Residents' duty hours—toward an empirical narrative.

Lisa Rosenbaum; Daniela Lamas

Commentary

Residents' duty hours—toward an empirical narrative.

December 5, 2012

Rosenbaum L, Lamas D. N Engl J Med. 2012;367(21):2044-9.

View more articles from the same authors.

This commentary discusses resident work hour reform and recommends that health care generate research to understand the effects of such reductions.

PubMed citation

Available at

Free full text

Related Resources From the Same Author(s)

Transitional chaos or enduring harm? The EHR and the disruption of medicine.

October 28, 2015

Scoring no goal—further adventures in transparency.

September 9, 2015

Teamwork- Part 1: Divided We Fall; Part 2: Cursed By Knowledge: Building a Culture of Psychological Safety; and Part 3: The Not-My-Problem Problem.

March 6, 2019

The untold toll — the pandemic’s effects on patients without Covid-19.

April 29, 2020

Advance care planning documentation practices and accessibility in the electronic health record: implications for patient safety.

March 28, 2018

The role of technology in clinician-to-clinician communication.

August 14, 2013

The use of technology for urgent clinician to clinician communications: a systematic review of the literature.

January 7, 2015

Observation for assessment of clinician performance: a narrative review.

November 11, 2015

Failure mode and effects analysis: a comparison of two common risk prioritisation methods.

May 4, 2016

Sex and gender differences in anesthesia: relevant also for perioperative safety?

April 7, 2021

Association of the 2011 ACGME resident duty hour reforms with mortality and readmissions among hospitalized Medicare patients.

January 14, 2015

Successful use of a rapid response team in the pediatric oncology outpatient setting.

January 20, 2010

Operating room to intensive care unit handoffs and the risks of patient harm.

July 22, 2015

Mortality among patients in VA hospitals in the first 2 years following ACGME resident duty hour reform.

September 12, 2007

What does safety commitment mean to leaders? A multi-method investigation.

April 3, 2019

Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons from New York City.

July 29, 2020

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

November 4, 2009

Error disclosure and family members' reactions: does the type of error really matter?

February 18, 2015

Measuring experiences and outcomes of patient safety in primary care: a systematic review of available instruments.

October 29, 2014

Barriers to and facilitators of bedside nursing handover: a systematic review and meta-synthesis.

July 7, 2021

Missed, rationed or unfinished nursing care: a scoping review of patient outcomes.

April 29, 2020

Medical-surgical nurse leaders' experiences with safety culture: an inductive qualitative descriptive study.

November 9, 2022

An IDEA: safety training to improve critical thinking by individuals and teams.

April 10, 2019

Medication reconciliation for patients after their discharge from intensive care unit to the hospital ward.

July 19, 2023

Support strategies for health care professionals who are second victims.

August 1, 2018

Back to basics: counting soft surgical goods.

April 20, 2016

Back to basics: the Universal Protocol.

January 24, 2018

Back to basics: preventing surgical site infections.

June 4, 2014

Guideline for Prevention of Unintentionally Retained Surgical Items.

January 19, 2022

System errors in intrapartum electronic fetal monitoring: a case review.

November 16, 2005

Support and recovery strategies for second victims.

April 3, 2024

Use of electronic health records in US hospitals.

April 8, 2009

Changes in prognosis after the first postoperative complication.

April 3, 2005

Oral chemotherapy safety practices at US cancer centres: questionnaire survey.

January 24, 2007

Gossypiboma: tales of lost sponges and lessons learned.

September 1, 2010

Tragedy into policy: a quantitative study of nurses' attitudes toward patient advocacy activities.

June 22, 2011

Quality improvement: Universal Protocol use in office-based gastrointestinal procedure units.

January 9, 2013

Dangers of diagnostic overshadowing.

June 5, 2019

Improving health care quality and safety for people with disabilities: an interview with Lisa Iezzoni.

June 28, 2006

The wolf is crying in the operating room: patient monitor and anesthesia workstation alarming patterns during cardiac surgery.

November 10, 2010

Analysis of patient safety risk management call data during the COVID‐19 pandemic.

January 27, 2021

Nurses and nursing students as second victims: a scoping review.

July 19, 2023

Patient perceptions of misdiagnosis of endometriosis: results from an online national survey.

