Duty Hour Limitation
PATIENT SAFETY PRIMERS
Physician Work Hours and Patient Safety
Diagnostic Errors (4)
Discontinuities, Gaps, and Hand-Off Problems (32)
Fatigue and Sleep Deprivation (101)
Medication Safety (4)
Medical Complications (7)
Nonsurgical Procedural Complications (1)
Surgical Complications (18)
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Central and South America (1)
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Epidemiology of Errors and Adverse Events (20)
Active Errors (6)
Latent Errors (15)
Approach to Improving Safety
Duty Hour Limitation
Health Care Providers (108)
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Non-Health Care Professionals (88)
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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.
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.
IOM: shorten residents' work shifts to reduce fatigue, improve patient safety.
Kuehn BM. JAMA. 2009;301:259-261.
Effective implementation of work-hour limits and systemic improvements.
Landrigan CP, Czeisler CA, Barger LK, et al. Jt Comm J Qual Patient Saf. 2007;33(suppl 1):19-29.
The ACGME’s final duty-hour standards—special PGY-1 limits and strategic napping.
Iglehart JK. N Engl J Med. 2010;363:1589-1591.
Effects of shift length on quality of patient care and health provider outcomes: systematic review.
Estabrooks CA, Cummings GG, Olivo SA, Squires JE, Giblin C, Simpson N. Qual Saf Health Care. 2009;18:181-188.
Revisiting duty-hour limits — IOM recommendations for patient safety and resident education.
Iglehart JK. N Engl J Med. 2008;359:2633-2635.
Do Not Disturb!
Duffy FD, Cassel CK. AHRQ WebM&M [serial online]. October 2007.
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.
Building physician work hour regulations from first principles and best evidence.
Volpp KG, Landrigan CP. JAMA. 2008;300:1197-1199.
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.
Attending physician work hours: ethical considerations and the last doctor standing.
Mercurio MR, Peterec SM. Pediatrics. 2009;124:758-762.
Restricting resident work hours: the good, the bad, and the ugly.
Peets A, Ayas NT. Crit Care Med. 2012;40:960-966.
Predicting future staffing needs at teaching hospitals: use of an analytical program with multiple variables.
Mitchell CC, Ashley SW, Zinner MJ, Moore FD. Arch Surg. 2007;142:329-334.
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.
Cost and workforce implications of subjecting all physicians to aviation industry work-hour restrictions.
Payette M, Chatterjee A, Weeks WB. Am J Surg. 2009:197:820-825.
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.
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.
Quality Care and Excellence in Medical Education.
Accreditation Council for Graduate Medical Education.
The impact of resident duty hour reform on hospital readmission rates among Medicare beneficiaries.
Press MJ, Silber JH, Rosen AK, et al. J Gen Intern Med. 2011;26:405-411.
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