Patient Safety Outcomes under Flexible and Standard Resident Duty-Hour Rules.

ABSTRACT:

Background

Concern persists that extended shifts in medical residency programs may adversely affect patient safety.

Methods

We conducted a cluster-randomized noninferiority trial in 63 internal-medicine residency programs during the 2015-2016 academic year. Programs underwent randomization to a group with standard duty hours, as adopted by the Accreditation Council for Graduate Medical Education (ACGME) in July 2011, or to a group with more flexible duty-hour rules that did not specify limits on shift length or mandatory time off between shifts. The primary outcome for each program was the change in unadjusted 30-day mortality from the pretrial year to the trial year, as ascertained from Medicare claims. We hypothesized that the change in 30-day mortality in the flexible pro

SUBMITTER: Silber JH 

PROVIDER: S-EPMC6476299 | biostudies-literature | 2019 Mar

REPOSITORIES: biostudies-literature