Service census caps and unit-based admissions: Resident workload, conference attendance, duty hour compliance, and patient safety

Mayo Clinic Proceedings

Volumn 87, Issue 4, 2012, Pages 320-327

  Thanarajasingam, Uma ^a   McDonald, Furman S ^a   Halvorsen, Andrew J ^a   Naessens, James M ^a   Cabanela, Rosa L ^a   Johnson, Matthew G ^a   Daniels, Paul R ^a   Williams, Amy W ^a   Reed, Darcy A ^a  

^a MAYO CLINIC   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CONTINUING EDUCATION; CONTROLLED STUDY; DISEASE SEVERITY; HEALTH SERVICE; HOSPITAL ADMISSION; HOSPITAL READMISSION; HOSPITAL SERVICE; HUMAN; INTENSIVE CARE UNIT; OUTCOME ASSESSMENT; PATIENT SAFETY; PROSPECTIVE STUDY; RAPID RESPONSE TEAM; RESIDENT; RESUSCITATION; WORK SCHEDULE; WORKLOAD;

EID: 84859853586     PISSN: 00256196     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.mayocp.2011.12.012     Document Type: Article

References (38)

1. Institute of Medicine. Resident Duty Hours: Enhancing Sleep, Supervision, and Safety. Washington, DC: National Academies Press; 2008.
2. Nasca TJ, Day SH, Amis ES Jr; ACGME Duty Hour Task Force. The new recommendations on duty hours from the ACGME Task Force. N Engl J Med. 2010;363(2):e3.
3. Lin GA, Beck DC, Stewart AL, Garbutt JM. Resident perceptions of the impact of work hour limitations. J Gen Intern Med. 2007;22(7):969-975. (Pubitemid 46878621)
4. Vidyarthi AR, Katz PP, Wall SD, Wachter RM, Auerbach AD. Impact of reduced duty hours on residents' educational satisfaction at the University of California, San Francisco. Acad Med. 2006;81(1):76-81. (Pubitemid 44366097)
5. Friesen LD, Vidyarthi AR, Baron RB, Katz PP. Factors associated with intern fatigue. J Gen Intern Med. 2008;23(12):1981-1986.
6. Antiel RA, Thompson SM, Hafferty FW, et al. Duty hour recommendations and implications for meeting the ACGMEcore competencies: views of residency directors. Mayo Clin Proc. 2011;86(3):185-191.
7. Accreditation Council for Graduate Medical Education Approved Standards. http://acgme-2010standards.org/. Accessed August 23, 2011.
8. Arora VM, Georgitis E, Siddique J, et al. Association of workload of on-call medical interns with on-call sleep duration, shift duration, and participation in educational activities. JAMA. 2008;300(10):1146-1153.
9. Vidyarthi AR, Auerbach AD, Wachter RM, Katz PP. The impact of duty hours on resident self reports of errors. J Gen Intern Med. 2007;22(2):205-209. (Pubitemid 47308822)
10. Ong M, Bostrom A, Vidyarthi A, McCulloch C, Auerbach A. House staff team workload and organization effects on patient outcomes in an academic general internal medicine inpatient service. Arch Intern Med. 2007;167(1):47-52. (Pubitemid 46072406)
11. McMahon GT, Katz JT, Thorndike ME, Levy BD, Loscalzo J. Evaluation of a redesign initiative in an internal-medicine residency. N Engl J Med. 2010;362(14):1304-1311.
12. Coit MH, Katz JT, McMahon GT. The effect of workload reduction on the quality of residents' discharge summaries. J Gen Intern Med. 2011;26(1):28-32.
13. Fletcher KE, Reed DA, Arora VM. Doing the dirty work: measuring and optimizing resident workload. J Gen Intern Med. 2011;26(1):8-9.
14. Fletcher K, Lamba A, Schapira M, Singh S. Development of an internal medicine workload intensity measure for hospital work. J Gen Intern Med. 2010;25(suppl 1):252-253.
15. Weinger MB, Reddy SB, Slagle JM. Multiple measures of anesthesia workload during teaching and nonteaching cases. Anesth Analg. 2004;98(5):1419-1425. (Pubitemid 38525602)
16. Dellit TH, Armas-Loughran B, Bosl GJ, Sepkowitz KA, Thaler H, Blaskovich J. A method for assessing house staff workload as a function of length of stay. JAMA. 2001;286(9):1023-1024. (Pubitemid 33010300)
17. Dresselhaus TR, Luck J, Wright BC, Spragg RG, Lee ML, Bozzette SA. Analyzing the time and value of housestaff inpatient work. J Gen Intern Med. 1998;13(8):534-540. (Pubitemid 28402109)
18. Boex JR, Leahy PJ. Understanding residents' work: moving beyond counting hours to assessing educational value. Acad Med. 2003;78(9):939-944. (Pubitemid 37129265)
