Commentary Attending work hour restrictions: is it time? Citation Text: Hyman NH. Attending work hour restrictions: is it time? Arch Surg. 2009;144(1):7-8. doi:10.1001/archsurg.2008.518. Copy Citation Format: DOIGoogle ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL January 28, 2009 Hyman NH. Arch Surg. 2009;144(1):7-8. View more articles from the same authors. This commentary discusses fatigue and burnout among surgeons in the context of resident duty hour restrictions and the surgical work environment. PubMed citation Available at Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Hyman NH. Attending work hour restrictions: is it time? Arch Surg. 2009;144(1):7-8. doi:10.1001/archsurg.2008.518. Copy Citation Format: DOIGoogle ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Related Resources From the Same Author(s) Tracking intraoperative complications. November 28, 2012 The poor state of health care quality in the U.S.: is malpractice liability part of the problem or part of the solution? November 16, 2005 A mediation skills model to manage disclosure of errors and adverse events to patients. September 21, 2005 Eradicating medical student mistreatment: a longitudinal study of one institution's efforts. August 29, 2012 Internal medicine work hours: trends, associations, and implications for the future. February 13, 2008 Costly issues of an uncommunicative OR. May 3, 2006 The use of patient pictures and verification screens to reduce computerized provider order entry errors. June 13, 2012 Implementing a patient safety and quality program across two merged pediatric institutions. January 21, 2009 Pediatric faculty knowledge and comfort discussing diagnostic errors: a pilot survey to understand barriers to an educational program. June 12, 2019 Association of past and future paid medical malpractice claims. March 1, 2023 Preventable anesthesia-related adverse events at a large tertiary care center: a nine-year retrospective analysis. December 5, 2018 The pros and cons of electronic prescribing for children. July 27, 2011 Innovative use of the electronic health record to support harm reduction efforts. May 24, 2017 Oncology pharmacist-led medication reconciliation among cancer patients initiating chemotherapy. July 29, 2020 Predictive combinations of monitor alarms preceding in-hospital code blue events. January 9, 2013 Duration of anesthesia as an indicator of morbidity and mortality in office-based facial plastic surgery: a review of 1200 consecutive cases. January 25, 2006 Applying thematic synthesis to interpretation and commentary in epidemiological studies: identifying what contributes to successful interventions to promote hand hygiene in patient care. September 9, 2020 Adverse medication events related to hospitalization in the United States: a comparison between adults with intellectual and developmental disabilities and those without. February 5, 2020 Defining and classifying terminology for medication harm: a call for consensus. December 19, 2018 Changing experience of adverse medical events in the National Health Service: comparison of two population surveys in 2001 and 2013. February 14, 2018 Trends and patterns in reporting of patient safety situations in transplantation. February 10, 2016 Development of a high-value care culture survey: a modified Delphi process and psychometric evaluation. November 16, 2016 The many faces of error disclosure: a common set of elements and a definition. April 4, 2007 Identifying, understanding and overcoming barriers to medication error reporting in hospitals: a focus group study. April 11, 2012 Empowering frontline nurses: a structured intervention enables nurses to improve medication administration accuracy. November 25, 2009 Surgeon agreement at the time of handover, a prospective cohort study. April 27, 2016 Qualitative evaluation of the Safety and Improvement in Primary Care (SIPC) pilot collaborative in Scotland: perceptions and experiences of participating care teams. March 16, 2016 System hazards in managing laboratory test requests and results in primary care: medical protection database analysis and conceptual model. January 20, 2016 Spreading a medication administration intervention organizationwide in six hospitals. February 15, 2012 Quality-related event learning in community pharmacies: manual versus computerized reporting processes. September 19, 2012 The quality of pharmacologic care for vulnerable older patients. March 6, 2005 The contribution of prescription chart design and familiarity to prescribing error: a prospective, randomised, cross-over study. October 9, 2013 Influences observed on incidence and reporting of medication errors in anesthesia. May 9, 2012 Errors in drug computations during newborn intensive care. March 27, 2005 Use of an electronic information system to identify adverse events resulting in an emergency department visit. December 22, 2010 Tall Man lettering and potential prescription errors: a time series analysis of 42 children's hospitals in the USA over 9 years. December 2, 2015 What do hospital staff in the UK think are the causes of penicillin medication errors? April 17, 2013 Chasing zero harm in radiation oncology: using pre-treatment peer review. May 22, 2019 Estimating the impact on patient safety of enabling the digital transfer of patients' prescription information in the English NHS. April 17, 2024 How do physicians conduct medication reviews? December 16, 2009 Perceptions of pediatric hospital safety culture in the United States: an analysis of the 2016 Hospital Survey on Patient Safety Culture. April 24, 2019 An e-Delphi study to obtain expert consensus on the level of risk associated with preventable e-prescribing events. April 13, 2022 Clinical information technologies and inpatient outcomes: a multiple hospital study. February 4, 2009 Association between hospital acquired harm outcomes and membership in a national patient safety collaborative. August 10, 2022 Improving medication-related clinical decision support. March 7, 2018 Patient harm from cardiovascular medications. August 25, 2021 Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac arrest survival. October 4, 2023 Association of overlapping cardiac surgery with short-term patient outcomes. March 3, 2020 The need to include assisted living in responding to the COVID-19 pandemic. May 20, 2020 Confirming delivery: understanding the role of the hospitalized patient in medication administration safety. May 28, 2014 Uptake of quality-related event standards of practice by community pharmacies. April 30, 2014 Potentially inappropriate medications and adverse drug effects in elders in the ED. July 23, 2008 Physician communication when prescribing new medications. October 11, 2006 A handoff protocol from the cardiovascular operating room to cardiac ICU is associated with improvements in care beyond the immediate postoperative period. July 17, 2013 Development of an electronic pediatric all-cause harm measurement tool using a modified Delphi method. December 7, 2016 Effectiveness and cost of a transitional care program for heart failure: a prospective study with concurrent controls. August 3, 2011 Patient safety over power hierarchy: a scoping review of healthcare professionals' speaking-up skills training. June 10, 2020 Implementing delivery room checklists and communication standards in a multi-neonatal ICU quality improvement collaborative. August 3, 2016 Modern palliative radiation treatment: do complexity and workload contribute to medical errors? November 14, 2012 A multidisciplinary, multifaceted improvement initiative to eliminate mislabelled laboratory specimens at a large tertiary care hospital. July 9, 2014 Evaluating the safety of mental health-related prescribing in UK primary care: a cross-sectional study using the Clinical Practice Research Datalink (CPRD). September 15, 2021 Effect of communication errors during calls to an antimicrobial stewardship program. March 26, 2008 A vision for patient-centered health information systems. January 26, 2011 Exploring emergency physician–hospitalist handoff interactions: development of the Handoff Communication Assessment. March 17, 2010 Uncharted territory: measuring costs of diagnostic errors outside the medical record. July 25, 2012 Does applying technology throughout the medication use process improve patient safety with antineoplastics? February 5, 2014 Proactive patient safety: focusing on what goes right in the perioperative environment. May 24, 2023 Clinicians' perspectives on proactive patient safety behaviors in the perioperative environment. April 26, 2023 Factors associated with potentially missed diagnosis of appendicitis in the emergency department. April 8, 2020 Assessing organisational culture for quality and safety improvement: a national survey of tools and tool use. April 15, 2009 Impact of altering referral threshold from out-of-hours primary care to hospital on patient safety and further health service use: a cohort study. January 11, 2023 Using sociotechnical theory to understand medication safety work in primary care and prescribers' use of clinical decision support: a qualitative study. May 24, 2023 A trigger tool to detect harm in pediatric inpatient settings. June 3, 2015 Pharmacist work stress and learning from quality related events. November 9, 2016 Debriefing after critical incidents for anaesthetic trainees. January 25, 2006 A safety culture transformation: its effects at a children's hospital. September 12, 2012 Medication-related emergency department visits in pediatrics: a prospective observational study. February 25, 2015 Improving medication reconciliation with comprehensive evaluation at a Veterans Affairs skilled-nursing facility. July 21, 2021 Disruptive behavior affects hospital financial health. December 22, 2010 Managing disruptive behaviors in the health care setting: focus on obstetrics services. May 18, 2011 The quality and economic impact of disruptive behaviors on clinical outcomes of patient care. May 4, 