Effect on Patient Safety of a Resident Physician Schedule without 24-Hour Shifts.

Christopher P LandriganShadab A RahmanJason P SullivanEric VittinghoffLaura K BargerAmy L SandersonKenneth P WrightConor S O'BrienSalim QadriMelissa A St HilaireAnn C HalbowerJeffrey L SegarJohn K McGuireMichael V VitielloHoracio O de la IglesiaSue E PoynterPearl L YuPhyllis C ZeeSteven W LockleyKatie L StoneCharles A Czeislernull null

Published in: The New England journal of medicine (2020)

Contrary to our hypothesis, resident physicians who were randomly assigned to schedules that eliminated extended shifts made more serious errors than resident physicians assigned to schedules with extended shifts, although the effect varied by site. The number of ICU patients cared for by each resident physician was higher during schedules that eliminated extended shifts. (Funded by the National Heart, Lung, and Blood Institute; ROSTERS ClinicalTrials.gov number, NCT02134847.).

Keyphrases

patient safety
quality improvement
primary care
end stage renal disease
emergency department
ejection fraction
chronic kidney disease
intensive care unit
blood pressure
newly diagnosed
peritoneal dialysis
prognostic factors
atrial fibrillation
extracorporeal membrane oxygenation
patient reported