Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Resident work-hour restrictions yield little improvement in perceived quality of patient care

12.10.2006
Research conducted by participants at several medical schools, including co-authors Michael J. Cunningham, M.D., and Roland D. Eavey, M.D., of the Massachusetts Eye and Ear Infirmary Pediatric Otolaryngology Service, Department of Otology and Laryngology, Harvard Medical School, has found that reducing the amount of work hours alone for surgical residents does not appear to improve quality of patient care. The study is published in the October issue of the Journal of Surgical Research.

Research was conducted on a convenience sample of 156 residents from three surgical specialties who completed questionnaires designed to measure subjective impressions about the quality of patient care. The sample consisted of residents who were already regulated by work-hour restriction (maximum 80-hour work week) and residents who had not previously been regulated by work-hour restriction.

With a 94.5 percent response rate, more than 88 percent of residents reported that the quality of patient care remained unchanged (63 percent) or was worse (26 percent) after work-hour restrictions had been implemented. This response was particularly true from those residents who had not previously been regulated by work-hour restrictions. Overall, residents reported fewer fatigue-related errors following implementation of work-hour restrictions. However, more errors were perceived to be related to continuity of care, miscommunication and cross-coverage availability.

"The bad news is that a single change to relieve long work schedules of surgical house officers in order to improve quality apparently has 'failed,'" says senior author, Dr. Eavey, Director of Pediatric Otolaryngology at the Massachusetts Eye and Ear Infirmary. "Those same, well-rested house officers perceive that patient care quality unfortunately did not improve. The good news is that the survey has revealed realistic targets for future quality improvement: continuity, cross-coverage and communication – the 'C' factors."

Vannessa Carrington | EurekAlert!
Further information:
http://www.meei.harvard.edu

More articles from Studies and Analyses:

nachricht Smart Data Transformation – Surfing the Big Wave
02.12.2016 | Fraunhofer-Institut für Angewandte Informationstechnik FIT

nachricht Climate change could outpace EPA Lake Champlain protections
18.11.2016 | University of Vermont

All articles from Studies and Analyses >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Novel silicon etching technique crafts 3-D gradient refractive index micro-optics

A multi-institutional research collaboration has created a novel approach for fabricating three-dimensional micro-optics through the shape-defined formation of porous silicon (PSi), with broad impacts in integrated optoelectronics, imaging, and photovoltaics.

Working with colleagues at Stanford and The Dow Chemical Company, researchers at the University of Illinois at Urbana-Champaign fabricated 3-D birefringent...

Im Focus: Quantum Particles Form Droplets

In experiments with magnetic atoms conducted at extremely low temperatures, scientists have demonstrated a unique phase of matter: The atoms form a new type of quantum liquid or quantum droplet state. These so called quantum droplets may preserve their form in absence of external confinement because of quantum effects. The joint team of experimental physicists from Innsbruck and theoretical physicists from Hannover report on their findings in the journal Physical Review X.

“Our Quantum droplets are in the gas phase but they still drop like a rock,” explains experimental physicist Francesca Ferlaino when talking about the...

Im Focus: MADMAX: Max Planck Institute for Physics takes up axion research

The Max Planck Institute for Physics (MPP) is opening up a new research field. A workshop from November 21 - 22, 2016 will mark the start of activities for an innovative axion experiment. Axions are still only purely hypothetical particles. Their detection could solve two fundamental problems in particle physics: What dark matter consists of and why it has not yet been possible to directly observe a CP violation for the strong interaction.

The “MADMAX” project is the MPP’s commitment to axion research. Axions are so far only a theoretical prediction and are difficult to detect: on the one hand,...

Im Focus: Molecules change shape when wet

Broadband rotational spectroscopy unravels structural reshaping of isolated molecules in the gas phase to accommodate water

In two recent publications in the Journal of Chemical Physics and in the Journal of Physical Chemistry Letters, researchers around Melanie Schnell from the Max...

Im Focus: Fraunhofer ISE Develops Highly Compact, High Frequency DC/DC Converter for Aviation

The efficiency of power electronic systems is not solely dependent on electrical efficiency but also on weight, for example, in mobile systems. When the weight of relevant components and devices in airplanes, for instance, is reduced, fuel savings can be achieved and correspondingly greenhouse gas emissions decreased. New materials and components based on gallium nitride (GaN) can help to reduce weight and increase the efficiency. With these new materials, power electronic switches can be operated at higher switching frequency, resulting in higher power density and lower material costs.

Researchers at the Fraunhofer Institute for Solar Energy Systems ISE together with partners have investigated how these materials can be used to make power...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

ICTM Conference 2017: Production technology for turbomachine manufacturing of the future

16.11.2016 | Event News

Innovation Day Laser Technology – Laser Additive Manufacturing

01.11.2016 | Event News

#IC2S2: When Social Science meets Computer Science - GESIS will host the IC2S2 conference 2017

14.10.2016 | Event News

 
Latest News

UTSA study describes new minimally invasive device to treat cancer and other illnesses

02.12.2016 | Medical Engineering

Plasma-zapping process could yield trans fat-free soybean oil product

02.12.2016 | Agricultural and Forestry Science

What do Netflix, Google and planetary systems have in common?

02.12.2016 | Physics and Astronomy

VideoLinks
B2B-VideoLinks
More VideoLinks >>>