Impact of the 2011 ACGME resident duty hour reform on hospital patient experience and processes-of-care.

Ravi Rajaram; Lily Saadat V; Jeanette W. Chung; Allison R. Dahlke; Anthony D. Yang; David D. Odell; Karl Y. Bilimoria

Study

Impact of the 2011 ACGME resident duty hour reform on hospital patient experience and processes-of-care.

February 24, 2016

Rajaram R, Saadat L, Chung JW, et al. BMJ Qual Saf. 2016;25(12):962-970.

View more articles from the same authors.

Using data from the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey and the Hospital Compare website, this study did not find any significant differences between patient experience or processes-of-care scores in the year before compared to the year after the 2011 resident duty hour reforms.

PubMed citation

Available at

Related Resources From the Same Author(s)

Program director perceptions of surgical resident training and patient care under flexible duty hour requirements.

September 7, 2016

Association of the 2011 ACGME resident duty hour reform with postoperative patient outcomes in surgical specialties.

August 12, 2015

Surgical residents' work hours and well-being in year 2 of the FIRST trial.

July 26, 2017

Association of the 2011 ACGME resident duty hour reform with general surgery patient outcomes and with resident examination performance.

January 14, 2015

Associations between hospital characteristics, measure reporting, and the Centers for Medicare & Medicaid Services overall hospital quality star ratings.

June 7, 2017

Association between state medical malpractice environment and postoperative outcomes in the United States.

June 21, 2017

Gender-based differences in surgical residents' perceptions of patient safety, continuity of care, and well-being: an analysis from the Flexibility in Duty Hour Requirements for Surgical Trainees (FIRST) trial.

March 15, 2017

Evaluation of reasons why surgical residents exceeded 2011 duty hour requirements when offered flexibility.

June 20, 2018

National cluster-randomized trial of duty-hour flexibility in surgical training.

February 10, 2016

Hospital characteristics associated with penalties in the Centers for Medicare & Medicaid Services Hospital-Acquired Condition Reduction Program.

August 5, 2015

Quality and safety in surgery: challenges and opportunities.

September 8, 2021

Ethical considerations in the development of the Flexibility in Duty Hour Requirements for Surgical Trainees trial.

October 26, 2016

A national mixed-methods evaluation of preparedness for general surgery residency and the association with resident burnout.

September 2, 2020

Association between hospital safety culture and surgical outcomes in a statewide surgical quality improvement collaborative.

May 15, 2019

Association of surgical resident wellness with medical errors and patient outcomes.

May 6, 2020

Development and validation of a brief culture-of-safety survey.

June 22, 2022

Relationship between state malpractice environment and quality of health care in the United States.

April 12, 2017

Association between implementing comprehensive learning collaborative strategies in a statewide collaborative and changes in hospital safety culture.

September 2, 2020

Underlying reasons associated with hospital readmission following surgery in the United States.

February 18, 2015

A comprehensive estimation of the costs of 30-day postoperative complications using actual costs from multiple, diverse hospitals.

October 14, 2020

Failure to administer recommended chemotherapy: acceptable variation or cancer care quality blind spot?

September 18, 2019

Safety culture as a patient safety practice for alarm fatigue.

October 13, 2021

Resident duty hours and medical education policy—raising the evidence bar.

April 12, 2017

The new CMS hospital quality star ratings: the stars are not aligned.

November 9, 2016

An evolving hospital quality star rating system from CMS: aligning the stars.

May 26, 2021

Discrimination, abuse, harassment, and burnout in surgical residency training.

November 20, 2019

A case for improving measurement of intraoperative iatrogenic injuries.

July 23, 2014

Oversedation of a patient with obstructive sleep apnea prior to imaging.

February 21, 2018

Insulin dosing error in a patient with severe hyperkalemia.

January 17, 2018

Management of a patient with a latex allergy.

January 25, 2017

Wrong-site surgery.

December 13, 2017

Retained lumbar catheter tip.

April 5, 2017

Rapid response teams as a patient safety practice for failure to rescue.

July 7, 2021

Prevalence, types, and sources of bullying reported by US general surgery residents in 2019.

June 17, 2020

Development of an online morbidity, mortality, and near-miss reporting system to identify patterns of adverse events in surgical patients.

April 22, 2009

Impact of pharmacist-provided medication therapy management on healthcare quality and utilization in recently discharged elderly patients.

September 28, 2016

Effect of clinical decision-support systems: a systematic review.

