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psnet.ahrq.gov/node/33595/psn-pdf
December 15, 2024 - Fatigue can also result from increased work intensity or long
work hours. … The absolute amount of
sleep required per 24 hours is generally understood to be a minimum of 5 hours … Most healthy adults1
need between 7.5–8.5 hours of sleep per night and will experience deficits in … As awake time
surpasses 12–16 consecutive hours, the drive for sleep becomes increasingly powerful. … of 40 hours
per week or 12 consecutive hours.
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psnet.ahrq.gov/issue/association-residency-work-hour-reform-long-term-quality-and-costs-care-us-physicians
June 21, 2016 - In 2003, the Accreditation Council for Graduate Medical Education limited resident physician work hours … to 30 hours in 1 shift and 80 hours in 1 week. … However, some have expressed concern that physicians who train for fewer hours will leave residency … Although other studies have concluded that duty hours have not adversely affected clinical or safety … A PSNet perspective reviewed changes to the ACGME requirements to create flexibility for work hours
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psnet.ahrq.gov/issue/attending-work-hour-restrictions-it-time
November 28, 2012 - January 7, 2015
Internal medicine work hours: trends, associations, and implications … January 13, 2016
Anticipated consequences of the 2011 duty hours standards: views of … October 17, 2012
The new recommendations on duty hours from the ACGME Task Force. … November 15, 2011
Resident duty hours in surgery for ensuring patient safety, providing … September 16, 2009
Restricted duty hours for surgeons and impact on residents quality
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psnet.ahrq.gov/issue/effect-patient-safety-resident-physician-schedule-without-24-hour-shifts
March 10, 2021 - trial explored the impact of eliminating extended-duration work schedules (shifts in excess of 24 hours … found that residents in ICUs which eliminated extended shifts in favor of day and night shifts of 16 hours … July 15, 2020
Effects on resident work hours, sleep duration and work experience in a … May 25, 2022
When policy meets physiology: the challenge of reducing resident work hours … February 18, 2011
Effects of critical care nurses' work hours on vigilance and patients
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psnet.ahrq.gov/issue/how-do-hospitalized-patients-feel-about-resident-work-hours-fatigue-and-discontinuity-care
July 02, 2008 - Study
How do hospitalized patients feel about resident work hours, fatigue, and discontinuity … How do hospitalized patients feel about resident work hours, fatigue, and discontinuity of care? … Resident work hours , fatigue , and discontinuity in care continue to be significant areas of concern … How do hospitalized patients feel about resident work hours, fatigue, and discontinuity of care? … February 28, 2011
Systematic review: effects of resident work hours on patient safety
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psnet.ahrq.gov/issue/national-incidence-medication-error-surgical-patients-and-after-accreditation-council
September 23, 2020 - This pre-post study examines the effects of the 2003 ACGME duty hours reform on medication errors among … The effects of duty hours on safety remain controversial, without a clear consensus. … August 16, 2017
Surgical residents' work hours and well-being in year 2 of the FIRST … May 1, 2015
Resident duty hours in surgery for ensuring patient safety, providing optimum … September 16, 2009
Restricted duty hours for surgeons and impact on residents quality
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psnet.ahrq.gov/issue/whom-bell-commission-tolls-unintended-effects-limiting-residents-hours
April 20, 2011 - Commentary
For whom the Bell Commission tolls: unintended effects of limiting residents' hours … For whom the bell commission tolls: unintended effects of limiting residents' hours. … For whom the bell commission tolls: unintended effects of limiting residents' hours. … November 26, 2014
The new recommendations on duty hours from the ACGME Task Force. … January 31, 2011
Duty hours in emergency medicine: balancing patient safety, resident
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psnet.ahrq.gov/issue/cost-implications-acgmes-2011-changes-resident-duty-hours-and-training-environment
August 05, 2015 - Study
Cost implications of ACGME's 2011 changes to resident duty hours and the training … Cost implications of ACGME's 2011 changes to resident duty hours and the training environment. … Cost implications of ACGME's 2011 changes to resident duty hours and the training environment. … August 5, 2015
Residency work-hours reform: a cost analysis including preventable adverse … February 24, 2011
Cost implications of reduced work hours and workloads for resident
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psnet.ahrq.gov/primer/fatigue-sleep-deprivation-and-patient-safety
September 15, 2024 - Fatigue can also result from increased work intensity or long work hours. … The absolute amount of sleep required per 24 hours is generally understood to be a minimum of 5 hours … Most healthy adults 1 need between 7.5–8.5 hours of sleep per night and will experience deficits in … As awake time surpasses 12–16 consecutive hours, the drive for sleep becomes increasingly powerful. … of 40 hours per week or 12 consecutive hours.
-
psnet.ahrq.gov/issue/extended-work-duration-and-risk-self-reported-percutaneous-injuries-interns
January 07, 2011 - This observational study, which enrolled interns prior to the 2003 policies limiting work hours, compared … companion study found that extended work shifts were still common despite regulations to reduce work hours … January 10, 2017
Effect of reducing interns' weekly work hours on sleep and attentional … February 17, 2011
Effects on resident work hours, sleep duration and work experience … March 2, 2010
The working hours of hospital staff nurses and patient safety.
