Annals of Emergency Medicine
Volume 54, Issue 4 , Pages A25-A29 , October 2009

For Whom the Bell Commission Tolls: Unintended Effects of Limiting Residents' Hours

References 

  1. Lerner BH. A case that shook medicine: how one man's rage over his daughter's death sped reform of doctor training. Washington Post, November 28, 2006; p. HE01. http://www.washingtonpost.com/wp-dyn/content/article/2006/11/24/AR2006112400985.htmlAccessed August 11, 2009
  2. In:  Ulmer C,  Wolman DM,  Johns MME editor. Resident Duty Hours: Enhancing Sleep, Supervision, and Safety (Report by Institute of Medicine Committee on Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedule to Improve Patient Safety). Washington, DC: National Academies Press; 2009;Available at: http://www.nap.edu/catalog.php?record_id=12508. Accessed August 11, 2009
  3. Iglehart JK. Revisiting duty-hour limits – IOM recommendations for patient safety and resident education. N Engl J Med. 2008;359:2633–2635
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  5. Lewis FR. Should we limit resident work hours?. Ann Surg. 2003;237:458–459
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  7. Bitterman RA. Fumbled handoffs at shift change: a common liability source for emergency physicians. Reprinted with permission from AHC Media LLC and ED Legal Letter in ACEP's Quality Improvement and Patient Safety Newsletter, April 11, 2008. http://www.acep.org/ACEPmembership.aspx?id=37030#story2Accessed August 11, 2009
  8. Denver Health: draft of group letter under preparation for ACGME, June 2009.
  9. Nuckols T, Escarce J. Residency work-hours reform: a cost analysis including preventable adverse events. J Gen Intern Med. 2005;20:873–878
  10. Nuckols TK, Bhattacharya J, Wolman DM, et al. Cost implications of reduced work hours and workloads for resident physicians. N Engl J Med. 2009;360:2202–2215
  11. Heins A, Euerle B. Application of chronobiology to resident physician work scheduling. Ann Emerg Med. April 2002;39:444–447
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  16. Dali legendarily began his catnaps in a chair, holding a spoon in his hand above a tin plate on the floor; he dropped the spoon as he fell asleep, then got the sleep he needed before the spoon landed on the plate with a bang.
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  18. Association of Academic Chairs of Emergency Medicine; American College of Emergency Physicians; American College of Osteopathic Emergency Physicians; Council of Emergency Medicine Residency Directors; Emergency Medicine Residents Association; Residency Review Committee of Emergency Medicine; Society for Academic Emergency Medicine. Emergency medicine training, patient safety and the effect of duty hours regulations. Draft document, June 2009.

 Section editor: Truman J. Milling, Jr, MD

 Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article that might create any potential conflict of interest. The author has stated that no such relationships exist. See the Manuscript Submission Agreement in this issue for examples of specific conflicts covered by this statement.

PII: S0196-0644(09)01433-4

doi: 10.1016/j.annemergmed.2009.08.008

Annals of Emergency Medicine
Volume 54, Issue 4 , Pages A25-A29 , October 2009

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