July 29, 2020

Preventing vincristine administration errors: does evidence support minibag infusions?

April 26, 2006

Integrating quality and safety content into clinical teaching in the acute care setting.

June 13, 2007

Costs and consequences associated with misdiagnosed lower extremity cellulitis.

November 23, 2016

Reducing central line–associated bloodstream infections in North Carolina NICUs.

February 26, 2014

Quality and safety in hospital pediatrics during COVID-19: a national qualitative study.

January 12, 2022

Implementing handoff communication.

June 15, 2011

The "hidden curriculum" and residents' attitudes about medical error disclosure: comparison of surgical and nonsurgical residents.

October 9, 2013

Electronic fetal heart rate monitoring: applying principles of patient safety.

May 16, 2012

Recognition and prevention of nosocomial malnutrition: a review and a call to action!

October 11, 2017

Preventing potential patient harm through clinical content interventions during oncology clinical trial implementation.

September 20, 2023

Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital complications: a medical record review across nine Swiss hospitals.

January 10, 2024

National incidence of medication error in surgical patients before and after Accreditation Council for Graduate Medical Education duty-hour reform.

July 8, 2015

Rating recommendations for consumers about patient safety: sense, common sense, or nonsense?

April 8, 2009

Epidural pump programming error leading to inadvertent 10-fold dosing error during epidural labor analgesia with ropivacaine.

December 8, 2010

Healthcare professionals' views of smart glasses in intensive care: a qualitative study.

February 7, 2018

Decision-making processes used by nurses during intravenous drug preparation and administration.

November 16, 2011

Leveraging the continuum: a novel approach to meeting quality improvement and patient safety competency requirements across a large department of medicine.

November 14, 2018

Using failure mode and effects analysis to increase patient safety in cancer chemotherapy.

December 22, 2021

Acute clinical deterioration and consumer escalation: the understanding and perceptions of hospital staff.

August 31, 2022

Residents, responsibility, and error: how residents learn to navigate the intersection.

August 16, 2023

Lessons learned from medical malpractice claims involving critical care nurses.

August 5, 2020

Special report: COVID deepens the other opioid crisis - a shortage of hospital painkillers.

June 24, 2020

Implementation of the SBAR communication technique in a tertiary center.

October 29, 2008

Causes of errors in the electrocardiographic diagnosis of atrial fibrillation by physicians.

March 14, 2007

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

January 13, 2010

Electronic health records in ambulatory care- a national survey of physicians.

June 25, 2008

Surgical programs in the Veterans Health Administration maintain briefing and debriefing following medical team training.

April 30, 2014

Using potentially preventable severe maternal morbidity to monitor hospital performance.

February 8, 2023

Adverse drug events among hospitalized Medicare patients: epidemiology and national estimates from a new approach to surveillance.

January 13, 2010

The quality and safety track: training future physician leaders.

September 4, 2013

Nurses' knowledge and teaching of possible postpartum complications.

August 30, 2017

Impact of a pharmacist on medication reconciliation on patient admission to a Veterans Affairs Medical Center.

September 3, 2008

Failure mode and effect analysis: a technique to prevent chemotherapy errors.

June 28, 2006

A quality improvement initiative to improve pediatric discharge medication safety and efficiency.

August 16, 2023

Sleep deprivation, physician performance, and patient safety.

November 25, 2009

Sleep deprivation, elective surgical procedures, and informed consent.

January 12, 2011

Time trends in pulmonary embolism in the United States: evidence of overdiagnosis.

May 25, 2011

The contribution of sociotechnical factors to health information technology–related sentinel events.

January 27, 2016

Education and reporting of diagnostic errors among physicians in internal medicine training programs.

September 19, 2018

Communicating doses of pediatric liquid medicines to parents/caregivers: a comparison of written dosing directions on prescriptions with labels applied by dispensed pharmacy.

May 21, 2014

Pending studies at hospital discharge: a pre-post analysis of an electronic medical record tool to improve communication at hospital discharge.

January 7, 2015

Healthcare personnel's working conditions in relation to risk behaviours for organism transmission: a mixed-methods study.

July 21, 2021

A learning health system agenda for organizational approaches to enhancing occupational well-being among clinicians.

May 25, 2022

Coworker abuse in healthcare: voices of mistreated workers.

