Impact of the 2003 ACGME Resident Duty Hour Reform on Hospital-Acquired Conditions: A National Retrospective Analysis

Wen, Timothy; Attenello, Frank J.; Cen, Steven; Khalessi, Alexander A.; Kim-Tenser, May; Sanossian, Nerses; Giannotta, Steven L.; Amar, Arun Paul; Mack, William J.

doi:10.4300/jgme-d-16-00055.1

Cited by 3 publications

(3 citation statements)

References 42 publications

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“…We excluded another 337 articles after reviewing the full-text citations largely because they neither identified individual NEs nor specified an existing framework (47%), or because they were non-scholarly (eg, media releases; 30%). Thus, our analyses were based on 367 articles 3 4 7–11 18–377. A full list of these articles and the information we extracted from them are found in online supplemental tables 1 and 2.…”

Section: Resultsmentioning

confidence: 99%

“…It has been 20 years since the NQF published the first list of NEs. After two decades we have failed to eliminate these events and in some cases the incidence has increased 30 62 90 131 229 241 288 310 315 326 362 369. The lack of consensus in NEs, reporting structures, terminology and preventability impedes our ability to learn from each other and collaborate to reduce their occurrence.…”

Section: Conclusion and Recommendationsmentioning

confidence: 99%

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Identifying a list of healthcare ‘never events’ to effect system change: a systematic review and narrative synthesis

et al. 2023

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BackgroundNever events (NEs) are patient safety incidents that are preventable and so serious they should never happen. To reduce NEs, several frameworks have been introduced over the past two decades; however, NEs and their harms continue to occur. These frameworks have varying events, terminology and preventability, which hinders collaboration. This systematic review aims to identify the most serious and preventable events for targeted improvement efforts by answering the following questions: Which patient safety events are most frequently classified as never events? Which ones are most commonly described as entirely preventable?MethodsFor this narrative synthesis systematic review we searched Medline, Embase, PsycINFO, Cochrane Central and CINAHL for articles published from 1 January 2001 to 27 October 2021. We included papers of any study design or article type (excluding press releases/announcements) that listed NEs or an existing NE framework.ResultsOur analyses included 367 reports identifying 125 unique NEs. Those most frequently reported were surgery on the wrong body part, wrong surgical procedure, unintentionally retained foreign objects and surgery on the wrong patient. Researchers classified 19.4% of NEs as ‘wholly preventable’. Those most included in this category were surgery on the wrong body part or patient, wrong surgical procedure, improper administration of a potassium-containing solution and wrong-route administration of medication (excluding chemotherapy).ConclusionsTo improve collaboration and facilitate learning from errors, we need a single list that focuses on the most preventable and serious NEs. Our review shows that surgery on the wrong body part or patient, or the wrong surgical procedure best meet these criteria.

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Section: Resultsmentioning

confidence: 99%

Section: Conclusion and Recommendationsmentioning

confidence: 99%

Identifying a list of healthcare ‘never events’ to effect system change: a systematic review and narrative synthesis

et al. 2023

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“…Conversely, a systematic review conducted in 2014 on surgical residents revealed a potential escalation in complications and even increasing mortality as well 53 . In 2017, a large cohort study documented 110 million hospitalizations before and after the enforcement of the 2003 WHRs and showed that inpatient complications surged, particularly in teaching hospitals, with a reported increase of 10% 54 . A study comparing surgical patients before and after 2003 WHRs found a significant reduction in provider‐related complications (48% vs. 39%) 55 …”

Section: Work Hour and Related Outcomesmentioning

confidence: 99%

The effects of resident work hours on well‐being, performance, and education: A review from a Japanese perspective

Nagasaki,

Kobayashi

2023

J of Gen and Family Med

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This article examines the impact of working‐hour restrictions on the well‐being, performance, and education of medical residents in Japan. Despite Japan's plan to introduce new regulations for resident working hours by 2024, there is still an ongoing debate regarding their appropriateness. This review provides a comprehensive overview of the current regulations of resident working hours worldwide, with a specific focus on weekly hours. The varying regulations are highlighted, including the 80‐hour‐per‐week regulation in the United States and the 48‐h‐per‐week regulation in the European Union influencing other regions. The article also discusses the effectiveness of working‐hour restrictions on residents' mental health, with shorter working hours having potentially greater benefits. However, the impacts on medical safety and resident education are mixed, and further reduction in working hours must be carefully considered to avoid adverse effects. The planned changes to working‐hour limits for residents in Japan offer a unique opportunity to gain new evidence on the impact of such regulations, which will be of interest to policymakers and researchers worldwide.

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A restrição da jornada de trabalho do médico e seu impacto na segurança do paciente: uma revisão integrativa

Moura¹,

Moura²,

Novais³

2018

Rev. Bras. Med. Trab.

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Impact of the 2003 ACGME Resident Duty Hour Reform on Hospital-Acquired Conditions: A National Retrospective Analysis

Cited by 3 publications

References 42 publications

Identifying a list of healthcare ‘never events’ to effect system change: a systematic review and narrative synthesis

Identifying a list of healthcare ‘never events’ to effect system change: a systematic review and narrative synthesis

The effects of resident work hours on well‐being, performance, and education: A review from a Japanese perspective

A restrição da jornada de trabalho do médico e seu impacto na segurança do paciente: uma revisão integrativa

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