Resident Duty Hours

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Author :
Publisher : National Academies Press
ISBN 13 : 0309131529
Total Pages : 427 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Resident Duty Hours by : Institute of Medicine

Download or read book Resident Duty Hours written by Institute of Medicine and published by National Academies Press. This book was released on 2009-04-27 with total page 427 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medical residents in hospitals are often required to be on duty for long hours. In 2003 the organization overseeing graduate medical education adopted common program requirements to restrict resident workweeks, including limits to an average of 80 hours over 4 weeks and the longest consecutive period of work to 30 hours in order to protect patients and residents from unsafe conditions resulting from excessive fatigue. Resident Duty Hours provides a timely examination of how those requirements were implemented and their impact on safety, education, and the training institutions. An in-depth review of the evidence on sleep and human performance indicated a need to increase opportunities for sleep during residency training to prevent acute and chronic sleep deprivation and minimize the risk of fatigue-related errors. In addition to recommending opportunities for on-duty sleep during long duty periods and breaks for sleep of appropriate lengths between work periods, the committee also recommends enhancements of supervision, appropriate workload, and changes in the work environment to improve conditions for safety and learning. All residents, medical educators, those involved with academic training institutions, specialty societies, professional groups, and consumer/patient safety organizations will find this book useful to advocate for an improved culture of safety.

Resident Duty Hours

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Author :
Publisher : National Academies Press
ISBN 13 : 0309127769
Total Pages : 323 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Resident Duty Hours by : Institute of Medicine

Download or read book Resident Duty Hours written by Institute of Medicine and published by National Academies Press. This book was released on 2009-05-27 with total page 323 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medical residents in hospitals are often required to be on duty for long hours. In 2003 the organization overseeing graduate medical education adopted common program requirements to restrict resident workweeks, including limits to an average of 80 hours over 4 weeks and the longest consecutive period of work to 30 hours in order to protect patients and residents from unsafe conditions resulting from excessive fatigue. Resident Duty Hours provides a timely examination of how those requirements were implemented and their impact on safety, education, and the training institutions. An in-depth review of the evidence on sleep and human performance indicated a need to increase opportunities for sleep during residency training to prevent acute and chronic sleep deprivation and minimize the risk of fatigue-related errors. In addition to recommending opportunities for on-duty sleep during long duty periods and breaks for sleep of appropriate lengths between work periods, the committee also recommends enhancements of supervision, appropriate workload, and changes in the work environment to improve conditions for safety and learning. All residents, medical educators, those involved with academic training institutions, specialty societies, professional groups, and consumer/patient safety organizations will find this book useful to advocate for an improved culture of safety.

Why Surgeons Struggle with Work-Hour Reforms

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Author :
Publisher : Vanderbilt University Press
ISBN 13 : 0826501079
Total Pages : 285 pages
Book Rating : 4.8/5 (265 download)

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Book Synopsis Why Surgeons Struggle with Work-Hour Reforms by : James E. Coverdill

Download or read book Why Surgeons Struggle with Work-Hour Reforms written by James E. Coverdill and published by Vanderbilt University Press. This book was released on 2021-01-15 with total page 285 pages. Available in PDF, EPUB and Kindle. Book excerpt: On July 1, 2003, work-hour reforms were enacted nationally for the roughly 129,000 resident physicians in the United States. The reforms limit weekly work hours (a maximum of eighty per week) and in-hospital call (no more than once every three nights), mandate days free of clinical and educational obligations (one day in seven), and regulate other aspects of resident work life. Why Surgeons Struggle with Work-Hour Reforms focuses on general surgeons, a historically long-hour specialty, who fiercely opposed the reforms and are among the least compliant. Why do surgeons struggle with the reforms? Why do they continue to work long hours and view the act of doing so as reasonable if not quintessentially professional? Although the analysis is situated in the growing scientific literature on the consequences of fatigue, the authors do not adjudicate between the claims of surgeons and reform advocates about the effects of long work hours on patient or provider safety. Rather, the aim is to explore and explain how aspects of the occupational culture of surgeons and the social organization of surgical training and practice interlock to impede the reforms.

