AHRQ Patient Safety Network

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.

Implementation of duty hour regulations for medical trainees has not adversely affected clinical outcomes in broad populations of patients. This study also found that overall hospital length of stay did not increase for common medical and surgical conditions after resident duty hours were reduced.

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Related Resources

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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.

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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.

BOOK/REPORT

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.

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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.

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