws Debut this Week to Expose Financial Ties Between Medical Companies and Doctors, Parker Waichman LLP Notes
9. Doctors urged to talk to patients about parking cellphones
10. Contemplation increases willingness to follow up with the doctor
11. DoctorSpring Announces That One Thousand Doctors Have Now Joined the Online Medical Platform
Post Your Comments:
(Date:6/26/2016)... , ... June 27, 2016 , ... Quality metrics are ... in many ways they remain in the eye of the beholder, according to experts ... publication of The American Journal of Managed Care. For the full issue, click ...
(Date:6/26/2016)... ... June 26, 2016 , ... PawPaws brand pet supplements owned ... developed to enhance the health of felines. The formula is all-natural and is made ... in the PawPaws Cat Kidney Support Supplement Soft Chews are Astragalus Root ...
(Date:6/25/2016)... , ... June 25, 2016 , ... ... policy issues and applications at AcademyHealth’s Annual Research Meeting June 26-28, 2016, at ... on several important health care topics including advance care planning, healthcare costs and ...
(Date:6/25/2016)... ... ... "With 30 hand-drawn hand gesture animations, FCPX users can easily customize each ... Film Studios. , ProHand Cartoon’s package transforms over 1,300 hand-drawn pictures into hand ... select a ProHand generator and drag it above media or text in the Final ...
(Date:6/25/2016)... ... 25, 2016 , ... Dr. Calvin Johnson has dedicated his ... implemented orthobiologic procedures as a method for treating his patients. The procedure is ... to perform the treatment. Orthobiologics are substances that orthopaedic surgeons use to help ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... , June 24, 2016   Pulmatrix, Inc ... company developing innovative inhaled drugs, announced today that it ... Russell Investments reconstituted its comprehensive set of U.S. ... "This is an important milestone for Pulmatrix," said ... increase shareholder awareness of our progress in developing drugs ...
(Date:6/23/2016)... 23, 2016  MedSource announced today that it ... software solution of choice.  This latest decision demonstrates ... to their clients by offering a state-of-the-art electronic ... establishes nowEDC as the EDC platform of choice ... clients.  "nowEDC has long been a preferred EDC ...
(Date:6/23/2016)... , June 23, 2016 Research ... "Pharmaceutical Excipients Market by Type (Organic Chemical (Sugar, Petrochemical, ... (Oral, Topical, Coating, Parenteral) - Global Forecast to 2021" ... The global pharmaceutical excipients market is ... a CAGR of 6.1% in the forecast period 2016 ...
Breaking Medicine Technology: