Safe Working Hours is a campaign that unites healthcare workers and members of the public to make working hours safer for patients and safer for doctors.
South Africa
Joined July 2016
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New article about Extended Shifts (that's "calls", even though many people just work a 30 hour shift - hence extended shifts) as an occupational hazard:
mdpi.com/1660-4601/17/16/585…
Especially when some are the current practices are dangerous and probably violate more than one law:
mdpi.com/1660-4601/17/16/585…
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I really don’t get the “I suffered and turned out fine, now so must you” crew.
Personally, I want new baby doctors to have every fulfilling experience I never had. I want them to dodge all the negative things I had to endure. We gotta evolve as a fraternity. – at Port Elizabeth, South Africa
Now, more than ever, we need to take an occupational hygiene approach to health worker safety. Read our article to find out how this applies to working hours for doctors: mdpi.com/1660-4601/17/16/585… @HeleneMarivdW @HPCSA_ @SAMedicalAssoc @mark_sonderup
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Hope that some of my public health & primary care heroes will also find this interesting: @klausvon @shrikantpeters @ProfMikeEnglish @KerrinBegg @ArneDelft @bartwillza @jvolmink @trishgreenhalgh @ChrisColButler
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4/ Longest shift in the literature? 76 hours continuously. 😱😴That is madness, yet doctors in South Africa still frequently work dangerously long hours. The is your wake up call, medical profession. /End
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3/ What should be done? Extended working hours should be seen as an occupational hazard, they should have a cap on maximum shift duration (suggest 16 hours), and we should mitigate the risk of fatigue (eg pre-call naps, lighting to sustain wakefulness)
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2/ what happens on an uncapped, continuous shift? Doctors sustain more needlestick injuries, make medication & diagnostic errors and have 2.3 X increase risk of car crash on the way home See this ‘share your story’ video youtube.com/watch?v=lDGwc7UA… linked to the article
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1/ Would you get on a plane with a pilot who has been awake for >24h? Probably not. Also regulations protect you. Why are the working hours of doctors different? Read our commentary featuring a case study of the South African @SafeWorkHours campaign here: mdpi.com/1660-4601/17/16/585…
Doctors’ Extended Shifts as Risk to Practitioner and Patient: South Africa as a Case Study ##mdpiijerph via @IJERPH_MDPI @HPCSA_
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Shout out to Koot for leading this effort, @eldivl @farahjawitz for collaborating, Prof Rodney Ehrlich for guidance, and the many junior doctors who have participated in the different phases of the @SafeWorkHours campaign 🏥
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Ms Manya Van Ryneveld scrutinized the evolution of governance and stewardship in Human Resources for health #HPCSAConference2019
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In his presentation, Prof Binu Luke tackles the issue of Medical internship training in South Africa, 2020 and beyond. A transformational plan for health service delivery. #HPCSAConference2019
A lot of interest in #safeworkinghours and creating a multi-stakeholder platform for dicuss ways forward. People are waking up to the risk.
@hpcsa @hpcsaconference
#HPCSAConference2019
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#HPCSA @ConferenceHpcsa health workers are expected to work in environments that are not conducive for ethical behavior - Dr Letlape – at Kempton Park, South Africa
The evidence that 24 and 30 hour shifts impede functioning of health practitioners is incontrovertible. What are we doing about solutions? We're here to talk. #safeworkinghours @HealthZA @HPCSA @hpcsaconference #HPCSAConference2019
"High attrition rate" among highly qualified health professions. Unsafe working organization can act as a major push factor. We need to do something for #safeworkinghours and retain our doctors.
@hpcsa @hpcsaconference #HPCSAConference2019 @HealthZA
Great idea to include health outcomes reporting in CPD at this panel discussion. But will we insist on monitoring the risks posed by fatigue? Wake up to the risk. #safeworkinghours
#HPCSAConference2019 @HPCSA_ @hpcsaconference @HealthZA
Really great to hear mention of multidisciplinary teams @hpcsaconference. #HPCSAConference2019, Task shifting and task sharing will be key to achieving #safeworkinghours in the NHI.
Will facility accreditations for NHI look at unsafe working practices?
@HealthZA @HPCSA @ConferenceHpcsa #safeworkinghours #HPCSAConference2019