U.S. Department of Health and Human Services
Agency for Healthcare Research and Quality: Advancing Excellence in Health Care
Sign up for a Free Account
Hurt J. Med Econ. April 26, 2017.
Discussions about resident work hours generate debate regarding safety and physician burnout. This magazine article reports resident physician concerns about the shift hour changes that allow for flexible duty hours within a maximum 80-hour workweek.
Sleep and alertness in a duty-hour flexibility trial in internal medicine.
Basner M, Asch DA, Shea JA, et al; iCOMPARE Research Group. N Engl J Med. 2019;380:915-923.
Fatigue, Sleep Deprivation, and Patient Safety
Evaluation of reasons why surgical residents exceeded 2011 duty hour requirements when offered flexibility.
Blay E Jr, Engelhardt KE, Hewitt DB, Dahlke AR, Yang AD, Bilimoria KY. JAMA Surg. 2018;153:860-862.
Education outcomes from a duty-hour flexibility trial in internal medicine.
Desai SV, Asch DA, Bellini LM, et al; iCOMPARE Research Group. N Engl J Med. 2018;378:1494-1508.
The 2017 ACGME common work hour standards: promoting physician learning and professional development in a safe, humane environment.
Burchiel KJ, Zetterman RK, Ludmerer KM, et al. J Grad Med Educ. 2017;9:692-696.
Fatigue risk management: the impact of anesthesiology residents' work schedules on job performance and a review of potential countermeasures.
Wong LR, Flynn-Evans E, Ruskin KJ. Anesth Analg. 2018;126:1340-1348.
Summary of Proposed Changes to ACGME Common Program Requirements Section VI.
Accreditation Council for Graduate Medical Education.
Ethical considerations in the development of the Flexibility in Duty Hour Requirements for Surgical Trainees trial.
Minami CA, Odell DD, Bilimoria KY. JAMA Surg. 2017;152:7-8.
A reduced duty hours model for senior internal medicine residents: a qualitative analysis of residents' experiences and perceptions.
Mathew R, Gundy S, Ulic D, Haider S, Wasi P. Acad Med. 2016;91:1284-1292.
The effect of staff nurses' shift length and fatigue on patient safety and nurses' health: from the National Association of Neonatal Nurses.
Samra HA, Smith BA. Adv Neonatal Care. 2015;15:311.
Call-shift fatigue and use of countermeasures and avoidance strategies by certified registered nurse anesthetists: a national survey.
Domen R, Connelly CD, Spence D. AANA J. 2015;83:123-131.
Patient safety, resident well-being and continuity of care with different resident duty schedules in the intensive care unit: a randomized trial.
Parshuram CS, Amaral ACKB, Ferguson ND, et al; Canadian Critical Care Trials Group. CMAJ. 2015;187:321-329.
Nurses seek to reduce long hours and fatigue.
Ungar L. USA Today. February 1, 2015.
Understanding the effect of resident duty hour reform: a qualitative study.
Wu PE, Stroud L, McDonald-Blumer H, Wong BM. CMAJ Open. 2014;2:E115-E120.
A systematic review of the effects of resident duty hour restrictions in surgery: impact on resident wellness, training, and patient outcomes.
Ahmed N, Devitt KS, Keshet I, et al. Ann Surg. 2014;259:1041-1053.
In Conversation With… Christopher P. Landrigan, MD, MPH
Effects of a night-team system on resident sleep and work hours.
Chua KP, Gordon MB, Sectish T, Landrigan CP. Pediatrics. 2011;128:1142-1147.
The phantom menace of sleep-deprived doctors.
Sanghavi D. New York Times Magazine. August 5, 2011.
Limiting resident physicians' work hours to save lives.
Leape L, Haskell H. Los Angeles Times. July 01, 2011.
Implementing the 2009 Institute of Medicine recommendations on resident physician work hours, supervision, and safety.
Blum AB, Shea S, Czeisler CA, Landrigan CP, Leape L. Nat Sci Sleep. 2011;3:47-85.
The ACGME’s final duty-hour standards—special PGY-1 limits and strategic napping.
Iglehart JK. N Engl J Med. 2010;363:1589-1591.
Duty hours in emergency medicine: balancing patient safety, resident wellness, and the resident training experience: a consensus response to the 2008 Institute of Medicine resident duty hours recommendations.
Wagner MJ, Wolf S, Promes S, et al. J Emerg Med. 2010;39:348-355.
The new recommendations on duty hours from the ACGME Task Force.
Nasca TJ, Day SH, Amis ES Jr; for ACGME Duty Hours Task Force. N Engl J Med. 2010;363:e3.
US public opinion regarding proposed limits on resident physician work hours.
Blum AB, Raiszadeh F, Shea S, et al. BMC Med. 2010;8:33.
Sleep deprivation, physician performance, and patient safety.
Olson EJ, Drage LA, Auger RR. Chest. 2009;136:1389-1396.
PSNET: Patient Safety Network
PSNet is produced for the Agency for Healthcare Research and Quality by a team of editors at the University of California, San Francisco with guidance from a prominent Technical Expert/Advisory Panel. The AHRQ PSNet site was designed and implemented by Silverchair.
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
Telephone: (301) 427-1364