The effect of new duty hours on resident academic performance and adult resuscitation outcomes

The American Journal of Medicine
Dominique J PepperVincent E Herrin

Abstract

From July 2011, the Accreditation Council for Graduate Medical Education implemented new resident duty hours throughout the US. This study aimed to determine whether changes to call schedules due to these new duty hours achieved the intended goals of excellent patient care and improved resident learning. We conducted a retrospective cohort study at an academic hospital. For patient outcomes, we used the hospital registry for code blues and rapid responses to compare the proportion of deaths and transfers to an intensive care unit (July 2010 to June 2011; July 2011 to June 2012). For resident learning, we compared delta percentage scores for annual in-service training examinations (2009 to 2010; 2010 to 2011; 2011 to 2012). We recorded 187 code blues and 469 rapid responses during the 2-year period: 48 (7.3%) deaths, 374 (57.0%) transfers to the intensive care unit, and 234 (35.7%) stabilizations on the floor. Of all transfers to the intensive care unit, those due to a code blue decreased after implementation of the new duty hours (36% [63/174] vs 25% [49/200], P = .02; adjusted odds ratio = 0.59; 95% confidence interval, 0.37-0.92). The median (interquartile range) delta percentage scores for annual in-service training examinat...Continue Reading

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Citations

Dec 23, 2015·Journal of Graduate Medical Education·Brandon T FerrellClayton D Morris
Oct 17, 2015·Journal of Neurosurgery·Robert W BinaTravis M Dumont
Nov 25, 2014·The Laryngoscope·Daniel J KaplanCarl H Snyderman
Apr 23, 2016·The American Journal of Medicine·David OuyangJeffrey Chi

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