Navigation Links
Institute of Medicine recommends stricter resident duty hour regulations to prevent medical errors

At the request of the House Committee on Energy and Commerce as part of an investigation into preventable medical errors, the Institute of Medicine (IOM) has issued a report recommending further restrictions regarding duty hours for resident physicians and other actions to reduce resident fatigue and ensure patient safety, according to an article published in the January issue of the Journal of the American College of Radiology (JACR).

In 2003, the Accreditation Council for Graduate Medical Education (ACGME) set duty hour limits across all medical specialties nationally in order to promote safe patient care and resident well-being. The increasing acuity and intensity of medical care in teaching institutions and the scientific evidence of the negative effect of sleep deprivation on performance were cited as reasons for the new duty hour requirements.

"Compliance with the current Accreditation Council for Graduate Medical Education duty hour requirements is assessed by an anonymous annual resident survey in addition to periodic site visits," said Martha B. Mainiero, MD, lead author of the article. "When a survey indicates that a significant number of residents work beyond duty hour limits, the ACGME will perform an immediate site visit of the program as well as a focused review of the institution," said Mainiero. Data from resident surveys since the institution of the common duty hour requirements show that each year there are fewer residents who report working beyond duty hour limits.

The new IOM recommendations focus more on reducing fatigue related errors by assuring that residents get regular opportunities for sleep each day than by reducing the maximum weekly work hours. The current ACGME duty hour requirements state that residents must not work more than 80 hours per week averaged over 4 weeks, and must be provided 1 day in 7 free from all educational and clinical responsibilities, averaged over 4 weeks.

"The radiology community supports the current ACGME requirements but recognizes that there has been inadequate study of the outcomes of the current duty hour regulations and that there continues to be issues with compliance with those regulations. Therefore, we feel these issues should be addressed with more rigorous monitoring of duty hours before implementing new duty hour requirements," said Mainiero.

"The ACGME is currently reviewing the IOM's recommendations but will have little choice but to take further action in this area," said Mainiero.


Contact: Heather Curry
American College of Radiology / American Roentgen Ray Society

Related medicine news :

1. The Black AIDS Institute Kicks Off Its National Platform to Build Black AIDS Awareness
2. The Black AIDS Institute Kicks Off Its National Platform to Build Black AIDS Awareness in Atlanta, GA
3. Vend Marketing Institute Calls on Congress to Modify Calorie Disclosure Requirement: Supports Existing Disclosure Which Is More Complete and Effective
4. Mimotopes Awarded a Major Peptide Library Supply Agreement by La Jolla Institute for their Studies Screening Dengue and Tuberculosis Pathogens
5. Aging Institute Reveals 2010 Trends
6. Laser Spine Institute (LSI) Supports Jingle Bell Run
7. NIH awards La Jolla Institute $18.8 million for major infectious disease study
8. San Diego Hospice and The Institute for Palliative Medicine on the Passing of Sol Price
9. Rush Limbaugh & Michael Steele Join Tea Party Support & Social Security Institute-Demand GOP Senate Stop ObamaCare by Any Means Possible
10. MRI Partners with Natural Marketing Institute
11. Traceability Institute Comments on Improving Food Safety System for Consumers at Food and Drug Administration (FDA) and Food Safety and Inspection Service (FSIS) Joint Public Meeting
Post Your Comments:
(Date:11/30/2015)... Minneapolis, MN (PRWEB) , ... December 01, 2015 ... ... Nationwide® is the latest carrier to offer individual vision insurance plans on ... with the unique ability to rate and review products, allowing consumers to compare, ...
(Date:11/30/2015)... Louis, MO (PRWEB) , ... November 30, 2015 , ... ... and exclusion criteria set forth in the MOMS (Management of Myelomeningocele Study) trial. One ... for Disease Control and Prevention), a BMI of 18.5 to 24.9 is considered normal, ...
(Date:11/30/2015)... ... November 30, 2015 , ... Stress, anxiety, illness, infection or ... worry about possible tumors? , Heather Spader, MD, a new pediatric neurosurgeon at Joe ... some signs might point to tumors. , “Bad headaches that don’t go ...
(Date:11/30/2015)... ... 2015 , ... Thermi™, a world leader in thermistor-regulated energy ... temperature controlled radiofrequency platform has received CE marking and may now be sold ... as a clinical endpoint. The technology has been available in the United ...
(Date:11/30/2015)... ... 2015 , ... MOSI recently added two state-of-the-art augmented reality (AR) experiences from ... to their collection of interactive exhibits within the Kids In Charge! building. In collaboration ... to get closer than ever to a range of animals as they drink, sleep ...
Breaking Medicine News(10 mins):
(Date:11/30/2015)... 2015 MEDTEC Japon 2016, ... d,Asie portant sur la conception de ... se tiendra à Tokyo ... avril 2016. ... - Logo - ...
(Date:11/30/2015)... TOKYO , Nov. 30, 2015 MEDTEC Japan 2016, ... and Manufacturing industry, is to be held in Tokyo from 20 th  - 22 ... --> -->   --> ...   the United States . With the aging population ... markets continuing to grow steadily. --> the United States ...
(Date:11/30/2015)... -- QT Vascular Ltd., together with its subsidiaries (the "Company" ... Medical LLC and Quattro Vascular Pte. Ltd., collectively the ... and distribution of advanced therapeutic solutions for the minimally ... that a three-judge panel of the United ... Circuit ("Federal Circuit") has unanimously granted the Group and ...
Breaking Medicine Technology: