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Accreditation Council for Graduate Medical Education.
Implementation of resident duty hours, meant to address fatigue in health care, has long been a subject of patient safety discussions. This website provides a summary of proposed changes to the current ACGME residency Common Program Requirements that shape working hours, offers rationale for the revisions.
Journal Article > Commentary
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.
Legislation/Regulation > Sentinel Event Alerts
Sentinel Event Alert. December 14, 2011;(48):1-4.
The Joint Commission issues sentinel event alerts to emphasize pressing safety issues and provide guidelines for organizations on how to address them. The link between health care worker fatigue and patient safety has been established in seminal studies, which have demonstrated that the risk of error increases when nurses work more than 12 hours per shift and when resident physicians work more than 16 consecutive hours. In response to these data, the Accreditation Council for Graduate Medical Education (ACGME) further restricted resident duty hours in 2011. This alert calls on hospitals to design work schedules to minimize fatigue risks, monitor the safety of handoffs, and provide education for clinicians on fatigue management strategies. The combination of the ACGME regulations and this sentinel event alert provides a powerful incentive for teaching hospitals and residency programs to harmonize efforts around minimizing the risk of fatigue-related complications.
Legislation/Regulation > Pennsylvania Legislation
The General Assembly of Pennsylvania. HB957 (2005).
This bill calls for a prohibition of mandatory overtime and limiting the work week to 12 hours a day or 60 hours a week for non-supervisory health care employees in Pennsylvania. It is presently under consideration by Pennsylvania's General Assembly.
Legislation/Regulation > Legislation/Case Law
Enacting the Washington state patient safety act requiring hospital staffing plans for nursing services and establishing recordkeeping and reporting requirements.
Washington State Legislature. HB 1602 (2003).
This addition to the Washington Patient Safety Act requires hospitals to develop and implement a staffing plan for nursing services. The plan addresses personnel issues for each patient care unit, requires hospitals to maintain records regarding patients and nursing care personnel, and authorizes the Department of Health to investigate complaints of staffing plan requirement violations and to conduct audits.