AHRQ Patient Safety Network

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Fatigue and Sleep Deprivation

Origin/Sponsor

•Asia (1)

•Australia and New Zealand (2)

•Central and South America (1)

Resource Types

•Journal Article (131)

•Legislation/Regulation (1)

•Newspaper/Magazine Article (15)

•Press Release/Announcement (1)

•Special or Theme Issue (3)

•Tools/Toolkit (3)

•Web Resource (3)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (22)

•Active Errors (7)

•Latent Errors (10)

•Near Miss (2)

Approach to Improving Safety

•Quality Improvement Strategies (14)

•Legal and Policy Approaches (10)

•Error Reporting and Analysis (16)

•Communication Improvement (14)

•Human Factors Engineering (2)

•Teamwork (5)

•Specialization of Care (1)

•Logistical Approaches (140)

•Culture of Safety (8)

•Technologic Approaches (3)

•Education and Training (82)

Clinical Areas

•Medicine (100)

•Nursing (12)

Target Audience

•Health Care Providers (126)

•Health Care Executives and Administrators (126)

•Non-Health Care Professionals (77)

•Patients (10)

Setting of Care

•Hospitals (120)

•Ambulatory Care (1)

•Outpatient Surgery (1)

•Patient Transport (2)

1 - 20 of 163

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STUDY

Cost implications of reduced work hours and workloads for resident physicians.

Nuckols TK, Bhattacharya J, Miller Wolman D, Ulmer C, Escarce JJ. N Engl J Med. 2009;360:2202-2215.

BOOK/REPORT classic

Resident Duty Hours: Enhancing Sleep, Supervision, and Safety.

Ulmer C, Wolman DM, Johns MME, eds. Committee on Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedule to Improve Patient Safety, Institute of Medicine. Washington, DC: The National Academies Press; 2008. ISBN: 9780309127721.

COMMENTARY

Revisiting duty-hour limits — IOM recommendations for patient safety and resident education.

Iglehart JK. N Engl J Med. 2008;359:2633-2635.

COMMENTARY

Building physician work hour regulations from first principles and best evidence.

Volpp KG, Landrigan CP. JAMA. 2008;300:1197-1199.

STUDY

Residents' perspectives on ACGME regulation of supervision and duty hours—a national survey.

Drolet BC, Spalluto LB, Fischer SA. N Engl J Med. 2010;363:e34.

COMMENTARY

Do Not Disturb!

Duffy FD, Cassel CK. AHRQ WebM&M [serial online]. October 2007.

COMMENTARY

Putting the sleepy resident issue to bed: federal legislation is not the answer to excessive medical resident working hours.

Stone JD. Suffolk Univ Law Rev. 2007;40:745-767.

STUDY

Cost implications of ACGME's 2011 changes to resident duty hours and the training environment.

Nuckols TK, Escarce JJ. J Gen Intern Med. 2012;27:241-249.

STUDY

Association of workload of on-call medical interns with on-call sleep duration, shift duration, and participation in educational activities.

Arora VM, Georgitis E, Siddique J, et al. JAMA. 2008;300:1146-1153.

COMMENTARY

The response of the APPD, CoPS and AAP to the Institute of Medicine report on resident duty hours.

Guralnick S, Rushton J, Bale JF Jr, Norwood V, Trimm F, Schumacher D. Pediatrics. 2010;125:786-790.

COMMENTARY

The ACGME’s final duty-hour standards—special PGY-1 limits and strategic napping.

Iglehart JK. N Engl J Med. 2010;363:1589-1591.

STUDY

ACGME duty-hour recommendations—a national survey of residency program directors.

Antiel RM, Thompson SM, Reed DA, et al. N Engl J Med. 2010;363:e12.

COMMENTARY

Resident duty hours in surgery for ensuring patient safety, providing optimum resident education and training, and promoting resident well-being: a response from the American College of Surgeons to the Report of the Institute of Medicine, "Resident Duty Hours: Enhancing Sleep, Supervision, and Safety."

Britt LD, Sachdeva AK, Healy GB, Whalen TV, Blair PG; Members of the ACS Task Force on Resident Duty Hours. Surgery. 2009;146:398-409.

COMMENTARY

Limiting nurse overtime, and promoting other good working conditions, influences patient safety.

Collins Sharp BA, Clancy CM. J Nurs Care Qual. 2008;23:97-100.

NEWSPAPER/MAGAZINE ARTICLE

IOM: shorten residents' work shifts to reduce fatigue, improve patient safety.

Kuehn BM. JAMA. 2009;301:259-261.

STUDY

Impact of the Accreditation Council for Graduate Medical Education work-hour regulations on neurosurgical resident education and productivity.

Jagannathan J, Vates GE, Pouratian N, et al. J Neurosurg. 2009;110:820-827.

STUDY

Effect of work-hours regulations on intensive care unit mortality in United States teaching hospitals.

Prasad M, Iwashyna TJ, Christie JD, et al. Crit Care Med. 2009;37:2564-2569.

COMMENTARY classic

The new recommendations on duty hours from the ACGME Task Force.

Nasca TJ, Day SH, Amis ES Jr; for ACGME Duty Hours Task Force. N Engl J Med. 2010;363:e3.

COMMENTARY

Excessive work hours of physicians in training in El Salvador: putting patients at risk.

Fernández Taylor KR. PLoS Med. 2007;4:e205.

COMMENTARY

Resident duty hour regulation and patient safety: establishing a balance between concerns about resident fatigue and adequate training in neurosurgery.

Grady MS, Batjer HH, Dacey RG. J Neurosurg. 2009;110:828-836.

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