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- Duty Hour Limitation
Weinstein DF, Arora V, Drolet B, Reynolds EE. N Engl J Med. 2013;369:e32.
The implementation of resident duty hours over the past decade has been controversial. The New England Journal of Medicine hosted a roundtable discussion exploring the effects of duty hour regulations on residency training. Moderated by Dr. Debra Weinstein, the discussion featured Dr. Vineet Arora, Dr. Eileen Reynolds, and surgical resident Dr. Brian Drolet as panelists. The discussants noted the evidence for patient safety after duty-hour restrictions has not been as robust as people had predicted. They also focused on the increase in supervision, changes in sense of professionalism, and challenges of handoffs that have followed duty hours. Accompanying the video are two perspective articles written by physicians from different generations describing the benefits and drawbacks of their overnight experiences. A recent AHRQ WebM&M perspective and interview also discussed the potential impact of resident duty hours on patient safety.
Caruso CC, Geiger-Brown J, Takahashi M, Trinkoff A, Nakata A. Cincinnati, OH: US Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health; May 2015. DHHS NIOSH Publication No. 2015-115.
Nurse fatigue has been associated with diminished decision-making skills that can contribute to patient harm. This online training program for clinicians and administrators will explore hazards related to nurse fatigue and provide strategies to address behaviors and systems that increase these risks.
Rockville, MD: Agency for Healthcare Research and Quality. September 27, 2006.
This podcast features an interview with Agency for Healthcare Research and Quality (AHRQ) Director Carolyn Clancy discussing several AHRQ-funded studies on lack of sleep, fatigue, and medical error.