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psnet.ahrq.gov/issue/restricting-resident-work-hours-good-bad-and-ugly
December 02, 2020 - This review discusses both the helpful and potentially harmful effects of duty hour restrictions on … safety, resident education and resident well-being following implementation of the 2003 ACGME duty hour … November 26, 2014
Effects of the 2011 duty hour reforms on interns and their patients … July 3, 2014
Inpatient safety outcomes following the 2011 residency work-hour reform. … February 3, 2011
Building physician work hour regulations from first principles and best
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psnet.ahrq.gov/issue/sleep-sleepiness-fatigue-and-performance-12-hour-shift-nurses
July 22, 2010 - Study
Sleep, sleepiness, fatigue, and performance of 12-hour–shift nurses. … Sleep, Sleepiness, Fatigue, and Performance of 12-Hour-Shift Nurses. … Sleep, Sleepiness, Fatigue, and Performance of 12-Hour-Shift Nurses. … July 22, 2010
Is it time to pull the plug on 12-hour shifts?: Part 3. … Harm Reduction Strategies if Keeping 12-Hour Shifts.
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psnet.ahrq.gov/issue/changes-hospital-mortality-associated-residency-work-hour-regulations
May 27, 2011 - Classic
Changes in hospital mortality associated with residency work-hour … Changes in hospital mortality associated with residency work-hour regulations. … reduced among medical patients in teaching hospitals (compared with non-teaching hospitals) after duty hour … Changes in hospital mortality associated with residency work-hour regulations. … June 21, 2016
Association of residency work hour reform with long term quality and costs
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psnet.ahrq.gov/issue/implementing-48-h-ewtd-compliant-rota-junior-doctors-uk-does-not-compromise-patients-safety
June 26, 2019 - Reform of trainee work hour restrictions in the United States and its relation to patient safety is … This study discovered that implementing a 48-hour work week for 19 junior doctors in the United Kingdom … April 24, 2018
Cumulative effect of flexible duty-hour policies on resident outcomes: … November 26, 2014
Effects of the 2011 duty hour reforms on interns and their patients … July 3, 2014
Inpatient safety outcomes following the 2011 residency work-hour reform.
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psnet.ahrq.gov/issue/national-incidence-medication-error-surgical-patients-and-after-accreditation-council
September 23, 2020 - error in surgical patients before and after Accreditation Council for Graduate Medical Education duty-hour … Error in Surgical Patients Before and After Accreditation Council for Graduate Medical Education Duty-Hour … expected based on patient and hospital characteristics, leading the researchers to conclude that duty hour … Error in Surgical Patients Before and After Accreditation Council for Graduate Medical Education Duty-Hour … July 26, 2017
National cluster-randomized trial of duty-hour flexibility in surgical
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psnet.ahrq.gov/issue/internal-medicine-trainees-views-training-adequacy-and-duty-hours-restrictions-2009
August 20, 2018 - This survey was completed before the implementation of further duty hour restrictions in 2010. … July 2, 2014
Association of the 2011 ACGME resident duty hour reforms with mortality … August 2, 2015
Teaching hospital five-year mortality trends in the wake of duty hour … January 13, 2010
Did duty hour reform lead to better outcomes among the highest risk … April 25, 2016
Persistent noncompliance with the work-hour regulation.
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psnet.ahrq.gov/issue/effect-80-hour-work-week-resident-case-coverage
July 21, 2010 - Study
Effect of the 80-hour work week on resident case coverage. … Effect of the 80-hour work week on resident case coverage. … Effect of the 80-hour work week on resident case coverage. … July 26, 2017
National cluster-randomized trial of duty-hour flexibility in surgical … January 13, 2016
Persistent noncompliance with the work-hour regulation.
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psnet.ahrq.gov/issue/changes-outcomes-internal-medicine-inpatients-after-work-hour-regulations
September 30, 2012 - Classic
Changes in outcomes for internal medicine inpatients after work-hour … Changes in outcomes for internal medicine inpatients after work-hour regulations. … reduced inpatient mortality among medical (but not surgical) patients after implementation of duty hour … Changes in outcomes for internal medicine inpatients after work-hour regulations. … April 26, 2023
Sleep and alertness in a duty-hour flexibility trial in internal medicine
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psnet.ahrq.gov/perspective/conversation-karl-bilimoria-md-ms
April 19, 2023 - Its results informed recent changes to duty hour policies.
Dr. Robert M. … We focused on eliminating the 24-hour cap for residents, the 16-hour cap for interns, and the required … RW : You said that the 80-hour limit was not on the table. How did that come about? … Most of the focus was on the daily limits, and I think the 80-hour limit is here to stay. … Overall, we found no difference in 80-hour violations.
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psnet.ahrq.gov/issue/adjusting-duty-hour-reforms-residents-perception-safety-climate-interdisciplinary-night-float
June 01, 2022 - Study
Adjusting to duty hour reforms: residents' perception of the safety climate … Adjusting to duty hour reforms: residents' perception of the safety climate in interdisciplinary night-float … View More
Related Resources
Trainee perceptions of resident duty hour … October 19, 2022
Association of residency work hour reform with long term quality and … May 15, 2019
Patient safety outcomes under flexible and standard resident duty-hour rules
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psnet.ahrq.gov/issue/anticipated-consequences-2011-duty-hours-standards-views-internal-medicine-and-surgery
August 22, 2018 - Conducted before implementation of the 2011 ACGME duty hour limits , this survey found that the majority … February 18, 2011
Teaching hospital five-year mortality trends in the wake of duty hour … August 20, 2018
Prolonged hospital stay and the resident duty hour rules of 2003. … December 21, 2014
Effects of duty hour restrictions on core competencies, education, … July 3, 2014
Inpatient safety outcomes following the 2011 residency work-hour reform.
