Evidence map›Paper›PMID 20437982›Full record

ArticleClinical medicine (London, England)2010

Implementation of the European Working Time Directive in an NHS trust: impact on patient care and junior doctor welfare.

Hugh F McIntyre, Sarah Winfield, Hui Sen Te, David Crook

Abstract read
In one paragraph

Article in Clinical medicine (London, England), 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. The millennial doctor - A blue collar worker?Future hospital journal · 2017
    Article
  4. Article
  5. Article
  6. The role of the medical registrar.Clinical medicine (London, England) · 2012
    Article
  7. Article
  8. White paper whiteout.Journal of the Royal Society of Medicine · 2010
    Article
  9. The European Working Time Directive: less means less.The British journal of general practice : the journal of the Royal College of General Practitioners · 2010
    Article
  10. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Hugh F McIntyreThe Conquest Hospital, East Sussex Hospitals Trust, St. Leonards on Sea. hugh.mcintyre@esht.nhs.uk
Sarah Winfield
Hui Sen Te
David Crook

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To comply with the European Working Time Directive (EWTD), from 1 August 2009, junior doctors are required to work no more than 48 hours per week. In accordance with this, East Sussex Hospitals Trust introduced changes to working practice in August 2007. To assess the impact upon patient care and junior doctor welfare a retrospective observational survey comparing data from the year prior to and the year following August 2007 was conducted. No impact on the standard of patient care, as measured by length of stay, death during admission or readmission was found. However, there was a notable increase in episodes of sick leave among junior doctors. Implementation of the EWTD may maintain standards of patient care but may be detrimental to the welfare of doctors in training.

Indexed as

HumansMedical Staff, HospitalNational Health ProgramsPatient CarePersonnel Staffing and SchedulingQuality of Health CareSick LeaveUnited Kingdom

Identifiers

PMID20437982
PMCPMC4952083

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.