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In Conversation with…Christopher P. Landrigan, MD
AHRQ WebM&M [serial online]. April 2005.
In October 2004, in what immediately became a landmark paper in patient safety, Dr. Landrigan and his colleagues reported the results of their study on sleep deprivation and medical errors among interns. The AHRQ-funded study, published in the New England Journal of Medicine, revealed 36% more serious errors and 5.6 times more serious diagnostic errors among interns working a traditional schedule of more than 24 hours in a row than among interns working shorter shifts (1). We spoke with Dr. Landrigan, an Assistant Professor of Pediatrics at Harvard Medical School, about his research and his thoughts on how the study findings might affect residency training in the future.
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STUDY
Extended work duration and the risk of self-reported percutaneous injuries in interns.
Ayas NT, Barger LK, Cade BE, et al. JAMA. 2006;296:1055-1062.
STUDY
Effect of reducing interns' work hours on serious medical errors in intensive care units.
Landrigan CP, Rothschild JM, Cronin JW, et al. N Engl J Med. 2004;351:1838-1848.
STUDY
Effect of reducing interns' weekly work hours on sleep and attentional failures.
Lockley SW, Cronin JW, Evans EE, et al. N Engl J Med. 2004;351:1829-1837.
COMMENTARY
The Accreditation Council for Graduate Medical Education resident duty hour new standards: history, changes, and impact on staffing of intensive care units.
Pastores SM, O’Connor MF, Kleinpell RM, et al. Crit Care Med. 2011;39:2540-2549.
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Resource Type
Commentary
Setting of Care
Intensive Care Units
Target Audience
Physicians
Clinical Area
Critical Care
Nursing
Safety Target
Fatigue and Sleep Deprivation
Error Types
Active Errors
Approach to Improving Safety
Error Analysis
Scheduling Changes
Duty Hour Limitation