Navigation Links
A paradox for young docs: New work-hour restrictions may increase, not decrease, errors
Date:3/25/2013

ing residency programs around the U.S. The research team then surveys these interns every three months throughout that first year, asking questions that gauge mental health, overall well-being, sleep habits, work hours and performance on the job.

By comparing the interns serving before the new ACGME rules (called the 2009 and 2010 cohorts) with the interns serving after the new rules were implemented (the 2011 cohort), the research team assessed the effects of the new duty hour rules.

In addition to the increase in self-reported medical errors, 20 percent of the residents screened positive for depression.

Sen was an intern in 2006, and in the years since has studied depression among medical students and residents, said he had been in favor of the adjusting duty hour rules in principle. "It was obvious that after working for 24 hours, we were not functioning at our best, and this was not optimal for us or the patients we were treating," he explains. But in practice, he says, the new rules may have had unintended consequences that ran counter to the goals of new guidelines.

In addition to "work compression", he says, residents now hand off responsibility for a long list of patients more frequently than in the past. Communication between the intern who is ending a shift, and the one beginning a shift, may not cover all patients in detail, he suggests, and this gap in communication may not become apparent until an urgent situation arises with one of the patients.

He also said the increase in errors may come back down with time. "The 2011 changes were a pretty radical shift," he notes. "Doctors have worked 30-hour shifts for decades, and it may just take time for all parts of the health care system to get used to the new rules and adjust."

But, he cautions, the new data don't definitively support any one of these theories as the culprit in the rise in error rates or the lack of progress in sleep hours and well-be
'/>"/>

Contact: Kara Gavin
kegavin@umich.edu
734-764-2220
University of Michigan Health System
Source:Eurekalert

Page: 1 2 3 4

Related medicine news :

