Residents may be able to work longer hours
Residency Program Insider, March 29, 2019
Want to receive articles like this one in your inbox? Subscribe to Residency Program Insider!
Resident shift length does not affect patient mortality, according to the results of the iCOMPARE trial. The New England Journal of Medicine published two papers earlier this month and discussed some of the findings of the trial, in which residents were allowed to work longer shift lengths than what is required by the ACGME.
"We can confidently say that working flexible hours, still within the 80-hour constraints, does not result in higher patient mortality than working standard hours," Lisa Rosenbaum, MD, and Daniela Lamas, MD, wrote in an editorial in the New England Journal of Medicine.
Data for iCOMPARE came from observations made of 63 different residency programs across the United States between 2015 and 2016. About half of the programs were assigned to follow the mandated shift limits while the other half did not restrict individual shifts as long as they fell within the 80 overall hours per week. Patients cared for by residents with less-restricted shift lengths had mortality rates no greater than those cared for by residents facing restricted shift lengths. As for the effect on residents, those facing longer shift lengths got no less sleep and did not experience more sleepiness than those with the more restricted shift lengths.
Source: Penn Medicine News
Want to receive articles like this one in your inbox? Subscribe to Residency Program Insider!
Related Products
Most Popular
- Articles
-
- Don't forget the three checks in medication administration
- Note similarities and differences between HCPCS, CPT® codes
- Differentiate between types of wound debridement
- Q&A: Primary, principal, and secondary diagnoses
- OB services: Coding inside and outside of the package
- The consequences of an incomplete medical record
- Practice the six rights of medication administration
- Complications from immobility by body system
- Nursing responsibilities for managing pain
- CDC alert: Screen for international travel as Ebola cases increase
- E-mailed
-
- CDC alert: Screen for international travel as Ebola cases increase
- Differentiate between types of wound debridement
- Q&A: A second look at encephalopathy as integral to seizures/CVA
- Performing a SWOT analysis
- Life Safety Code Q&A: Ambulatory care soiled utility room
- Leadership training for charge nurses
- Helping Charge Nurses understand their leadership role (Part 2 of 3)
- Developing a Fall-Prevention Program
- Coding, billing, and documentation tips for teaching physicians, interns, residents, and students
- Coding tip: Watch for different codes for SI joint injections
- Searched