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

Title Resident duty hours : enhancing sleep, supervision, and safety / Cheryl Ulmer, Dianne Miller Wolman, Michael M.E. Johns, editors ; Committee on Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedules to Improve Patient Safety
Published Washington, D.C. : National Academies Press, ©2009

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Description 1 online resource (xxv, 400 pages) : illustrations
Series Online access: National Academy of Sciences National Academies Press
Online access: NCBI NCBI Bookshelf
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
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
Notes "Institute of Medicine of the National Academies."
Bibliography Includes bibliographical references and index
Notes Print version record
Subject Residents (Medicine) -- United States
Fatigue.
Sleep deprivation.
Hours of labor.
Hospitals -- United States -- Safety measures
Medical errors.
Medical care.
Medical Errors -- prevention & control -- United States -- Guideline
Sleep Deprivation -- prevention & control -- United States -- Guideline
Medical Errors -- prevention & control
Sleep Deprivation -- prevention & control
Medical Errors
Sleep Deprivation
Internship and Residency -- standards -- United States -- Guideline
Education, Medical, Graduate -- standards -- United States -- Guideline
Patient Care -- standards -- United States -- Guideline
Work Schedule Tolerance -- United States -- Guideline
Work Schedule Tolerance
Education, Medical, Graduate -- standards
Patient Care -- standards
Internship and Residency -- standards
Internship and Residency
Education, Medical, Graduate
Patient Care
Fatigue
MEDICAL -- Education & Training.
Medical care
Fatigue
Hospitals -- Safety measures
Hours of labor
Medical errors
Residents (Medicine)
Sleep deprivation
United States
United States
Genre/Form databases.
Databases.
Bases de données.
Form Electronic book
Author Ulmer, Cheryl.
Wolman, Dianne Miller.
Johns, Michael M. E.
LC no. 2009003372
ISBN 9780309127776
0309127777