The effects of the 2003 ACGME Resident duty hour standards on mortality in hospitalized patients: Systematic Review
Public Deposited- Last Modified
- January 27, 2020
- Creator
-
Dancel, Rex
- Affiliation: Gillings School of Global Public Health, Public Health Leadership Program
- Abstract
- Background: The Accreditation Council for Graduate Medical Education (ACGME) instituted new duty hour rules for all residents in ACGME accredited residency programs effective July 1, 2003. Purpose: To evaluate the evidence regarding changes in mortality rates in hospitalized patients after implementation of new ACGME resident duty hour restrictions. Data Sources: Electronic searches of Pubmed and the Cochrane Collaboration Library were conducted, as well as a hand search of other sources for studies performed after the 2003 ACGME resident duty standards took effect. Study Selection: Studies of any size or design that evaluated mortality in hospitalized patients at ACGME-accredited programs, after implementation of the new resident duty hour rules, were eligible. Nine studies were included in the review. Results: Nine studies of poor to fair quality evaluating patients from multiple types of settings were incorporated into the systematic review. Mortality for both medical and surgical patients were evaluated. In medical patients, three of four studies of fair methodological quality found improved mortality outcomes. Only one of five studies of fair methodological quality in surgical patients showed improved mortality outcomes. None of the studies found worsening mortality outcomes in hospitalized patients after implementation of the new ACGME duty hour standards. In three studies where both medical and surgical patients were considered together, none noted changes in mortality outcomes for surgical patients, while two out of three noted improvement in mortality outcomes in medical patients. Discussion Studies on mortality outcomes after implementation of the ACGME resident duty hour limits do not consistently show improvement in mortality rates among hospitalized patients.
- Date of publication
- May 2008
- DOI
- Resource type
- Rights statement
- In Copyright
- Note
- Paper type: Research or research design
- Advisor
- Porterfield, Deborah
- Reviewer
- Harris, Russell
- Degree
- Master of Public Health
- Degree granting institution
- University of North Carolina at Chapel Hill
- Graduation year
- 2008
- Language
- Deposit record
- 564d1737-ca9b-4211-9c3e-c1926665c3df
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