ArticleBMJ quality & safety2023
National improvements in resident physician-reported patient safety after limiting first-year resident physicians' extended duration work shifts: a pooled analysis of prospective cohort studies.
Article in BMJ quality & safety, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Observational
- Limiting resident shifts to 16 hours is evidence informed, ethically sound.Canadian family physician Medecin de famille canadien · 2026Article
- Nighttime surgery increases complication risk in chronic subdural hematoma: a population-based cohort study.Acta neurochirurgica · 2025Article
- The Recovery Deficit: A Simulation Model of Physician Performance Under Sleep Deprivation.Cureus · 2025Article
- Accreditation Council for Graduate Medical Education Work Hour Requirements: A Review of Recent Evidence.Journal of graduate medical education · 2025Article
- Do no harm, even to residents: Rethinking extended-hour call shifts.Canadian family physician Medecin de famille canadien · 2025Article
- Resident Physician Intentions Regarding Unionization.JAMA network open · 2025Article
- Family Medicine Residency Faculty: Inpatient Staffing, Satisfaction, and Turnover.Family medicine · 2025Article
- A survey on mental health among resident physicians: psychological resilience as a mediator.BMC psychiatry · 2025Article
- Comparing Different Pathways in Medical Education and Surgical Training: A Global Survey of Surgeons.Plastic and reconstructive surgery. Global open · 2024Article
- Public opinion of resident physician work hours in 2022.Sleep health · 2024Article
- The impact of home-based call on sleep patterns and wellness in genetics and metabolism physicians compared with subspecialists.Genetics in medicine open · 2024Article
- Fatigue and fallibility: the perils of prolonged shifts for neonatologists.Journal of perinatology : official journal of the California Perinatal Association · 2023Review
- When policy meets reality: the new 18-hour on-call shift policy and the Israeli anesthesia workforce crisis.Israel journal of health policy research · 2023Article
- Impact of work schedules of senior resident physicians on patient and resident physician safety: nationwide, prospective cohort study.BMJ medicine · 2023Article
- Current Situation and Demand for Continuing Medical Education (CME) for Obstetricians and Gynecologists.Journal of multidisciplinary healthcare · 2022Article
- Effects of a Designated Note Writing Hour on Pediatric Intern Adherence to Duty Hours.Journal of medical education and curricular developmentArticle
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Abstract
backgroundThe Accreditation Council for Graduate Medical Education (ACGME) enacted a policy in 2011 that restricted first-year resident physicians in the USA to work no more than 16 consecutive hours. This was rescinded in 2017.
methodsWe conducted a nationwide prospective cohort study of resident physicians for 5 academic years (2002-2007) before and for 3 academic years (2014-2017) after implementation of the 16 hours 2011 ACGME work-hour limit. Our analyses compare trends in resident physician-reported medical errors between the two cohorts to evaluate the impact of this policy change.
results14 796 residents provided data describing 78 101 months of direct patient care. After adjustment for potential confounders, the work-hour policy was associated with a 32% reduced risk of resident physician-reported significant medical errors (rate ratio (RR) 0.68; 95% CI 0.64 to 0.72), a 34% reduced risk of reported preventable adverse events (RR 0.66; 95% CI 0.59 to 0.74) and a 63% reduced risk of reported medical errors resulting in patient death (RR 0.37; 95% CI 0.28 to 0.49).
conclusionsThese findings have broad relevance for those who work in and receive care from academic hospitals in the USA. The decision to lift this work hour policy in 2017 may expose patients to preventable harm.
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