Residency

ACGME's 2003 duty hour reform does not affect high risk patients

Residency Program Insider, May 26, 2009

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The 2003 ACGME duty hour standards have not positively or negatively affected mortality or failure-to-rescue rates for high risk medical or surgical patients, according to a new study published in the Journal of General Internal Medicine.

Although several studies have found that implementation of the 2003 duty hour standards have not had an adverse affect on mortality, few have looked at how the work hour limitations affected mortality in high risk patients.

Researchers compared patient data from more and less teaching intensive hospitals, measuring mortality within 30 days of admission and death among patients who experienced a surgical complication. They concluded that rates of mortality and failure-to-rescue were similar for higher and lower risk patient in both intensive and non intensive teaching hospitals.

The study, Did Duty Hour Reform Lead to Better Outcomes Among the Highest Risk Patients?, was performed by researchers at Center for Health Equity Research and Promotion at the Veteran's Administration Hospital in Philadelphia.



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