Flexible Duty-Hour Policies Don't Harm Patient Outcomes

This article originally appeared here.
Share this content:
Flexible Duty-Hour Policies Don't Harm Patient Outcomes
Flexible Duty-Hour Policies Don't Harm Patient Outcomes

TUESDAY, Feb. 2, 2016 (HealthDay News) -- Flexible, less-restrictive, duty-hour policies are not associated with worse patient outcomes or resident satisfaction compared with standard duty-hour policies, according to a study published online Feb. 2 in the New England Journal of Medicine. The finding were published to coincide with the annual Academic Surgical Congress, held from Feb. 2 to 4 in Jacksonville, Fla.

Karl Y. Bilimoria, M.D., from the Northwestern University Feinberg School of Medicine in Chicago, and colleagues conducted a national, cluster-randomized trial involving 117 general surgery residency programs. Programs were randomized to current Accreditation Council for Graduate Medical Education duty-hour policies or more flexible policies. Data were analyzed for 138,691 patients and for 4,330 residents.

The researchers found that flexible, less-restrictive duty-hour policies were not associated with an increased rate of death or serious complications compared with the standard-policy group (9.1 versus 9.0 percent; P = 0.92; noninferiority criteria satisfied). There was also no increased rate of any secondary postoperative outcomes studied with less-restrictive policies. Residents assigned to the flexible-policy programs did not report significantly greater dissatisfaction with overall educational quality or well-being compared with the standard-policy group (11.0 versus 10.7 [P = 0.86] and 14.9 versus 12.0 percent [P = 0.10], respectively).

"As compared with standard duty-hour policies, flexible, less-restrictive duty-hour policies for surgical residents were associated with noninferior patient outcomes and no significant difference in residents' satisfaction with overall well-being and education quality," the authors write.

Abstract
Full Text
Editorial
Perspective
More Information

Share this content:

is free, fast, and customized just for you!

Already a member?

Sign In Now »


Sign up for myCME e-newsletters


Drug Lookup

Browse drugs by: BrandGenericDisease


More in Home

Dermatography Helps Lessen Appearance of Surgical Scars

Dermatography Helps Lessen Appearance of Surgical Scars

Pigments can restore more natural skin appearance that patients are happy with

Drug-Resistant Bacteria Live in America's Water Systems

Drug-Resistant Bacteria Live in America's Water Systems

Bacteria found in plumbing may sicken thousands each year

Deep Brain Stimulation May Improve TBI Symptoms

Deep Brain Stimulation May Improve TBI Symptoms

Deep brain stimulation appears to boost function and quality of life

is free, fast, and customized just for you!

Already a member?

Sign In Now »