ArticleJournal of general internal medicine2007
The impact of duty hours on resident self reports of errors.
Article in Journal of general internal medicine, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
17 citing papers in PubMed.
- Annual Patient EXposure of residents in training over 20 years (APEX-trial): a retrospective analysis from a public teaching hospital.BMJ open · 2026Article
- The relationship between shift work, circadian rhythms, and cognitive function in ICU nursing.BMC nursing · 2025Article
- Factors associated with self-reported medical errors among undergraduate health science students in southern Ethiopia.Frontiers in medicine · 2024Article
- The effects of resident work hours on well-being, performance, and education: A review from a Japanese perspective.Journal of general and family medicine · 2023Article
- The mediating role of residents' wellbeing between program leadership and quality of care: A cross-sectional study.PloS one · 2021Article
- The prevalence of psychological distress and its association with coping strategies among medical interns in Malaysia: A national-level cross-sectional study.Asia-Pacific psychiatry : official journal of the Pacific Rim College of Psychiatrists · 2020Article
- Physicians' Perspectives on Causes of Health Care Errors and Preventive Strategies: A Study in a Developing Country.Iranian journal of public health · 2018Article
- Hospitalized Patients' Perceptions of Resident Fatigue, Duty Hours, and Continuity of Care.Journal of graduate medical education · 2014Article
- Coping with job stress by hospital doctors: a comparative study.Wiener medizinische Wochenschrift (1946) · 2012Article
- Predictors of likelihood of speaking up about safety concerns in labour and delivery.BMJ quality & safety · 2012Article
- Service census caps and unit-based admissions: resident workload, conference attendance, duty hour compliance, and patient safety.Mayo Clinic proceedings · 2012Article
- Education and patient care effects of resident workload restrictions: tackling a largely unexplored subject.Mayo Clinic proceedings · 2012Article
- Are Canadian general surgery residents ready for the 80-hour work week? A nationwide survey.Canadian journal of surgery. Journal canadien de chirurgie · 2012Article
- Medical student sexuality: how sexual experience and sexuality training impact U.S. and Canadian medical students' comfort in dealing with patients' sexuality in clinical practice.Academic medicine : journal of the Association of American Medical Colleges · 2010Article
- General and visceral surgery practice in German hospitals: a real-time work analysis on surgeons' work flow.Langenbeck's archives of surgery · 2010Article
- Factors associated with intern fatigue.Journal of general internal medicine · 2008Article
- Effects of a Designated Note Writing Hour on Pediatric Intern Adherence to Duty Hours.Journal of medical education and curricular developmentArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundResident duty hour limitations aim, in part, to reduce medical errors. Residents' perceptions of the impact of duty hours on errors are unknown.
objectiveTo determine residents' self-reported contributing factors, frequency, and impact of hours worked on suboptimal care practices and medical errors.
designCross-sectional survey. SUBJECTS: 164 Internal Medicine Residents at the University of California, San Francisco. MEASUREMENTS AND
resultsResidents were asked to report the frequency and contributing factors of suboptimal care practices and medical errors, and how duty hours impacted these practices and aspects of resident work-life. One hundred twenty-five residents (76%) responded. The most common suboptimal care practices were working while impaired by fatigue and forgetting to transmit information during sign-out. In multivariable models, residents who felt overwhelmed with work (p = 0.02) and who reported spending >50% of their time in nonphysician tasks (p = 0.002) were more likely to report suboptimal care practices. Residents reported work-stress (a composite of fatigue, excessive workload, distractions, stress, and inadequate time) as the most frequent contributing factor to medical errors. In multivariable models, only engaging in suboptimal practices was associated with self-report of higher risk for medical errors (p < 0.001); working more than 80 hours per week was not associated with suboptimal care or errors.
conclusionOur findings suggest that administrative load and work stressors are more closely associated with resident reports of medical errors than the number of hours work. Efforts to reduce resident duty hours may also need to address the nature of residents' work to reduce errors.
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Registered trials
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