19. Redding DA, Robinson S. Interruptions and geographic challenges to nurses' cognitive workload. J Nurs Care Qual. 2009;24(3):194-200.
20. Batsis JA, Naessens JM, Keegan MT, Huddleston PM, Wagie AE, Huddleston JM. Cost savings of hip arthroplasty patients on specialized orthopedic surgery units. Am J Orthop (Belle Mead NJ). 2009;38(1):E5-E11.
21. Gabow PA, Karkhanis A, Knight A, Dixon P, Eisert S, Albert RK. Observations of residents' work activities for 24 consecutive hours: implications for workflow redesign. Acad Med. 2006;81(8):766-775. (Pubitemid 44167319)
22. Philibert I, Friedmann P, Williams WT; ACGME Work Group on Resident Duty Hours. New requirements for resident duty hours. JAMA. 2002;288(9):1112-1114. (Pubitemid 34976752)
23. Accreditation Council for Graduate Medical Education Internal Medicine Program Requirements. http://acgme.org/acWebsite/RRC-140/140-prIndex.asp. Accessed November 17, 2011.
24. Patient Safety Indicators Technical Specifications Version 3.2. Rockville, MD: Agency for Healthcare Research and Quality; March 2008.
25. Meurer S. Mortality Risk Adjustment Methodology for University Health System's Clinical Data Base. In: Agency for Healthcare Research and Quality, Mortality Measurement. February 2009; Rockville, MD. http://www.ahrq.gov/qual/ mortality/Meurer.htm. Accessed August 23, 2011.
26. Carlin AM, Gasevic E, Shepard AD. Effect of the 80-hour work week on resident operative experience in general surgery. Am J Surg. 2007;193(3):326-329.
27. Damadi A, Davis AT, Saxe A, Apelgren K. ACGME duty-hour restrictions decrease resident operative volume: a 5-year comparison at an ACGME-accredited university general surgery residency. J Surg Educ. 2007;64(5):256-259. (Pubitemid 350018617)
28. Kairys JC, McGuire K, Crawford AG, Yeo CJ. Cumulative operative experience is decreasing during general surgery residency: a worrisome trend for surgical trainees? J Am Coll Surg. 2008;206(5):804-811. (Pubitemid 351620902)
29. Weatherby BA, Rudd JN, Ervin TB, Stafford PR, Norris BL. The effect of resident work hour regulations on orthopaedic surgical education. J Surg Orthop Adv. 2007;16(1):19-22.
30. Wayne DB, Arora VM. Duty hour reform and internal medicine residency training: no time to lose. J Gen Intern Med. 2009;24(10):1169-1170.
31. Green ML, Aagaard EM, Caverzagie KJ, et al. Charting the road to competence: developmental milestones for internal medicine residency training. J Grade Med Educ. 2009;1(1):5-20.
32. Oxentenko AS, West CP, Popkave C, Weinberger SE, Kolars JC. Time spent on clinical documentation: a survey of internal medicine residents and program directors. Arch Intern Med. 2010;170(4):377-380.
33. Medical Research Council. Developing and evaluating complex interventions: new guidance. http://www.mrc.ac.uk/Utilities/Documentrecord/ index.htm?d=MRC004871. Accessed August 23, 2011.
34. Reed DA, Cook DA, Beckman TJ, Levine RB, Kern DE, Wright SM. Association between funding and quality of published medical education research. JAMA. 2007;298(9):1002-1009. (Pubitemid 47360811)
35. Crowley MJ, Barkauskas CE, Srygley FD, et al. A comparative resident site visit project: a novel approach for implementing programmatic change in the duty hours era. Acad Med. 2010; 85(7):1140-1146.
36. Meyers FJ, Weinberger SE, Fitzgibbons JP, Glassroth J, Duffy FD, Clayton CP; Alliance for Academic Internal Medicine Education Redesign Task Force. Redesigning residency training in internal medicine: the consensus report of the Alliance for Academic Internal Medicine Education Redesign Task Force. Acad Med. 2007;82(12):1211-1219. (Pubitemid 350211583)
37. Weinberger SE, Smith LG, Collier VU; Education Committee of the American College of Physicians. Redesigning training for internal medicine. Ann Intern Med. 2006; 144(12):927-932. (Pubitemid 46768133)
38. Holmboe ES, Bowen JL, Green M, et al. Reforming internal medicine residency training: a report from the Society of General Internal Medicine's task force for residency reform. J Gen Intern Med. 2005;20(12):1165-1172. (Pubitemid 43110270)