July 18, 2012

Implementation of an integrated computerized prescriber order-entry system for chemotherapy in a multisite safety-net health system.

April 25, 2018

Minimizing Opioid Prescribing in Surgery (MOPiS) initiative: an analysis of implementation barriers.

April 17, 2019

Evaluation and certification of computerized physician order entry systems.

November 22, 2006

The relationship between perceived practice quality and quality improvement activities and physician practice dissatisfaction, professional isolation, and work-life stress.

August 5, 2009

Association between surgeon technical skills and patient outcomes.

September 9, 2020

Education outcomes from a duty-hour flexibility trial in internal medicine.

March 28, 2018

Patient safety in dermatology: a review of the literature.

February 17, 2010

The novice nurse and clinical decision-making: how to avoid errors.

May 11, 2011

Diagnostic errors in the pediatric and neonatal ICU: a systematic review.

March 4, 2015

Fatigue risk management: the impact of anesthesiology residents' work schedules on job performance and a review of potential countermeasures.

December 13, 2017

Accuracy of interpretation of preparticipation screening electrocardiograms.

August 31, 2011

Blurring the boundaries: scenario-based simulation in a clinical setting.

June 8, 2005

Medication errors with the use of allopurinol and colchicine: a retrospective study of a national, anonymous Internet-accessible error reporting system.

March 8, 2006

Removing the "me" from "MD."

November 20, 2013

A look into the nature and causes of human errors in the intensive care unit.

March 27, 2005

An innovative approach to the surgical time out: a patient-focused model.

June 29, 2016

Sustainable, effective implementation of a surgical preprocedural checklist: an "attestation" format for all operating team members.

January 15, 2014

Discussing harm-causing errors with patients: an ethics primer for plastic surgeons.

June 11, 2014

Surgeon-specific mortality data disguise wider failings in delivery of safe surgical services.

November 19, 2014

Disclosing clinical adverse events to patients: can practice inform policy?

October 21, 2009

Health care professionals' views of implementing a policy of open disclosure of errors.

January 14, 2009

Improving team performance during the preprocedure time-out in pediatric interventional radiology.

August 29, 2012

Interventions to reduce medication prescribing errors in a paediatric cardiac intensive care unit.

April 2, 2008

Use of colour-coded labels for intravenous high-risk medications and lines to improve patient safety.

January 6, 2010

With money at risk, hospitals push staff to wash hands.

June 12, 2013

Aiming higher to enhance professionalism: beyond accreditation and certification.

May 27, 2015

Systems science: a primer on high reliability.

October 17, 2018

Building a culture of safety through team training and engagement.

February 6, 2013

Leading a highly visible hospital through a serious reportable event.

April 25, 2012

Adverse events: root causes and latent factors.

February 15, 2012

Addressing safety concerns about U-500 insulin in a hospital setting.

January 26, 2011

Reducing treatment errors through point-of-care glucometer configuration.

October 31, 2018

The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths a year—and aim to do even better.

April 27, 2011

A leadership framework for culture change in health care.

July 19, 2006

Using electronic health records to identify adverse drug events in ambulatory care: a systematic review.

March 13, 2019

Quality and safety in the intensive care unit.

August 9, 2006

Blending evidence and innovation: improving intershift handoffs in a multihospital setting.

January 11, 2012

Quality and safety in surgical care.

April 5, 2006

Patient notification for bloodborne pathogen testing due to unsafe injection practices in the US health care settings, 2001–2011.

May 23, 2012

Rapid response systems as a patient safety strategy: a systematic review.

March 20, 2013

Missed ischemic stroke diagnosis in the emergency department by emergency medicine and neurology services.

April 20, 2016

Nursing practice with hospitalised older people: safety and harm.

June 5, 2019

What evidence supports the use of computerized alerts and prompts to improve clinicians' prescribing behavior?

July 15, 2009

An observational study of changes to long-term medication after admission to an intensive care unit.

December 6, 2006

The clinical transformation of Ascension Health: eliminating all preventable injuries and deaths.

June 7, 2006

Rates of medical errors and preventable adverse events among hospitalized children following implementation of a resident handoff bundle.

December 11, 2013

The National Quality Forum safe practice standard for computerized physician order entry: updating a critical patient safety practice.

January 10, 2007

Cardiovascular medication errors in children.

July 22, 2009

Medication errors in the ambulatory treatment of pediatric attention deficit hyperactivity disorder.

September 3, 2008

A contemporary medicolegal analysis of outpatient medication management in chronic pain.

