jueves, 13 de agosto de 2015

AHRQ Patient Safety Network ► Association of the 2011 ACGME resident duty hour reform with postoperative patient outcomes in surgical specialties.

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Association of the 2011 ACGME resident duty hour reform with postoperative patient outcomes in surgical specialties.

Rajaram R, Chung JW, Cohen ME, et al. J Am Coll Surg. 2015 Jul 8; [Epub ahead of print].

This pre-post examination of data from the National Surgical Quality Improvement Program found no differences in serious morbidity or mortality within 30 days following surgery across multiple surgical specialties in the 2 years after 2011 ACGME duty hour reform, compared to the last year prior to reform. Although duty hour reform does not appear to be a high-yield strategy for improving surgical outcomes, concerns about worsening procedural skills and increased handoffs leading to patient harm were not borne out in the current data.

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