-
psnet.ahrq.gov/node/48125/psn-pdf
July 24, 2019 - In 2003, the Accreditation Council for Graduate Medical Education limited resident physician work hours … to
30 hours in 1 shift and 80 hours in 1 week. … However, some have expressed concern that physicians who train
for fewer hours will leave residency … Although other studies have concluded that duty hours have not adversely affected clinical or
safety … https://psnet.ahrq.gov/primer/duty-hours-and-patient-safety
https://psnet.ahrq.gov/issue/resident-duty-hours-enhancing-sleep-supervision-and-safety
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-229-section-6a-tables-4-5.pdf
June 02, 2025 - Reviewed
Percent
Agreement
Kappa
Statistic
Hospital
#1
Time of blood culture
(within 4 hours … of
diagnosis)
7 71% 0.30
Hospital
#2
Time of blood culture
(within 4 hours of
diagnosis) … 4 100% 1.00
Hospital
#3
Time of blood culture
(within 4 hours of
diagnosis)
4 75% 0.00 … All
Sites
Time of blood culture
(within 4 hours of
diagnosis)
15 80% 0.29
-
psnet.ahrq.gov/node/836774/psn-pdf
March 23, 2022 - Patient harm and institutional avoidability of out-of-hours
discharge from intensive care: an analysis … Patient harm and institutional avoidability of out-of-hours discharge
from intensive care: an analysis … https://psnet.ahrq.gov/issue/patient-harm-and-institutional-avoidability-out-hours-discharge-intensive-care … -
analysis-using
This mixed-method study explored the reasons why out-of-hours discharges from the … Out-of-hours discharges often occurred
prematurely, without adequate handovers, and involved patients
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psnet.ahrq.gov/issue/duty-hours-quality-care-and-patient-safety-general-surgery-resident-perceptions
July 02, 2014 - Study
Duty hours, quality of care, and patient safety: general surgery resident perceptions … Duty hours, quality of care, and patient safety: general surgery resident perceptions. … Duty hours, quality of care, and patient safety: general surgery resident perceptions. … Related Resources From the Same Author(s)
Anticipated consequences of the 2011 duty hours … July 24, 2013
Restricting resident work hours: the good, the bad, and the ugly.
-
www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7c.html
October 01, 2014 - than 24 hours (STOP ABSTRACTION)
5. … Patient repositioned every 2 hours or 'up ad lib'
d. … Patient repositioned every 2 hours or "up ad lib"
e. … Identify medical and nursing notes from the first 24 hours of hospitalization. … Identify nursing notes from the first 24 hours of hospitalization.
-
www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7c.html
October 01, 2014 - than 24 hours (STOP ABSTRACTION)
5. … Patient repositioned every 2 hours or 'up ad lib'
d. … Patient repositioned every 2 hours or "up ad lib"
e. … Identify medical and nursing notes from the first 24 hours of hospitalization. … Identify nursing notes from the first 24 hours of hospitalization.
-
psnet.ahrq.gov/node/840146/psn-pdf
January 01, 2023 - Resident duty hours and resident and patient outcomes:
systematic review and meta-analysis. … Resident duty hours and resident and patient outcomes: systematic
review and meta?analysis. … https://psnet.ahrq.gov/issue/resident-duty-hours-and-resident-and-patient-outcomes-systematic-review- … Shorter shift hours were associated with some improved resident
outcomes and but no association with … https://psnet.ahrq.gov/primer/duty-hours-and-patient-safety
https://psnet.ahrq.gov/primer/burnout
-
psnet.ahrq.gov/issue/excessive-work-hours-physicians-training-el-salvador-putting-patients-risk
August 04, 2021 - Commentary
Excessive work hours of physicians in training in El Salvador: putting … Excessive work hours of physicians in training in El Salvador: putting patients at risk. … Excessive work hours of physicians in training in El Salvador: putting patients at risk. … resident issue to bed: federal legislation is not the answer to excessive medical resident working hours … January 31, 2011
Resident Duty Hours: Enhancing Sleep, Supervision, and Safety.
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psnet.ahrq.gov/issue/effects-shift-length-quality-patient-care-and-health-provider-outcomes-systematic-review
May 18, 2022 - This systematic review examined the specific impact of shift length (8 versus 12 hours) on patient and … July 14, 2021
Long working hours, safety, and health: toward a national research agenda … January 10, 2017
Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedules … Effects of the Accreditation Council for Graduate Medical Education duty hour limits on sleep, work hours … March 2, 2011
Cost implications of reduced work hours and workloads for resident physicians
-
psnet.ahrq.gov/issue/complying-acgme-resident-duty-hours-restrictions-restructuring-80-hour-workweek-enhance
August 04, 2021 - Study
Complying with ACGME resident duty hours restrictions: restructuring the 80 … Complying with ACGME resident duty hours restrictions: restructuring the 80-hour workweek to enhance … Complying with ACGME resident duty hours restrictions: restructuring the 80-hour workweek to enhance … December 20, 2006
Resident attitudes regarding the impact of the 80–duty-hours work standards … September 14, 2005
Perceived impact of duty hours limits on the fragmentation of patient