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Resident work-hour restrictions yield little improvement in perceived quality of patient care
October 11, 2006Research 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."
Harvard Medical School
Harvard Medical School
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Principles & Techniques of Patient Care (Principles and Techniques of Patient Care) by Frank M. Pierson MA PT (Author), Sheryl L. Fairchild BS PT (Author) This illustrated resource demonstrates proper techniques and procedures to help you evaluate, treat, and care for patients in the physical therapy setting. In addition to clear, "how-to" information on positioning and draping the patient, patient transfer, ambulation activities, and much more, you'll gain insight into the rationales and physiologic principles explaining why specific techniques are used. Defines the terms "assessment" and "evaluation" according to the APTA Guide to Physical Therapist Practice and Normative Model of Physical Therapist Professional Education, clarifying how these terms are used throughout the book.Provides an overview of the impairment/disability model found in the APTA Guide to Physical Therapist Practice.Discusses interprofessional collaboration,... |
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Patient Care = Het Tijdschrift Voor De Huisarts by Cmpmedica Belgium | |
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Damaged Care Starring: Laura Dern, James LeGros, Suki Kaiser, Michelle Clunie, Adam Arkin Directed By: Harry Winer The true story of one womans quest to bring justice to people by battling big business and the insurance companies. Studio: Paramount Home Video Release Date: 04/06/2004 Starring: Laura Dern Henry O. Watson Run time: 114 minutes Rating: Pg Director: Harry Winer |
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Smooth & Efficient: Patient Care At The Chair Also With: CMC Risa Pollack-Simon (Narrator) Give your patients the tools they need to build trust, cooperate more fully and sit back and relax in your chair, so you can concentrate on the finer details of providing efficient, high quality care. | |
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Soft-N-Fresh Patient Care Disposable Bath Towels RPI by Georgia Pacific GPC805-40 SoftNFresh Patient Care Disposable Bath Towels are made from airlaid bonded cellulose to deliver an exceptional cloth replacement with high capacity absorbency and durability Specifically designed with softness in mind for personal care use these convenient SoftNFresh personal bath towels are a popular choice for patient care Folded Airlaid Patient Care Bath Towels for Health Personal Care are strong soft and absorbent When wet these disposable patient bath towels offer a more sanitary alternative to cloth Wiper (WxL) 19500 in x 39000 in GPC805 40 GPC805 40 GPC805 40 GPC805 40 Soft N Fresh Patient Care Disposable Bath Towel Georgia Pacific GEORGIA PACIFIC patient care high capacity durability softness personal care |
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Care package for cancer patients by butinski Beautiful monogrammed lunch tote is filled with items that comfort. Care package includes a fleece hat, fleece blanket, water bottle and cancer awareness bracelet. Care package can be customized for a man or women. |
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Club Dead Also With: Craig Piligian (Producer), Thomas Thayer (Producer), Rob Katz (Producer), Alan David (Producer) |
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