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. 2022 Apr 17;9(1):91-96.
doi: 10.1002/wjo2.53. eCollection 2023 Mar.

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

Beatrice C Go  1 , Kevin Chorath  1 , Amy Schettino  1 , Vincent Anagnos  1 , Ivy Maina  1 , Laura Henry  1 , Lukas Dumberger  1 , Neel Sangal  1 , Vasiliki Triantafillou  1 , Solomon Husain  1 , Chad Sudoko  1 , Evan Cretney  1 , Karthik Rajasekaran  1   2
Affiliations

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

Beatrice C Go et al. World J Otorhinolaryngol Head Neck Surg. .

Abstract

Purpose: This study aimed to determine the impact of uttering the word "quiet" on clinical workload during the overnight otolaryngology call shift and understand the factors contributing to resident busyness.

Materials 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 group. At the start of shift, residents were asked to state aloud, "Today will be a quiet night" (quiet group) or "Today will be a good night" (control group). Clinical workload, as measured by number of consults, was the primary outcome. Secondary measures included number of sign-out tasks, unplanned inpatient and operating room visits, number of phone calls and hours of sleep, and self-perceived busyness.

Results: There was no difference in the number of total (P = 0.23), nonurgent (P = 0.18), and urgent (P = 0.18) consults. Tasks at signout, total phone calls, unplanned inpatient visits, and unplanned operating room visits did not differ between the control and quiet groups. While 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 feeling "not busy" during control nights (18, 50.0%) compared to feeling "somewhat busy" during quiet nights (17, 47.2%; P = 0.42).

Conclusion: Contrary to popular belief, there is no clear evidence that uttering the word "quiet" significantly increases clinical workload.

Keywords: burnout; call schedule; quiet; resident workload; wellness.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
Study design and flow
Figure 2
Figure 2
Average number of consults per group
See this image and copyright information in PMC

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