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Journal Article > Study
Tendulkar AP, Victorino GP, Chong TJ, Bullard MK, Liu TH, Harken AH. J Am Coll Surg. 2005;201:560-564.
The investigators monitored the heart rate and circulating white blood cell count of "on call" surgical residents and found that surgical residents experience stress despite work hour adjustments.
Journal Article > Review
Estabrooks CA, Cummings GG, Olivo SA, Squires JE, Giblin C, Simpson N. Qual Saf Health Care. 2009;18:181-188.
Relationships between various staffing models and the quality and safety of care have been reported with regard to nurses, physicians, and pharmacists. Staffing decisions are also a source of debate around the quality of care delivered on weekends and by trainees. This systematic review examined the specific impact of shift length (8 versus 12 hours) on patient and health care provider outcomes. The authors discovered no significant correlations between shift length and measured outcomes, although the methodological quality of the studies was low. Given the increase in shift work in health care, the authors advocate for greater study of these issues and the importance of understanding their context in different clinical settings.
Perspectives on Safety > Interview
Patient Safety in Emergency Medicine, June 2010
Pat Croskerry, MD, PhD, is a professor in emergency medicine at Dalhousie University in Halifax, Nova Scotia, Canada. Trained as an experimental psychologist, Dr. Croskerry went on to become an emergency medicine physician, and found himself surprised by the relatively scant amount of attention given to cognitive errors. He has gone on to become one of the world's foremost experts in safety in emergency medicine and in diagnostic errors. We spoke to him about both.