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psnet.ahrq.gov/issue/medical-residents-angered-extended-work-hours
April 27, 2016 - This magazine article reports resident physician concerns about the shift hour changes that allow for … flexible duty hours within a maximum 80-hour workweek. … March 22, 2017
Ethical considerations in the development of the Flexibility in Duty Hour … October 5, 2016
A systematic review of the effects of resident duty hour restrictions … May 1, 2013
The 80-hour work guidelines and resident survey perceptions of quality.
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psnet.ahrq.gov/issue/surgical-residents-work-hours-and-well-being-year-2-first-trial
March 15, 2017 - The 2011 ACGME resident physician duty hour changes shortened the number of consecutive hours interns … The FIRST trial randomly assigned general surgery residency programs to the standard duty hour policy … or to a more flexible duty hour policy. … March 15, 2017
National cluster-randomized trial of duty-hour flexibility in surgical … February 14, 2017
Persistent noncompliance with the work-hour regulation.
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psnet.ahrq.gov/issue/effect-work-hours-regulations-intensive-care-unit-mortality-united-states-teaching-hospitals
August 20, 2018 - 40 intensive care units found that mortality decreased in all hospitals after introduction of duty hour … Further changes in duty hour regulations are expected, after the recent publication of an Institute of … August 20, 2018
Effects of resident duty hour reform on surgical and procedural patient … November 26, 2014
Did duty hour reform lead to better outcomes among the highest risk … July 2, 2014
Association of the 2011 ACGME resident duty hour reforms with mortality
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psnet.ahrq.gov/issue/when-policy-meets-physiology-challenge-reducing-resident-work-hours
January 10, 2017 - to mechanisms that make 24-hour shifts a practice of the past. … July 3, 2014
The 80-hour duty week: rationale, early attitudes, and future questions. … December 21, 2014
Patient safety in the era of the 80-hour workweek. … April 17, 2013
The impact of the 80-hour resident workweek on surgical residents and … December 22, 2010
Work-hour restrictions as an ethical dilemma for residents.
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psnet.ahrq.gov/issue/systematic-review-impact-physician-work-schedules-patient-safety-meta-analyses-mortality-risk
November 29, 2023 - This meta-analysis found that the 2003 ACGME restrictions (limiting residents to 80-hour work weeks and … 28-hour shifts) was associated with an 11% reduction in mortality; however, there was no significant … difference in mortality after the 2011 restrictions (limiting first-year residents to 16-hour shifts … June 26, 2019
Cumulative effect of flexible duty-hour policies on resident outcomes: … May 25, 2022
Myths and realities of the 80-hour work week.
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psnet.ahrq.gov/issue/effects-resident-duty-hour-reform-surgical-and-procedural-patient-safety-indicators-among
November 26, 2014 - Study
Effects of resident duty hour reform on surgical and procedural patient safety … Effects of resident duty hour reform on surgical and procedural patient safety indicators among hospitalized … November 26, 2014
Did duty hour reform lead to better outcomes among the highest risk … August 20, 2018
Residency training at a crossroads: duty-hour standards 2010. … January 31, 2011
Residency training at a crossroads: duty-hour standards 2010.
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psnet.ahrq.gov/issue/should-all-duty-hours-be-same-results-national-survey-surgical-trainees
October 19, 2022 - found that a significant number of surgical trainees, particularly senior residents, believe duty-hour … The authors advocate for greater flexibility in work hour mandates for different levels of trainees to … June 28, 2023
Patient safety outcomes under flexible and standard resident duty-hour … July 26, 2017
National cluster-randomized trial of duty-hour flexibility in surgical … September 7, 2016
Persistent noncompliance with the work-hour regulation.
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psnet.ahrq.gov/issue/correlation-between-24-hour-predischarge-opioid-use-and-amount-opioids-prescribed-hospital
November 13, 2024 - Study
Correlation between 24-hour predischarge opioid use and amount of opioids prescribed … Correlation Between 24-Hour Predischarge Opioid Use and Amount of Opioids Prescribed at Hospital Discharge … Individual patients' 24-hour predischarge opioid use did not predict their postdischarge opioid prescription … Correlation Between 24-Hour Predischarge Opioid Use and Amount of Opioids Prescribed at Hospital Discharge
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psnet.ahrq.gov/issue/predicting-future-staffing-needs-teaching-hospitals-use-analytical-program-multiple-variables
October 19, 2022 - The authors used a computer model to predict the impact of resident work hour limitations on hiring … March 19, 2019
The 2017 ACGME common work hour standards: promoting physician learning … July 14, 2021
Effective implementation of work-hour limits and systemic improvements. … February 3, 2011
Building physician work hour regulations from first principles and best … Cost and workforce implications of subjecting all physicians to aviation industry work-hour