2011 A 62-year-old woman with skin cancer who experienced wrong-site surgery. July 22, 2009 A piece of my mind. The patient you least want to see. May 4, 2016 The Anesthesia Patient Safety Foundation at 25: a pioneering success in safety, 25th anniversary provokes reflection, anticipation. February 1, 2012 Emerging from EHR purgatory—moving from process to outcomes. May 31, 2017 The dangers of ignoring the Beers criteria—the prescribing cascade. May 22, 2019 New technology for transfusion safety. November 29, 2006 An interview with Jerry Gurwitz. November 29, 2006 The neurologist and patient safety. May 11, 2005 Relationship of incorrect dosing of fibrinolytic therapy and clinical outcomes. April 27, 2005 Diseases of medical progress. March 27, 2005 Advancing health equity in patient safety: a reckoning, challenge and opportunity. January 13, 2021 Measuring and managing quality of surgery. Statistical vs incidental approaches. March 6, 2005 Medication reconciliation during internal hospital transfer and impact of computerized prescriber order entry. December 22, 2010 A literature review of the training offered to qualified prescribers to use electronic prescribing systems: why is it so important? August 31, 2016 Seniors managing multiple medications: using mixed methods to view the home care safety lens. March 2, 2016 Medication-related emergency department visits and hospital admissions in pediatric patients: a qualitative systematic review. October 16, 2013 Association of inappropriate outpatient pediatric antibiotic prescriptions with adverse drug events and health care expenditures. June 8, 2022 Hospital process compliance and surgical outcomes in Medicare beneficiaries. October 27, 2010 Mental models: a basic concept for human factors design in infection prevention. March 11, 2015 View More Related Resources The burden of peri-operative work at night as perceived by anaesthesiologists: an international survey. June 28, 2023 Impact of sleep deficiency on surgical performance: a prospective assessment. April 19, 2023 Impact of medical education on patient safety: finding the signal through the noise. February 8, 2023 Assessment of perioperative outcomes among surgeons who operated the night before. June 8, 2022 ACGME 2011 duty hours restrictions and their effects on surgical residency training and patients outcomes: a systematic review. July 14, 2021 Leadership through crisis: fighting the fatigue pandemic in healthcare during COVID-19. March 31, 2021 Cumulative effect of flexible duty-hour policies on resident outcomes: long-term follow-up results from the FIRST trial. July 15, 2020 Effects on resident work hours, sleep duration and work experience in a Randomized Order Safety Trial Evaluating Resident-physician Schedules (ROSTERS). June 26, 2019 Associations between in-hospital mortality, health care utilization, and inpatient costs with the 2011 resident duty hour revision. May 15, 2019 Sleep and alertness in a duty-hour flexibility trial in internal medicine. March 13, 2019 Influence of shift duration on cognitive performance of emergency physicians: a prospective cross-sectional study. August 29, 2018 Evaluation of reasons why surgical residents exceeded 2011 duty hour requirements when offered flexibility. June 20, 2018 The 2017 ACGME common work hour standards: promoting physician learning and professional development in a safe, humane environment. January 31, 2018 Fatigue risk management: the impact of anesthesiology residents' work schedules on job performance and a review of potential countermeasures. December 13, 2017 Interview In Conversation With… Karl Bilimoria, MD, MS August 1, 2017 Surgical residents' work hours and well-being in year 2 of the FIRST trial. July 26, 2017 Common Program Requirements. The Learning and Working Environment (Duty Hours). March 10, 2017 Ethical considerations in the development of the Flexibility in Duty Hour Requirements for Surgical Trainees trial. October 26, 2016 Caregiver fatigue: implications for patient and staff safety—part 1 and part 2. September 7, 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 The effect of staff nurses' shift length and fatigue on patient safety and nurses' health: from the National Association of Neonatal Nurses. October 21, 2015 Outcomes of daytime procedures performed by attending surgeons after night work. September 2, 2015 Association of the 2011 ACGME resident duty hour reform with postoperative patient outcomes in surgical specialties. August 12, 2015 National incidence of medication error in surgical patients before and after Accreditation Council for Graduate Medical Education duty-hour reform. July 8, 2015 Call-shift fatigue and use of countermeasures and avoidance strategies by certified registered nurse anesthetists: a national survey. June 17, 2015 Resident Duty Hours Across Borders: An International Perspective. January 21, 2015 Inpatient safety outcomes following the 2011 residency work-hour reform. April 2, 2014 Complications of daytime elective laparoscopic cholecystectomies performed by surgeons who operated the night before. November 20, 2013 Some doctors questioning whether shorter shifts for interns are endangering patients. July 24, 2013 View More See More About The Topic Operating Room Physicians Health Care Executives and Administrators Surgery Fatigue and Sleep Deprivation View More
