Safety During Night Duty: Survey of 3885 Doctors Across India

BackgroundReports of violence against doctors at the workplace are on the rise. In August 2024, a young female doctor was raped and murdered during night duty at her workplace in Kolkata, India. This incident prompted nationwide protests and a service shutdown by doctors organizations advocating for improved workplace safety. AimThis survey was undertaken by the Indian Medical Association to evaluate safety concerns during night shifts among doctors. With 3,885 individual responses, it is the largest study from India on this topic. MethodsAn online survey was sent to doctors across India through a Google form. There were 3885 responses within 24 hours. In addition to seeking suggestions to improve safety, three separate parameters were assessed: O_LI0-10 numeric rating scale of perception of safety C_LIO_LIAvailability of duty room C_LIO_LIAccess to bathroom while on night duty C_LI ResultsO_LIRespondents were from several states. 85% were under 35 years. 61% were interns or postgraduate trainees. Women constituted 63%, aligning with the gender ratio in some MBBS courses. C_LIO_LISeveral doctors reported feeling unsafe (24.1%) or very unsafe (11.4%), totalling one-third of the respondents. The proportion of those feeling unsafe was higher among women. C_LIO_LIA duty room was not available to 45% of respondents during night shifts. C_LIO_LIThose with access to a duty room had greater sense of safety. C_LIO_LIDuty rooms were often inadequate due to overcrowding, lack of privacy and missing locks, forcing doctors to find alternative rest areas. C_LIO_LIOne-third of available duty rooms did not have an attached bathroom. C_LIO_LIIn more than half the instances (53%), duty room was located far from the ward/casualty area. C_LIO_LISuggestions to enhance safety included increasing the number of trained security personnel, installing CCTV cameras, ensuring proper lighting, implementing the Central Protection Act (CPA), restricting bystander numbers, installing alarm systems, and providing basic amenities such as secure duty rooms with locks. For detailed information, refer to Table 13, the synopsis and the verbatim comments section. C_LI O_TBL View this table: org.highwire.dtl.DTLVardef@1f4fb0forg.highwire.dtl.DTLVardef@8ebcbeorg.highwire.dtl.DTLVardef@1097f0eorg.highwire.dtl.DTLVardef@749ed3org.highwire.dtl.DTLVardef@6755db_HPS_FORMAT_FIGEXP M_TBL O_FLOATNOTable 13.C_FLOATNO O_TABLECAPTIONSuggestions for better workplace safety from individual doctors, ranked by frequency *As the questionnaire directly mentioned duty room, ranking of this parameter is not possible. The other parameters were derived from individual comments and ranked according to frequency of use. C_TABLECAPTION C_TBL ConclusionsDoctors across the country, particularly women, report feeling unsafe during night shifts. There is substantial scope for improving security personnel and equipment in healthcare settings. Modifications to infrastructure are essential to ensure safe, clean, and accessible duty rooms, bathrooms, food, and drinking water. Adequate staffing, effective triaging, and crowd control in patient care areas are also necessary to ensure that doctors can provide the required attention to each patient without feeling threatened by their work environment.