Details

Autor(en) / Beteiligte

• Ulmer, Cheryl, Ed
• Wolman, Dianne Miller, Ed
• Johns, Michael M. E., Ed

Titel

Resident Duty Hours: Enhancing Sleep, Supervision, and Safety

Ist Teil von

• National Academies Press, 2009

Ort / Verlag

National Academies Press

Erscheinungsjahr

2009

Link zum Volltext

Beschreibungen/Notizen

• 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. The following are appended: (1) Statement of Task; (2) Comparison of Select Scheduling Possibilities Under Committee Recommendations and Under 2003 Accreditation Council for Graduate Medical Education (ACGME) Duty Hour Rules; (3) International Experiences Limiting Resident Duty Hours; (4) Glossary, Acronyms, and Abbreviations; (5) Committee Member Biographies; and (6) Public Meeting Agendas. An Index is also included. Following a welcome statement by Michael Johns and remarks from study sponsor and committee questions (facilitated by Carolyn Clancy), the agenda for the pubic meeting included the following panels: (Panel 1) The Accreditation Council for Graduate Medical Education's Duty Hours Requirements (Paul Friedmann and Ingrid Philibert); (Panel 2) Impact of Duty Hours Requirements on Education (Steven Weinberger, Tom Whalen, Michael Ehlert, and Sunny Ramchandani); (Panel 3) Work Hours, Patient Safety, and Enforcement (L. Toni Lewis, Peter Lurie, and Ethan Fried); (Panel 4) Sleep and Outcomes Research (Charles Czeisler, Christopher Landrigan, and Kevin Volpp); and (Panel 5) The Federal Role Funding Graduate Medical Education (Miechal Lefkowitz and Barbara K. Chang). [Individual chapters contain references.]