Making Healthcare Safe

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Author :
Publisher : Springer Nature
ISBN 13 : 3030711234
Total Pages : 450 pages
Book Rating : 4.0/5 (37 download)

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Book Synopsis Making Healthcare Safe by : Lucian L. Leape

Download or read book Making Healthcare Safe written by Lucian L. Leape and published by Springer Nature. This book was released on 2021-05-28 with total page 450 pages. Available in PDF, EPUB and Kindle. Book excerpt: This unique and engaging open access title provides a compelling and ground-breaking account of the patient safety movement in the United States, told from the perspective of one of its most prominent leaders, and arguably the movement’s founder, Lucian L. Leape, MD. Covering the growth of the field from the late 1980s to 2015, Dr. Leape details the developments, actors, organizations, research, and policy-making activities that marked the evolution and major advances of patient safety in this time span. In addition, and perhaps most importantly, this book not only comprehensively details how and why human and systems errors too often occur in the process of providing health care, it also promotes an in-depth understanding of the principles and practices of patient safety, including how they were influenced by today’s modern safety sciences and systems theory and design. Indeed, the book emphasizes how the growing awareness of systems-design thinking and the self-education and commitment to improving patient safety, by not only Dr. Leape but a wide range of other clinicians and health executives from both the private and public sectors, all converged to drive forward the patient safety movement in the US. Making Healthcare Safe is divided into four parts: I. In the Beginning describes the research and theory that defined patient safety and the early initiatives to enhance it. II. Institutional Responses tells the stories of the efforts of the major organizations that began to apply the new concepts and make patient safety a reality. Most of these stories have not been previously told, so this account becomes their histories as well. III. Getting to Work provides in-depth analyses of four key issues that cut across disciplinary lines impacting patient safety which required special attention. IV. Creating a Culture of Safety looks to the future, marshalling the best thinking about what it will take to achieve the safe care we all deserve. Captivatingly written with an “insider’s” tone and a major contribution to the clinical literature, this title will be of immense value to health care professionals, to students in a range of academic disciplines, to medical trainees, to health administrators, to policymakers and even to lay readers with an interest in patient safety and in the critical quest to create safe care.

Let Me Heal

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Author :
Publisher : Oxford University Press, USA
ISBN 13 : 0199744548
Total Pages : 457 pages
Book Rating : 4.1/5 (997 download)

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Book Synopsis Let Me Heal by : Kenneth M. Ludmerer

Download or read book Let Me Heal written by Kenneth M. Ludmerer and published by Oxford University Press, USA. This book was released on 2014 with total page 457 pages. Available in PDF, EPUB and Kindle. Book excerpt: Provides a highly engaging, richly contextualized account of the residency system in all its dimensions and analyzes the mutual relationship between residency education and patient care in America.

Measuring Medical Professionalism

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Publisher : Oxford University Press
ISBN 13 : 0195172264
Total Pages : 328 pages
Book Rating : 4.1/5 (951 download)

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Book Synopsis Measuring Medical Professionalism by : David Thomas Stern

Download or read book Measuring Medical Professionalism written by David Thomas Stern and published by Oxford University Press. This book was released on 2006 with total page 328 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patients who are confident of physicians' intellectual and technical abilities are sometimes not convinced of their professional behavior. Systemic and anecdotal cases of physician misconduct, conflict of interest, and self-interest abound. Many have even come to mistrust physicians as patient advocates. How can patients trust the intellectual and technical aspects of medical care, but not the professional? In order to enhance and promote professionalism in medicine, one should expect it, encourage it, and evaluate it. By measuring their own professional behavior, physicians can provide the kind of transparency with which they can regain the trust of patients and society.Not only patients, but also institutions which accredit organizations have demanded accountability of physicians in their professional behavior. While there has been much lament and a few strong proposals for improving professionalism, no single reliable and valid measure of the success of these proposals exists. This book is a theory-to-practice text focused on ways to evaluate professional behavior written by leaders in the field of medical education and assessment.

Vignettes in Patient Safety

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Author :
Publisher : BoD – Books on Demand
ISBN 13 : 9535137301
Total Pages : 204 pages
Book Rating : 4.5/5 (351 download)

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Book Synopsis Vignettes in Patient Safety by : Michael S. Firstenberg

