HOME >> MEDICINE >> NEWS
Resident work-hour restrictions yield little improvement in perceived quality of patient care

Boston (Oct. 2006) -- Research conducted by participants at several medical schools, including co-authors Michael J. Cunningham, M.D., and Roland D. Eavey, M.D., of the Massachusetts Eye and Ear Infirmary Pediatric Otolaryngology Service, Department of Otology and Laryngology, Harvard Medical School, has found that reducing the amount of work hours alone for surgical residents does not appear to improve quality of patient care. The study is published in the October issue of the Journal of Surgical Research.

Research was conducted on a convenience sample of 156 residents from three surgical specialties who completed questionnaires designed to measure subjective impressions about the quality of patient care. The sample consisted of residents who were already regulated by work-hour restriction (maximum 80-hour work week) and residents who had not previously been regulated by work-hour restriction. With a 94.5 percent response rate, more than 88 percent of residents reported that the quality of patient care remained unchanged (63 percent) or was worse (26 percent) after work-hour restrictions had been implemented. This response was particularly true from those residents who had not previously been regulated by work-hour restrictions. Overall, residents reported fewer fatigue-related errors following implementation of work-hour restrictions. However, more errors were perceived to be related to continuity of care, miscommunication and cross-coverage availability.

"The bad news is that a single change to relieve long work schedules of surgical house officers in order to improve quality apparently has 'failed,'" says senior author, Dr. Eavey, Director of Pediatric Otolaryngology at the Massachusetts Eye and Ear Infirmary. "Those same, well-rested house officers perceive that patient care quality unfortunately did not improve. The good news is that the survey has revealed realistic targets for future qual
'"/>

Contact: Vannessa Carrington
vannessa_carrington@meei.harvard.edu
617-573-3341
Harvard Medical School
10-Oct-2006


Page: 1 2

Related medicine news :

1. Resident work hour restrictions may be costly for teaching hospitals
2. Residents in disaster areas face medication adherence dilemmas
3. Residents report less fatigue, better care under 80-hour work week mandate
4. Resident physicians report that training often not adequate to treat patients from other cultures
5. Limiting resident physician work-hours might save money
6. Michigan-CDC study supports value of social restrictions during influenza pandemics
7. Better health twice as likely for nonsmokers who live and work with smoking restrictions
8. Air travel and flu: Post-9/11 restrictions delayed start of season
9. The eyes have it -- Autism research yields surprising results
10. Chronic disease management quality improvement efforts yield better care delivery
11. Second opinion yields treatment changes for half of patients

Post Your Comments:
*Name:
*Comment:
*Email:


(Date:8/14/2018)... ... August 14, 2018 , ... Kathy Mills Chang, the ... Connect User Conference. The ChiroTouch Conference is a one-day learning event hosted in ... is ecstatic to have Kathy Mills Chang lead the conference. Kath Mills Chang ...
(Date:8/14/2018)... Calif. (PRWEB) , ... August 14, 2018 , ... ... leading dental support organizations (DSO) with nearly 400 affiliated offices across 16 states, ... Orthodontics in San Diego, California. , Smile Brands will provide full-service administrative ...
(Date:8/11/2018)... ... August 10, 2018 , ... Dr. Siavash Eftekhari, Oral and Maxillofacial Surgeon ... a week-long international outpost trip to deliver dental care in impoverished communities. Along with ... Dr. Eftekhari volunteered his time to help deliver care to over 550 individuals in ...
(Date:8/11/2018)... , ... August 10, 2018 , ... ... for providing innovative procedures to metro Atlanta. Drs. Brent Sharpe and Froylan Gonzalez ... Georgia Medical Center in Braselton. , On June 27, the physicians combined their ...
(Date:8/9/2018)... ... August 09, 2018 , ... Lyme disease is one of the ... to an estimated 329,000 – a 25-fold increase since surveillance began in 1982. According ... be found all 50 states and the District of Columbia. Yet, Lyme and other ...
Breaking Medicine News(10 mins):
(Date:8/11/2018)... ... ... Dry eye solutions® on line appear to be plentiful, and many products ... some relief from dry eye disease, yet none of them provide the longer-lasting relief ... company in tiny Grants Pass, Oregon. That dry eye solution® is Nature’s Tears® EyeMist®, ...
(Date:8/9/2018)... , ... August 09, 2018 , ... Autism is a ... others. Given how widespread autism is, (approximately 1 in 68 people have the disorder), ... there are options to help teach a child with autism methods of communication and ...
(Date:8/7/2018)... (PRWEB) , ... August 06, 2018 , ... ... gum disease in Clinton, MS using laser dentistry techniques. Using their ... with cutting-edge laser gum therapy called REPAIR Perio™. , Affecting the lives of ...
Breaking Medicine Technology:
Cached News: