Medliorate

Improving medical students

Resident Work-Hour Reform & Patient Safety

Posted by medliorator on September 9, 2009

Reductions in resident physician work-hours at teaching hospitals in 2003 were associated with an increase in complications related to surgery to repair hip fractures, a new study found.

“Our investigation identified that the rate of change of perioperative morbidity in patients with a hip fracture increased significantly in teaching hospitals following resident duty-hour reform.”

Browne and colleagues compared the surgical outcomes from before (2001 to 2002) and after (2004 to 2005) the reform was implemented by reviewing records from the Nationwide Inpatient Sample for 48,430 patients treated for hip fractures at teaching and non-teaching hospitals across the United States.

“It is our anecdotal experience that continuity of care has become more challenging in the orthopaedic teaching environment following duty-hour limitations,” the authors wrote. “Handoffs, particularly problematic in patient care and known to increase the risk of adverse events, appear to occur relatively more frequently in the surgical services after reform.”

Resident Duty-Hour Reform Associated with Increased Morbidity Following Hip Fracture (The Journal of Bone and Joint Surgery)

via Resident Hours Cut, Hip Surgery Complaints Rise [Medpage Today]

Correlate: On the 80-hour Workweek Cap – Part 2

Correlate: Residency: 56 Hour Work Week?

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