November 8, 2017

Pediatric adverse event rates associated with inexperience in teaching hospitals: a multilevel analysis.

March 21, 2018

Patient safety event reporting in a large radiology department.

September 21, 2011

NICU medication errors: identifying a risk profile for medication errors in the neonatal intensive care unit.

January 20, 2010

November 22, 2006

Impact of resident participation in surgical operations on postoperative outcomes: National Surgical Quality Improvement Program.

August 29, 2012

In situ simulation: identification of systems issues.

July 10, 2013

Briefings, checklists, geese, and surgical safety.

January 13, 2010

Is the future of medical diagnosis in computer algorithms?

May 29, 2019

The collapse of sensemaking in organizations: the Mann Gulch disaster.

March 6, 2005

Organizational culture as a source of high reliability.

March 6, 2005

Anaesthesia and patient safety in the socio-technical operating theatre: a narrative review spanning a century.

August 23, 2023

Patients' and family members' experiences of open disclosure following adverse events.

October 15, 2008

Cost-benefit analysis of a hospital pharmacy bar code solution.

May 16, 2007

Related Resources

Association between sleep health and rates of self-reported medical errors in intern physicians: an ancillary analysis of the Intern Health Study.

February 28, 2024

Factors affecting medical residents' decisions to work after call.

January 10, 2024

Public opinion of resident physician work hours in 2022.

November 29, 2023

On Patient Safety.

November 7, 2023

Impact of work schedules of senior resident physicians on patient and resident physician safety: nationwide, prospective cohort study.

April 26, 2023

Trainee perceptions of resident duty hour restrictions: a qualitative study of online discussion forums.

October 19, 2022

Assessment of perioperative outcomes among surgeons who operated the night before.

June 8, 2022

Associations of physicians’ prescribing experience, work hours, and workload with prescription errors.

November 18, 2020

Does increased schedule flexibility lead to change? A national survey of program directors on 2017 work hours requirements.

September 23, 2020

Patient Safety Primers

Fatigue, Sleep Deprivation, and Patient Safety

September 7, 2019

Association of residency work hour reform with long term quality and costs of care of US physicians: observational study.

July 24, 2019

Associations between in-hospital mortality, health care utilization, and inpatient costs with the 2011 resident duty hour revision.

May 15, 2019

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

March 13, 2019

Adjusting to duty hour reforms: residents' perception of the safety climate in interdisciplinary night-float rotations.

February 20, 2019

Education outcomes from a duty-hour flexibility trial in internal medicine.

March 28, 2018

An appeal for evidence-based resident duty hours reform.

September 27, 2017

Perspective

ACGME's 2017 Revision of Common Program Requirements

August 1, 2017

Three perspectives on changes in resident work environment and duty hours.

July 26, 2017

Medical residents angered at extended work hours.

May 10, 2017

Resident duty hours and medical education policy—raising the evidence bar.

April 12, 2017

What is known: examining the empirical literature in resident work hours using 30 influential articles.

March 22, 2017

Gender-based differences in surgical residents' perceptions of patient safety, continuity of care, and well-being: an analysis from the Flexibility in Duty Hour Requirements for Surgical Trainees (FIRST) trial.

March 15, 2017

Summary of Proposed Changes to ACGME Common Program Requirements Section VI.

November 23, 2016

Bipartisan Consensus: The Public Wants Well-Rested Medical Residents to Help Ensure Safe Patient Care.

October 5, 2016

Caregiver fatigue: implications for patient and staff safety—part 1 and part 2.

September 7, 2016

A reduced duty hours model for senior internal medicine residents: a qualitative analysis of residents' experiences and perceptions.

August 24, 2016

Does clinical supervision of health professionals improve patient safety? A systematic review and meta-analysis.

June 29, 2016

The impact of the 2011 Accreditation Council for Graduate Medical Education duty hour reform on quality and safety in trauma care.

April 13, 2016

National cluster-randomized trial of duty-hour flexibility in surgical training.

February 10, 2016

Early impact of the 2011 ACGME duty hour regulations on surgical outcomes.

January 13, 2016

See More About The Topic

Hospitals

Health Care Executives and Administrators

Medicine

Epidemiology of Errors and Adverse Events

Duty Hour Limitation

Impact of the 2011 ACGME resident duty hour reform on hospital patient experience and processes-of-care.

Fatigue, Sleep Deprivation, and Patient Safety

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Impact of the 2011 ACGME resident duty hour reform on hospital patient experience and processes-of-care.

Fatigue, Sleep Deprivation, and Patient Safety

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