Work Hour Reduction: Still Room for Improvement

Journal of Surgical Education
Douglas Z LiouM Bukur

Abstract

The effect of resident duty hour restrictions continues to yield conflicting results on patient outcomes. Failure to rescue (FTR), or death after a major complication, has become a topic of increasing quality assessment. The aim of this study is to evaluate the effect of duty hour restrictions on in-hospital mortality, complication rates, and FTR in patients suffering traumatic injuries. Data from the National Trauma Data Bank (NTDB) were retrospectively reviewed (Research Data Set 2007-2008 and version 7.2). Patients admitted to Level I or II teaching institutions were dichotomized into pre-duty hour restriction (2002-2003) and post-duty hour restriction (2007-2008) time periods. Patients who had nonsurvivable injuries (any region Abbreviated Injury Scale score = 6), died within 48 hours, or had missing data were excluded. Multivariate logistic regression was used to adjust for differences in patient characteristics and derive adjusted outcomes. Level I and II teaching institutions in the NTDB. All patients with trauma admitted to a Level I or II teaching institution between January 1, 2002 and June 30, 2003 and between January 1, 2007 and December 31, 2008. Although overall adjusted in-hospital mortality was decreased (adjust...Continue Reading

References

Dec 1, 1994·Annals of Internal Medicine·L A PetersenT H Lee
Nov 24, 2001·BMJ : British Medical Journal·T P GrantcharovJ Rosenberg
Oct 12, 2002·Journal of the American College of Surgeons·Catherine B BardenThomas J Fahey
Dec 31, 2003·Journal of the American College of Surgeons·Emily R WinslowMary E Klingensmith
Jan 19, 2005·Medical Care·Jeffrey H SilberOrit Even-Shoshan
Feb 23, 2005·Archives of Surgery·Kathryn A Mendoza, L D Britt
May 28, 2005·The Journal of Surgical Research·Haytham M A KaafaraniDavid H Berger
May 28, 2005·The Journal of Trauma·Frederick RogersPeter Igneri
May 28, 2005·The Journal of Trauma·A Britton ChristmasJorge L Rodriguez
Aug 30, 2005·Current Surgery·Charles M FergusonAndrew L Warshaw
Feb 24, 2006·American Journal of Surgery·Matthew C ByrnesR Stephen Smith
Jun 15, 2006·Annals of Surgery·Matthew M HutterAndrew L Warshaw
Aug 29, 2006·The Journal of Surgical Research·C Katarina BillerRoland D Eavey
Nov 7, 2006·Current Surgery·Christian de VirgilioBrant A Putnam
Jan 16, 2007·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Arpana R VidyarthiRobert M Wachter
Aug 22, 2007·Archives of Surgery·Ali SalimThomas V Berne
Jan 16, 2008·American Journal of Surgery·Kanav KaholSethuraman Panchanathan
Mar 1, 2008·Journal of Surgical Education·Emily Tompkins DurkinDavid Mahvi
Oct 29, 2008·Journal of the American College of Surgeons·Myriam J Curet
Oct 3, 2009·The New England Journal of Medicine·Amir A GhaferiJustin B Dimick
Feb 10, 2010·Journal of Surgical Education·Robert J Kelly, Christopher K Senkowski
Dec 15, 2010·American Journal of Surgery·Jared BrandenbergerJohn J Ferrara
Dec 16, 2010·Journal of Surgical Education·Arezou YaghoubianChristian de Virgilio
Apr 9, 2011·Annals of Surgery·Laurent G GlanceDana B Mukamel
Jul 23, 2011·The Journal of Surgical Research·Max V WohlauerMark R Nehler
May 29, 2012·Journal of the American College of Surgeons·Karen R BormanJudy A Shea
May 29, 2012·The Journal of Surgical Research·Mayur B PatelJose J Diaz
Aug 30, 2012·The Journal of Trauma and Acute Care Surgery·Hesham M AhmedVicente H Gracias
Sep 19, 2012·Archives of Surgery·Marko BukurAli Salim
Nov 7, 2012·Orthopedics·Michael AynardiAlvin Ong

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Citations

Jan 22, 2020·Scottish Medical Journal·Marina YiasemidouChandra Shekhar Biyani
Oct 8, 2020·The American Surgeon·Brendan P MitchellRobert D Winfield

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