LEADER 04626nam 2200745Ia 450 001 9910809847703321 005 20240417004601.0 010 $a0-309-13152-9 010 $a1-282-13040-4 010 $a9786612130403 010 $a0-309-12777-7 035 $a(CKB)1000000000786331 035 $a(OCoLC)435816543 035 $a(CaPaEBR)ebrary10309983 035 $a(SSID)ssj0000236685 035 $a(PQKBManifestationID)11175578 035 $a(PQKBTitleCode)TC0000236685 035 $a(PQKBWorkID)10172926 035 $a(PQKB)11534564 035 $a(MiAaPQ)EBC3378494 035 $a(Au-PeEL)EBL3378494 035 $a(CaPaEBR)ebr10309983 035 $a(CaONFJC)MIL213040 035 $a(OCoLC)923280332 035 $a(EXLCZ)991000000000786331 100 $a20090127d2009 uy 0 101 0 $aeng 135 $aurcn||||||||| 181 $ctxt 182 $cc 183 $acr 200 00$aResident duty hours $eenhancing sleep, supervision, and safety /$fCommittee on Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedules to Improve Patient Safety ; editors, Cheryl Ulmer, Dianne Miller Wolman, Michael M.E. Johns 205 $a1st ed. 210 $aWashington, DC $cNational Academies Press$dc2009 215 $a1 online resource (426 p.) 300 $aBibliographic Level Mode of Issuance: Monograph 311 $a0-309-12776-9 320 $aIncludes bibliographical references and index. 327 $aBackground and overview -- Current duty hours and monitoring adherence -- Adapting the resident educational and work environment to duty hour limits -- Improving the resident learning environment -- Impact of duty hours on resident well-being -- Contributions to error in the training environment -- Strategies to reduce fatigue risk in resident work schedules -- System strategies to improve patient safety and error prevention -- Resources to implement imvprovements for patient safety and resident training. 327 $aAppendices: Statement of task -- Comparison of select scheduling possibilities under committee recommendations and under 2003 ACGME duty hour rules -- International experiences limiting resident duty hours -- Glossary, acronyms, and abbreviations -- Committee member biographies -- Public meeting agendas. 330 $aMedical residents in hospitals are often required to be on duty for long hours. In 2003 the organization overseeing graduate medical education adopted common program requirements to restrict resident workweeks, including limits to an average of 80 hours over 4 weeks and the longest consecutive period of work to 30 hours in order to protect patients and residents from unsafe conditions resulting from excessive fatigue. Resident Duty Hours provides a timely examination of how those requirements were implemented and their impact on safety, education, and the training institutions. An in-depth review of the evidence on sleep and human performance indicated a need to increase opportunities for sleep during residency training to prevent acute and chronic sleep deprivation and minimize the risk of fatigue-related errors. In addition to recommending opportunities for on-duty sleep during long duty periods and breaks for sleep of appropriate lengths between work periods, the committee also recommends enhancements of supervision, appropriate workload, and changes in the work environment to improve conditions for safety and learning. All residents, medical educators, those involved with academic training institutions, specialty societies, professional groups, and consumer/patient safety organizations will find this book useful to advocate for an improved culture of safety. 606 $aResidents (Medicine)$zUnited States 606 $aFatigue 606 $aSleep deprivation 606 $aHours of labor 606 $aHospitals$zUnited States$xSafety measures 606 $aMedical errors 615 0$aResidents (Medicine) 615 0$aFatigue. 615 0$aSleep deprivation. 615 0$aHours of labor. 615 0$aHospitals$xSafety measures. 615 0$aMedical errors. 676 $a610.71/55 701 $aUlmer$b Cheryl$01595505 701 $aWolman$b Dianne Miller$01707751 701 $aJohns$b Michael M. E$01707752 712 02$aInstitute of Medicine (U.S.).$bCommittee on Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedules to Improve Patient Safety. 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910809847703321 996 $aResident duty hours$94096205 997 $aUNINA