AHRQ Patient Safety Network

The Collection > Duty Hour Limitation

PATIENT SAFETY PRIMERS
Physician Work Hours and Patient Safety

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•Diagnostic Errors (4)

•Discontinuities, Gaps, and Hand-Off Problems (40)

•Fatigue and Sleep Deprivation (113)

•Medication Safety (5)

•Medical Complications (9)

•Nonsurgical Procedural Complications (1)

•Surgical Complications (18)

•Psychological and Social Complications (4)

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•Journal Article (141)

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Error Types

•Epidemiology of Errors and Adverse Events (24)

•Active Errors (5)

•Latent Errors (12)

Approach to Improving Safety
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Duty Hour Limitation

Clinical Areas

•Medicine (107)

•Nursing (8)

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Target Audience

•Health Care Providers (114)

•Health Care Executives and Administrators (119)

•Non-Health Care Professionals (95)

•Patients (6)

Setting of Care

•Hospitals (124)

1 - 20 of 158

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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.

STUDY

Impact of duty-hour restriction on resident inpatient teaching.

Mazotti LA, Vidyarthi AR, Wachter RM, Auerbach AD, Katz PP. J Hosp Med. 2009;4:476-480.

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.

STUDY

Shifting indirect patient care duties to after hours in the era of work hours restrictions.

Mourad M, Vidyarthi AR, Hollander H, Ranji SR. Acad Med. 2011;86:586-590.

COMMENTARY

Handoffs in the era of duty hours reform: a focused review and strategy to address changes in the Accreditation Council for Graduate Medical Education Common Program Requirements.

DeRienzo CM, Frush K, Barfield ME, et al. Acad Med. 2012;87:403-410.

STUDY

Physicians-in-training attitudes on patient safety: 2003 to 2008.

Sorokin R, Riggio JM, Moleski S, Sullivan J. J Patient Saf. 2011;7:132-137.

COMMENTARY

Residency training at a crossroads: duty-hour standards 2010.

Volpp KG, Friedman W, Romano PS, Rosen A, Silber JH. Ann Intern Med. 2010;153:826-828.

COMMENTARY

Utilizing information technology to mitigate the handoff risks caused by resident work hour restrictions.

Bernstein J, MacCourt DC, Jacob DM, Mehta S. Clin Orthop Relat Res. 2010;468:2627-2732.

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.

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.

REVIEW

Systematic review: association of shift length, protected sleep time, and night float with patient care, residents' health, and education.

Reed DA, Fletcher KE, Arora VM. Ann Intern Med. 2010;153:829-842.

STUDY

Rethinking resident supervision to improve safety: from hierarchical to interprofessional models.

Tamuz M, Giardina TD, Thomas EJ, Menon S, Singh H. J Hosp Med. 2011;6:448-456.

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

Complying with ACGME resident duty hours restrictions: restructuring the 80-hour workweek to enhance education and patient safety at Texas A&M/Scott & White Memorial Hospital.

Ogden PE, Sibbitt S, Howell M, et al. Acad Med. 2006;81:1026-1031.

STUDY

A new professionalism? Surgical residents, duty hours restrictions, and shift transitions.

Coverdill JE, Carbonell AM, Fryer J, et al. Acad Med. 2010;85:S72-S75.

STUDY

Prolonged hospital stay and the resident duty hour rules of 2003.

Silber JH, Rosenbaum PR, Rosen AK, et al. Med Care. 2009;47:1191-1200.

STUDY

The impact of prolonged continuous wakefulness on resident clinical performance in the intensive care unit: a patient simulator study.

Sharpe R, Koval V, Ronco JJ, et al. Crit Care Med. 2010;38:766-770.

STUDY

Duty hours, quality of care, and patient safety: general surgery resident perceptions.

Borman KR, Jones AT, Shea JA. J Am Coll Surg. 2012;215:70-77.

STUDY

Did duty hour reform lead to better outcomes among the highest risk patients?

Volpp KG, Rosen AK, Rosenbaum PR, et al. J Gen Intern Med. 2009;10:1149-1155.

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