The poor state of health care quality in the U.S.: is malpractice liability part of the problem or part of the solution? November 16, 2005
A mediation skills model to manage disclosure of errors and adverse events to patients. September 21, 2005
Eradicating medical student mistreatment: a longitudinal study of one institution's efforts. August 29, 2012
Internal medicine work hours: trends, associations, and implications for the future. February 13, 2008
The use of patient pictures and verification screens to reduce computerized provider order entry errors. June 13, 2012
Implementing a patient safety and quality program across two merged pediatric institutions. January 21, 2009
Pediatric faculty knowledge and comfort discussing diagnostic errors: a pilot survey to understand barriers to an educational program. June 12, 2019
Preventable anesthesia-related adverse events at a large tertiary care center: a nine-year retrospective analysis. December 5, 2018
Oncology pharmacist-led medication reconciliation among cancer patients initiating chemotherapy. July 29, 2020
Duration of anesthesia as an indicator of morbidity and mortality in office-based facial plastic surgery: a review of 1200 consecutive cases. January 25, 2006
Applying thematic synthesis to interpretation and commentary in epidemiological studies: identifying what contributes to successful interventions to promote hand hygiene in patient care. September 9, 2020
Adverse medication events related to hospitalization in the United States: a comparison between adults with intellectual and developmental disabilities and those without. February 5, 2020
Changing experience of adverse medical events in the National Health Service: comparison of two population surveys in 2001 and 2013. February 14, 2018
Development of a high-value care culture survey: a modified Delphi process and psychometric evaluation. November 16, 2016
Identifying, understanding and overcoming barriers to medication error reporting in hospitals: a focus group study. April 11, 2012
Empowering frontline nurses: a structured intervention enables nurses to improve medication administration accuracy. November 25, 2009
Qualitative evaluation of the Safety and Improvement in Primary Care (SIPC) pilot collaborative in Scotland: perceptions and experiences of participating care teams. March 16, 2016
System hazards in managing laboratory test requests and results in primary care: medical protection database analysis and conceptual model. January 20, 2016
Spreading a medication administration intervention organizationwide in six hospitals. February 15, 2012
Quality-related event learning in community pharmacies: manual versus computerized reporting processes. September 19, 2012
The contribution of prescription chart design and familiarity to prescribing error: a prospective, randomised, cross-over study. October 9, 2013
Use of an electronic information system to identify adverse events resulting in an emergency department visit. December 22, 2010
Tall Man lettering and potential prescription errors: a time series analysis of 42 children's hospitals in the USA over 9 years. December 2, 2015
What do hospital staff in the UK think are the causes of penicillin medication errors? April 17, 2013
Estimating the impact on patient safety of enabling the digital transfer of patients' prescription information in the English NHS. April 17, 2024
Perceptions of pediatric hospital safety culture in the United States: an analysis of the 2016 Hospital Survey on Patient Safety Culture. April 24, 2019
An e-Delphi study to obtain expert consensus on the level of risk associated with preventable e-prescribing events. April 13, 2022
Clinical information technologies and inpatient outcomes: a multiple hospital study. February 4, 2009
Association between hospital acquired harm outcomes and membership in a national patient safety collaborative. August 10, 2022
Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac arrest survival. October 4, 2023
Confirming delivery: understanding the role of the hospitalized patient in medication administration safety. May 28, 2014
A handoff protocol from the cardiovascular operating room to cardiac ICU is associated with improvements in care beyond the immediate postoperative period. July 17, 2013
Development of an electronic pediatric all-cause harm measurement tool using a modified Delphi method. December 7, 2016
Effectiveness and cost of a transitional care program for heart failure: a prospective study with concurrent controls. August 3, 2011
Patient safety over power hierarchy: a scoping review of healthcare professionals' speaking-up skills training. June 10, 2020
