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 (152)

•Legislation/Regulation (1)

•Newspaper/Magazine Article (16)

•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 (27)

•Active Errors (10)

•Latent Errors (10)

•Near Miss (2)

Approach to Improving Safety

•Quality Improvement Strategies (16)

•Legal and Policy Approaches (12)

•Error Reporting and Analysis (19)

•Communication Improvement (16)

•Human Factors Engineering (4)

•Teamwork (7)

•Specialization of Care (1)

•Logistical Approaches (148)

•Culture of Safety (8)

•Technologic Approaches (4)

•Education and Training (86)

Clinical Areas

•Medicine (114)

•Nursing (19)

Target Audience

•Health Care Providers (146)

•Health Care Executives and Administrators (146)

•Non-Health Care Professionals (83)

•Patients (11)

Setting of Care

•Hospitals (133)

•Ambulatory Care (1)

•Outpatient Surgery (1)

•Patient Transport (2)

1 - 20 of 185

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STUDY

Effects of the Accreditation Council for Graduate Medical Education duty hour limits on sleep, work hours, and safety.

Landrigan CP, Fahrenkopf AM, Lewin D, et al. Pediatrics. 2008;122:250-258.

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

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

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

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

The impact of duty hours on resident self reports of errors.

Vidyarthi AR, Auerbach AD, Wachter RM, Katz PP. J Gen Intern Med. 2007;22:205–209.

STUDY

Residents' response to duty-hour regulations—a follow-up national survey.

Drolet BC, Christopher DA, Fischer SA. N Engl J Med. 2012;366:e35.

STUDY

Effects of the 2011 duty hour reforms on interns and their patients: a prospective longitudinal cohort study.

Sen S, Kranzler HR, Didwania AK, et al. JAMA Intern Med. 2013;173:657-662.

REVIEW

Impact of reduction in working hours for doctors in training on postgraduate medical education and patients' outcomes: systematic review.

Moonesinghe SR, Lowery J, Shahi N, Millen A, Beard JD. BMJ. 2011;342:d1580.

REVIEW

Patient safety, resident education and resident well-being following implementation of the 2003 ACGME duty hour rules.

Fletcher KE, Reed DA, Arora VM. J Gen Intern Med. 2011;26:907-919.

MULTI-USE WEBSITE

Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedules to Improve Patient Safety.

Institute of Medicine.

STUDY

Changes in hospital mortality associated with residency work-hour regulations.

Shetty KD, Bhattacharya J. Ann Intern Med. 2007;147:73-80.

STUDY

A comparative resident site visit project: a novel approach for implementing programmatic change in the duty hours era.

Crowley MJ, Barkauskas CE, Srygley FD, et al. Acad Med. 2010;85:1140-1146.

STUDY

Effects of a night-team system on resident sleep and work hours.

Chua KP, Gordon MB, Sectish T, Landrigan CP. Pediatrics. 2011;128:1142-1147.

NEWSPAPER/MAGAZINE ARTICLE

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

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

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.

STUDY

Decreased bile duct injury rate during laparoscopic cholecystectomy in the era of the 80-hour resident workweek.

Yaghoubian A, Saltmarsh G, Rosing DK, et al. Arch Surg. 2008;143:847-851.

STUDY

Changes in outcomes for internal medicine inpatients after work-hour regulations.

Horwitz LI, Kosiborod M, Lin Z, Krumholz HM. Ann Intern Med. 2007;147:97-103.

REVIEW

Duty-hour limits and patient care and resident outcomes: can high-quality studies offer insight into complex relationships?

Philibert I, Nasca T, Brigham T, Shapiro J. Annu Rev Med. 2013;64:467-483.

COMMENTARY

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

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

COMMENTARY

An elusive balance — residents' work hours and the continuity of care.

Okie S. N Engl J Med. 2007;356:2665-2667.

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