sábado, 17 de enero de 2015

AHRQ Patient Safety Network ► Association of the 2011 ACGME resident duty hour reforms with mortality and readmissions among hospitalized Medicare patients.

AHRQ Patient Safety Network

Study finds no changes in mortality or readmissions for common medical diagnoses that can be attributed to 2011 ACGME duty hours reforms.JAMA. 2014;312:2364-2373.

PSNet header image
Association of the 2011 ACGME resident duty hour reforms with mortality and readmissions among hospitalized Medicare patients.
Patel MS, Volpp KG, Small DS, et al. JAMA. 2014;312:2364-2373.
This observational study sought to determine whether the ACGME 2011 duty hour reforms led to changes in 30-day mortality or readmissions for several medical diagnoses—acute myocardial infarction, stroke, acute gastrointestinal bleed, or congestive heart failure—and for general, orthopedic, or vascular surgery. The authors examined how hospital teaching status, which they defined using resident-to-bed ratio, affected outcomes for these conditions. This measure provides insight into the intensity of teaching at a given institution rather than defining each hospital as teaching versus nonteaching. During the study time period, although readmissions and mortality both declined overall, this decrease did not differ based on teaching status, suggesting that the improvement in readmissions and 30-day mortality is not attributable to duty hour reform. These results are consistent with prior work following the 2003 duty hour reforms which has failed to demonstrate benefit to patient outcomes from costly duty hour reforms. An editorial discussing this work and a companion study urge flexibility in duty hours for physicians in training.
PubMed citation icon indicating hyperlink to external website
Available at icon indicating hyperlink to external website
Related editorial icon indicating hyperlink to external website
Related news article icon indicating hyperlink to external website

Related Resources
STUDY
Classification of adverse events occurring in a surgical intensive care unit.
Frankel H, Sperry J, Kaplan L, Foley A, Rabinovici R. Am J Surg. 2007;194:328-332.
STUDY
Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit patient handoffs.
Petrovic MA, Aboumatar H, Baumgartner WA, et al. J Cardiothorac Vasc Anesth. 2012;26:11-16.
View all related resources...

No hay comentarios: