Constructing high-quality rest facilities to maximise performance and ensure patient safety

BMJ Open Quality

article

Geeth Silva¹  Aiken Yam²  Jessica Court³  Rabia Imtiaz⁴  Cath Chisholm⁵ 

[1] Foundation Doctor , Leicester General Hospital;Foundation Doctor , Glenfield Hospital;Foundation Doctor , Leicester Royal Infirmary;Deputy Medical Director , Kettering General Hospital;Quality Improvement , Kettering General Hospital

关键词: Leadership;    Management;    Clinical Governance;    Fatigue;    Human factors;   

DOI  :  10.1136/bmjoq-2021-001403

学科分类：药学

来源: BMJ Publishing Group

【 摘 要 】

Introduction Junior doctors are working in an increasingly overstretched National Health Service. In 2018, Kettering General Hospital (KGH) was awarded £60 800 of government funds to create high-quality rest facilities and improve junior doctor well-being.Methods An audit and survey in KGH identified the structural and functional improvements needed. From November 2019 to June 2020, £47 841.24 was spent on creating new rest facilities. On completion, a postaction review assessed how the changes impacted morale, well-being and quality of patient care.Results The majority of doctors were happy with the new rest areas (60%), a majority felt that they would use the on-call room area (63%) and the renovation improved morale and well-being. There was an increased ability to take breaks. However, the majority of doctors are not exception-reporting missing breaks: 79% (2019), 74% (2020).Conclusions and Implications This report recommends the maintenance of increased staffing levels and rest facilities during the recovery phase of COVID-19. The remaining £12 958.76 should be directed at sustaining the quality of KGH rest facilities. Lastly, the rate of exception-reporting must be increased through improving awareness, exploring alternative methods and supporting the action when necessary. The continual investment into rest facilities ensures workforce well-being and translates into patient safety.

【 授权许可】

CC BY-NC|CC BY|CC BY-NC-ND