Implementing delivery room checklists and communication standards in a multi-neonatal ICU quality improvement collaborative. August 3, 2016
Modern palliative radiation treatment: do complexity and workload contribute to medical errors? November 14, 2012
A multidisciplinary, multifaceted improvement initiative to eliminate mislabelled laboratory specimens at a large tertiary care hospital. July 9, 2014
Evaluating the safety of mental health-related prescribing in UK primary care: a cross-sectional study using the Clinical Practice Research Datalink (CPRD). September 15, 2021
Exploring emergency physician–hospitalist handoff interactions: development of the Handoff Communication Assessment. March 17, 2010
Does applying technology throughout the medication use process improve patient safety with antineoplastics? February 5, 2014
Clinicians' perspectives on proactive patient safety behaviors in the perioperative environment. April 26, 2023
Factors associated with potentially missed diagnosis of appendicitis in the emergency department. April 8, 2020
Assessing organisational culture for quality and safety improvement: a national survey of tools and tool use. April 15, 2009
Impact of altering referral threshold from out-of-hours primary care to hospital on patient safety and further health service use: a cohort study. January 11, 2023
Using sociotechnical theory to understand medication safety work in primary care and prescribers' use of clinical decision support: a qualitative study. May 24, 2023
Medication-related emergency department visits in pediatrics: a prospective observational study. February 25, 2015
Improving medication reconciliation with comprehensive evaluation at a Veterans Affairs skilled-nursing facility. July 21, 2021
The quality and economic impact of disruptive behaviors on clinical outcomes of patient care. May 4, 2011
The Anesthesia Patient Safety Foundation at 25: a pioneering success in safety, 25th anniversary provokes reflection, anticipation. February 1, 2012
Medication reconciliation during internal hospital transfer and impact of computerized prescriber order entry. December 22, 2010
A literature review of the training offered to qualified prescribers to use electronic prescribing systems: why is it so important? August 31, 2016
Seniors managing multiple medications: using mixed methods to view the home care safety lens. March 2, 2016
Medication-related emergency department visits and hospital admissions in pediatric patients: a qualitative systematic review. October 16, 2013
Association of inappropriate outpatient pediatric antibiotic prescriptions with adverse drug events and health care expenditures. June 8, 2022
The burden of peri-operative work at night as perceived by anaesthesiologists: an international survey. June 28, 2023
Impact of medical education on patient safety: finding the signal through the noise. February 8, 2023
ACGME 2011 duty hours restrictions and their effects on surgical residency training and patients outcomes: a systematic review. July 14, 2021
Leadership through crisis: fighting the fatigue pandemic in healthcare during COVID-19. March 31, 2021
Cumulative effect of flexible duty-hour policies on resident outcomes: long-term follow-up results from the FIRST trial. July 15, 2020
Effects on resident work hours, sleep duration and work experience in a Randomized Order Safety Trial Evaluating Resident-physician Schedules (ROSTERS). June 26, 2019
Associations between in-hospital mortality, health care utilization, and inpatient costs with the 2011 resident duty hour revision. May 15, 2019
Influence of shift duration on cognitive performance of emergency physicians: a prospective cross-sectional study. August 29, 2018
Evaluation of reasons why surgical residents exceeded 2011 duty hour requirements when offered flexibility. June 20, 2018
The 2017 ACGME common work hour standards: promoting physician learning and professional development in a safe, humane environment. January 31, 2018
Fatigue risk management: the impact of anesthesiology residents' work schedules on job performance and a review of potential countermeasures. December 13, 2017
Ethical considerations in the development of the Flexibility in Duty Hour Requirements for Surgical Trainees trial. October 26, 2016
The effect of staff nurses' shift length and fatigue on patient safety and nurses' health: from the National Association of Neonatal Nurses. October 21, 2015
Association of the 2011 ACGME resident duty hour reform with postoperative patient outcomes in surgical specialties. August 12, 2015
National incidence of medication error in surgical patients before and after Accreditation Council for Graduate Medical Education duty-hour reform. July 8, 2015
Call-shift fatigue and use of countermeasures and avoidance strategies by certified registered nurse anesthetists: a national survey. June 17, 2015
Complications of daytime elective laparoscopic cholecystectomies performed by surgeons who operated the night before. November 20, 2013