Resident duty hours : enhancing sleep, supervision, and safety / Committee on Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedules to Improve Patient Safety ; editors, Cheryl Ulmer, Dianne Miller Wolman, Michael M.E. Johns.

Format:

Book

Author/Creator:

Institute of Medicine (U.S.). Committee on Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedules to Improve Patient Safety.

Contributor:

Ulmer, Cheryl.

Wolman, Dianne Miller.

Johns, Michael M. E.

Institute of Medicine (U.S.). Committee on Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedules to Improve Patient Safety.

Language:

English

Subjects (All):

Residents (Medicine)--United States.

Residents (Medicine).

Fatigue.

Sleep deprivation.

Hours of labor.

Hospitals--United States--Safety measures.

Hospitals.

Medical errors.

Physical Description:

1 online resource (426 p.)

Edition:

1st ed.

Place of Publication:

Washington, DC : National Academies Press, c2009.

Language Note:

English

Summary:

Medical residents in hospitals are often required to be on duty for long hours. In 2003 the organization overseeing graduate medical education adopted common program requirements to restrict resident workweeks, including limits to an average of 80 hours over 4 weeks and the longest consecutive period of work to 30 hours in order to protect patients and residents from unsafe conditions resulting from excessive fatigue. Resident Duty Hours provides a timely examination of how those requirements were implemented and their impact on safety, education, and the training institutions. An in-depth review of the evidence on sleep and human performance indicated a need to increase opportunities for sleep during residency training to prevent acute and chronic sleep deprivation and minimize the risk of fatigue-related errors. In addition to recommending opportunities for on-duty sleep during long duty periods and breaks for sleep of appropriate lengths between work periods, the committee also recommends enhancements of supervision, appropriate workload, and changes in the work environment to improve conditions for safety and learning. All residents, medical educators, those involved with academic training institutions, specialty societies, professional groups, and consumer/patient safety organizations will find this book useful to advocate for an improved culture of safety.

Contents:

Background and overview

Current duty hours and monitoring adherence

Adapting the resident educational and work environment to duty hour limits

Improving the resident learning environment

Impact of duty hours on resident well-being

Contributions to error in the training environment

Strategies to reduce fatigue risk in resident work schedules

System strategies to improve patient safety and error prevention

Resources to implement imvprovements for patient safety and resident training.

Appendices: Statement of task

Comparison of select scheduling possibilities under committee recommendations and under 2003 ACGME duty hour rules

International experiences limiting resident duty hours

Glossary, acronyms, and abbreviations

Committee member biographies

Public meeting agendas.

Notes:

Bibliographic Level Mode of Issuance: Monograph

Includes bibliographical references and index.

ISBN:

9786612130403

9780309131520

0309131529

9781282130401

1282130404

9780309127776

0309127777

OCLC:

435816543