1. TB treatment paradox: Mouse studies show bodys own response helps TB bacteria survive
2. Mexican paradox: While opinion surveys overestimate abortions 10-fold, abortion mortality clearly decreases
3. Paradox of aging: The older we get, the better we feel?
4. The HER2 paradox: HER2-positive stem cells found in HER2-negative breast cancer
5. Young girls more likely to report side effects after HPV vaccine
6. Young Americans Need to Cut Calorie Intake: Study
7. Unique approach needed to accurately assess health of young adult cancer survivors
8. Symptomatic behaviour in childhood strongly predicts psychiatric treatment as a young adult
9. Even Young Teens Show Signs of Sun Damage
10. Young Risk-Takers Drawn to Dangerous Choking Game
11. Football helmet sensors help researchers demystify concussion in young athletes
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:7/28/2014)... HealthDay Reporter FRIDAY, July 25, 2014 (HealthDay ... -- as mandated under the Affordable Care Act -- could ... deny insurance coverage for any medical practice that violates their ... experts counter that such predictions are unlikely to come true. ... Stores Inc. and Conestoga Wood Specialties Corp. did not have ...
(Date:7/28/2014)... 28, 2014 This is a ... Chinese Tadalafil industry. The report firstly reviews the ... and manufacturing technology. The report then explores global ... product specification, capacity, Production value, and market share ... global and China’s total market of Tadalafil by ...
(Date:7/28/2014)... Carolina (PRWEB) July 28, 2014 The ... their first bite of food best, with each subsequent ... the researchers found, can actually serve to sabotage the ... in foods they enjoy, not realizing the effect," Baba ... is the argument for moderation, if we needed one. ...
(Date:7/28/2014)... July 28, 2014 H2T Elite Dryland Training ... Located at 573 Alness Street in Toronto, H2T ... of Steeles. H2T is a state of the art facility ... seniors. There are many gyms out there for people 18 ... seniors alone. H2T will be home to many elite athletes ...
(Date:7/28/2014)... Sussex, Wisconsin (PRWEB) July 28, 2014 ... to help First Lady Michelle Obama and Partnership for ... new organizations as they join the group's DrinkUP ... drink more water, more often. , The seven ... Haws Corporation™, Nalgene® Outdoor Products, S’well Bottle, Santa Clara ...
Breaking Medicine News(10 mins):Health News:The 'Hobby Lobby Ruling' and What It Means for U.S. Health Care 2Health News:The 'Hobby Lobby Ruling' and What It Means for U.S. Health Care 3Health News:The 'Hobby Lobby Ruling' and What It Means for U.S. Health Care 4Health News:The 'Hobby Lobby Ruling' and What It Means for U.S. Health Care 5Health News:Global and Chinese Tadalafil Industry 2009-2019 Market Research Report Now Available at LifeScienceIndustryResearch.com 2Health News:Global and Chinese Tadalafil Industry 2009-2019 Market Research Report Now Available at LifeScienceIndustryResearch.com 3Health News:Global and Chinese Tadalafil Industry 2009-2019 Market Research Report Now Available at LifeScienceIndustryResearch.com 4Health News:Large Portions Can Decrease Food Enjoyment, SlimPlate Weight Loss System Puts Focus On Portion Control 2Health News:Large Portions Can Decrease Food Enjoyment, SlimPlate Weight Loss System Puts Focus On Portion Control 3Health News:FS Local Community Member H2T Elite Dryland Training Is Set to Open Its Doors 2Health News:CannedWater4Kids (CW4K) Among Those Invited to the White House to Support First Lady Michelle Obama in Welcoming Seven New Organizations to DrinkUP 2Health News:CannedWater4Kids (CW4K) Among Those Invited to the White House to Support First Lady Michelle Obama in Welcoming Seven New Organizations to DrinkUP 3
... EAST RUTHERFORD, N.J., June 4 Cambrex Corporation (NYSE: ... from the New York Stock Exchange ("NYSE") informing the Company ... listing standards. As announced by the Company on April ... continued listing standards because its average market capitalization over a ...
... 4 NxStage Medical, Inc. (Nasdaq: NXTM ), ... Jeffrey H. Burbank, Chief Executive Officer, will be presenting at ... 2009 at The Four Seasons Hotel in Chicago, IL. ... June 9th at 4:30 p.m. (CST). To listen to ...
... potentially deadly conditions , THURSDAY, June 4 (HealthDay News) ... and forms a scab after a cut? Researchers have ... , "The human body has an incredible ability to ... P. Wong, a principal investigator at the Rowland Institute ...
... Latino Pennsylvanians , , HARRISBURG, Pa., June 4 ... of Estoydecidido.com , a resource tool to help ... Estoydecidido.com -- which translates to "I am determined" ... DeterminedToQuit.com site. , , "Latinos have become ...
... Laboratories, Inc., a leading research-based contract manufacturer of intermediates, ... pleased to announce the issuance by the Tianjin branch ... a manufacturing certificate for drug products to our Tianjin ... dosage forms including tablets, capsules, and pellets. , ...
... , , CLEVELAND, June 4 In ... of six selected to the International Factoring Association Advisory Board. ... Cohen will be asked to provide guidance and feedback to ... board members, Mr. Cohen will also be responsible for communicating ...
Cached Medicine News:Health News:NxStage to Present at the William Blair Growth Stock Conference 2Health News:Researchers Detect Blood-Clotting Mechanism 2Health News:Pennsylvania Department of Health Launches Spanish-Language Smoking Cessation Resource Web Site 2Health News:Asymchem Announces sFDA Certification for Drug Product Manufacturing 2Health News:President of PRN Funding Appointed to Factoring Association Advisory Board 2
(Date:7/28/2014)... England , July 28, 2014 /PRNewswire/ ... dass Albion Ventures 2,5 Millionen £ investiert ... in der Konsumgüter-, Gesundheits-, Pharma- und Logistikbranche ... Ventures.      (Photo: http://photos.prnewswire.com/prnh/20140728/697982 ... 18 Monaten hat OmPrompt sein beschleunigtes Wachstum ...
(Date:7/28/2014)... 2014 PDL BioPharma, Inc. (PDL) (NASDAQ: ... second quarter 2014 financial results for the period ended June ... PDL,s management will host a conference call and webcast that ... results.  A slide presentation relating to the call will be ... Conference Call Details To access the live conference ...
(Date:7/28/2014)... , Germany and ... , Collaboration aims to create and ... to guide the use of IRESSA  for non-small cell ... build on QIAGEN,s FDA-approved  therascreen   EGFR test and is ... of automated instruments  Project enabled by AstraZeneca ...
Breaking Medicine Technology:OmPrompt erhält Finanzierung für Marktexpansion von Kundenautomatisierungsmanagement 2PDL BioPharma to Announce Second Quarter 2014 Financial Results on August 11, 2014 2QIAGEN and AstraZeneca Collaborate to Develop Liquid Biopsy-Based Companion Diagnostic to Advance EGFR Mutation Profiling in Lung Cancer Patients 2QIAGEN and AstraZeneca Collaborate to Develop Liquid Biopsy-Based Companion Diagnostic to Advance EGFR Mutation Profiling in Lung Cancer Patients 3QIAGEN and AstraZeneca Collaborate to Develop Liquid Biopsy-Based Companion Diagnostic to Advance EGFR Mutation Profiling in Lung Cancer Patients 4QIAGEN and AstraZeneca Collaborate to Develop Liquid Biopsy-Based Companion Diagnostic to Advance EGFR Mutation Profiling in Lung Cancer Patients 5QIAGEN and AstraZeneca Collaborate to Develop Liquid Biopsy-Based Companion Diagnostic to Advance EGFR Mutation Profiling in Lung Cancer Patients 6
... TCS Symphony orchestrates images and patient ... and information sources in one central ... workflow and improves cost-effectiveness so that ... they do best, helping people., ,Many ...
... Bright quartz halogen illumination with ... filter for whiter light Worldwide ... controlled fan keeps unit coo. ... change Optional tray will clamp ...
... Lite positions directly over one,eye permitting ... lens an exclusive feature ,resulting ... optic light that penetrates,deep into a ... swivel mount enables the,surgeon to rotate ...
Mounted on a remarkably lightweight and,flexible cotton headband with crown strap,the Sport is fully adjustable....
Medicine Products: