Association of Resident Duty Hour Restrictions on Mortality of Nervous System Disease and Disorder

Abstract

Background The impact of the 2003 residency duty hour reform on patient care remains a debated issue.

Does work time limit for resident physician affect short-term treatment outcome and hospital length of stay in patients with spontaneous intracerebral hemorrhage?: a two-year experience at a single training hospital in South Korea

“…While enforcing the WTL for resident might have some positive effects on the treatment outcome, complication, and LOS, adverse effects due to more frequent hand-off and disruption of continuity of care were also possible [ 21 , 31 ]. There have been a number of literatures that the US ACGME and EU WTL’s impact on patient treatment outcome have revealed contradictory conclusions [ 5 , 7 , 11 , 23 , 38 ] and some have proved unchanged results [ 15 , 24 , 30 , 32 , 34 , 36 , 37 ].…”

“…15 )24)30)32)34)36)37)One of these studies on the ACGME WTL showed that the mortality rates for nervous system disease and disorder patient population diverged between teaching and non-teaching institutions, with significantly higher mortality rates observed in teaching hospitals for 4 times of the next 7 years. 7) In 2009, Browne et al 5) published a report on the ACGME WTL showing that the enforcement of WTL was associated with an accelerated rate of patient morbidity following treatment of hip fractures in teaching institutions. In contrast, Yaghoubian et al 38) demonstrated that at a major public teaching hospital, bile duct injury rate and overall complication rate decreased after implementation of the ACGME WTL.…”

“…Then, in the US and a few EU countries there have been a number of issues and debates before and after the implementation of their WTL with regard to patient safety, treatment outcome, resident fatigue, wellbeing, training, on-duty pattern, and performance. Most studies on these topics have reported unclear research results in the last two decades, especially those on patient treatment outcome [ 5 , 7 , 11 , 13 , 23 , 38 ].…”