March 15, 2023

Adverse drug events in general practice patients in Australia.

April 19, 2006

An evidence and consensus-based definition of second victim: a strategic topic in healthcare quality, patient safety, person-centeredness and human resource management.

February 15, 2023

Root cause analysis of reported patient falls in ORs in the Veterans Health Administration.

October 24, 2018

Clinicians' assessments of electronic medication safety alerts in ambulatory care.

October 7, 2009

What patients think doctors know: beliefs about provider knowledge as barriers to safe medication use.

August 14, 2013

What we can do about maternal mortality—and how to do it quickly.

November 14, 2018

Laney's story: the problem of delayed diagnosis of pediatric stroke.

April 24, 2019

Racial disparities in preventable adverse events attributed to poor care coordination reported in a national study of older US adults.

September 1, 2021

Delays in diagnosis, treatment, and surgery: root causes, actions taken, and recommendations for healthcare improvement.

June 1, 2022

Introduction of a rapid response system at a United States Veterans Affairs hospital reduced cardiac arrests.

August 4, 2010

Workarounds to hospital electronic prescribing systems: a qualitative study in English hospitals.

May 18, 2016

Safety risks associated with the lack of integration and interfacing of hospital health information technologies: a qualitative study of hospital electronic prescribing systems in England.

April 27, 2016

How medical error shapes physicians' perceptions of learning: an exploratory study.

August 21, 2019

Related Resources

On Patient Safety.

November 7, 2023

Resident duty hours and resident and patient outcomes: systematic review and meta-analysis.

November 16, 2022

National improvements in resident physician-reported patient safety after limiting first-year resident physicians' extended duration work shifts: a pooled analysis of prospective cohort studies.

May 25, 2022

Patient safety outcomes under flexible and standard resident duty-hour rules.

March 13, 2019

Capturing essential information to achieve safe interoperability.

August 10, 2016

Resident Duty Hours Across Borders: An International Perspective.

January 21, 2015

Understanding the effect of resident duty hour reform: a qualitative study.

August 13, 2014

Patient safety in the era of the 80-hour workweek.

May 14, 2014

A systematic review of the effects of resident duty hour restrictions in surgery: impact on resident wellness, training, and patient outcomes.

April 16, 2014

Inpatient safety outcomes following the 2011 residency work-hour reform.

April 2, 2014

Graded autonomy in medical education—managing things that go bump in the night.

March 26, 2014

Redesigning hospital alarms for patient safety: alarmed and potentially dangerous.

March 12, 2014

Mandatory influenza vaccination for health care workers as the new standard of care: a matter of patient safety and nonmaleficent practice.

January 29, 2014

Responding to clinicians who fail to follow patient safety practices: perceptions of physicians, nurses, trainees, and patients.

January 22, 2014

Speaking up about the dangers of the hidden curriculum.

January 22, 2014

Residency Training—A Decade of Duty-Hour Regulations.

December 18, 2013

Texting while doctoring: a patient safety hazard.

December 18, 2013

The concept of shared mental models in healthcare collaboration.

December 11, 2013

Increasing demands for quality measurement.

November 27, 2013

Approval and perceived impact of duty hour regulations: survey of pediatric program directors.

October 23, 2013

Safety during night shifts: a cross-sectional survey of junior doctors' preparation and practice.

October 23, 2013

An intervention model that promotes accountability: peer messengers and patient/family complaints.

October 9, 2013

How much diagnostic safety can we afford, and how should we decide? A health economics perspective.

October 2, 2013

Residency schedule, burnout and patient care among first-year residents.

September 4, 2013

Why doesn't medical care get better when doctors rest more?

September 4, 2013

Teaching hospital five-year mortality trends in the wake of duty hour reforms.

August 7, 2013

Some doctors questioning whether shorter shifts for interns are endangering patients.

July 24, 2013

Duty-hours monitoring revisited: self-report may not be adequate.

June 19, 2013

The long road to ensuring patient safety in NHS hospitals.

June 12, 2013

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

May 22, 2013

See More About The Topic

Hospitals

Physicians

Quality and Safety Professionals

Policy Makers

General Internal Medicine

Residents' duty hours—toward an empirical narrative.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Residents' duty hours—toward an empirical narrative.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site