Download or read book Vignettes in Patient Safety written by Michael S. Firstenberg and published by BoD – Books on Demand. This book was released on 2018-01-10 with total page 204 pages. Available in PDF, EPUB and Kindle. Book excerpt: Over the past two decades, the healthcare community increasingly recognized the importance and the impact of medical errors on patient safety and clinical outcomes. Medical and surgical errors continue to contribute to unnecessary and potentially preventable morbidity and/or mortality, affecting both ambulatory and hospital settings. The spectrum of contributing variables-ranging from minor errors that subsequently escalate to poor communication to lapses in appropriate protocols and processes (just to name a few)-is extensive, and solutions are only recently being described. As such, there is a growing body of research and experiences that can help provide an organized framework-based upon the best practices and evidence-based medical principles-for hospitals and clinics to foster patient safety culture and to develop institutional patient safety champions. Based upon the tremendous interest in the first volume of our Vignettes in Patient Safety series, this second volume follows a similar vignette-based model. Each chapter outlines a realistic case scenario designed to closely approximate experiences and clinical patterns that medical and surgical practitioners can easily relate to. Vignette presentations are then followed by an evidence-based overview of pertinent patient safety literature, relevant clinical evidence, and the formulation of preventive strategies and potential solutions that may be applicable to each corresponding scenario. Throughout the Vignettes in Patient Safety cycle, emphasis is placed on the identification and remediation of team-based and organizational factors associated with patient safety events. The second volume of the Vignettes in Patient Safety begins with an overview of recent high-impact studies in the area of patient safety. Subsequent chapters discuss a broad range of topics, including retained surgical items, wrong site procedures, disruptive healthcare workers, interhospital transfers, risks of emergency department overcrowding, dangers of inadequate handoff communication, and the association between provider fatigue and medical errors. By outlining some of the current best practices, structured experiences, and evidence-based recommendations, the authors and editors hope to provide our readers with new and significant insights into making healthcare safer for patients around the world.

Making Health Care Safer

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Author :
Publisher : Department of Health and Human Services
ISBN 13 :
Total Pages : 744 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Making Health Care Safer by :

Download or read book Making Health Care Safer written by and published by Department of Health and Human Services. This book was released on 2001 with total page 744 pages. Available in PDF, EPUB and Kindle. Book excerpt: "This project aimed to collect and critically review the existing evidence on practices relevant to improving patient safety"--P. v.

The Ultimate Guide To Choosing a Medical Specialty

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Publisher : McGraw Hill Professional
ISBN 13 : 9780071457132
Total Pages : 493 pages
Book Rating : 4.4/5 (571 download)

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Book Synopsis The Ultimate Guide To Choosing a Medical Specialty by : Brian Freeman

Download or read book The Ultimate Guide To Choosing a Medical Specialty written by Brian Freeman and published by McGraw Hill Professional. This book was released on 2004-01-09 with total page 493 pages. Available in PDF, EPUB and Kindle. Book excerpt: The first medical specialty selection guide written by residents for students! Provides an inside look at the issues surrounding medical specialty selection, blending first-hand knowledge with useful facts and statistics, such as salary information, employment data, and match statistics. Focuses on all the major specialties and features firsthand portrayals of each by current residents. Also includes a guide to personality characteristics that are predominate with practitioners of each specialty. “A terrific mixture of objective information as well as factual data make this book an easy, informative, and interesting read.” --Review from a 4th year Medical Student

Contemporary Topics in Graduate Medical Education

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Publisher : BoD – Books on Demand
ISBN 13 : 1839622385
Total Pages : 170 pages
Book Rating : 4.8/5 (396 download)

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Book Synopsis Contemporary Topics in Graduate Medical Education by : Stanislaw P. Stawicki

Download or read book Contemporary Topics in Graduate Medical Education written by Stanislaw P. Stawicki and published by BoD – Books on Demand. This book was released on 2019-10-09 with total page 170 pages. Available in PDF, EPUB and Kindle. Book excerpt: Graduate medical education (GME) is a continually evolving, highly dynamic area within the complex fabric of the modern health-care environment. Given the rapidly changing regulatory, financial, scientific and technical aspects of GME, many institutions and programs face daily challenges of "keeping up" with the most recent developments within this ever-more-sophisticated operational environment. Organizational excellence is a requirement for the seamless functioning of GME programs, especially when one consider the multiple disciplines and stakeholders involved. The goal of the current book cycle, titled Contemporary Topics in Graduate Medical Education, beginning with this inaugural tome, is to provide GME professionals with a practical and readily applicable set of reference materials. More than 20 distinguished authors from some of the top teaching institutions in the US, touch upon some of the most relevant, contemporary, and at times controversial topics, including provider burnout, gender equality issues, trainee wellness, scholarly activities and requirements, and many other theoretical and practical considerations. We hope that the reader will find this book to be a valuable and high quality resource of a broad range of GME-related topics. It is the Editors' goal to create a multi-tome platform that will become the definitive go-to reference for professionals navigating the complex landscape of modern graduate medical education.

Core Entrustable Professional Activities for Entering Residency

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Author :
Publisher :
ISBN 13 : 9781577541400
Total Pages : 69 pages
Book Rating : 4.5/5 (414 download)

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Book Synopsis Core Entrustable Professional Activities for Entering Residency by : Association of American Medical Colleges

Download or read book Core Entrustable Professional Activities for Entering Residency written by Association of American Medical Colleges and published by . This book was released on 2014-05-28 with total page 69 pages. Available in PDF, EPUB and Kindle. Book excerpt: This landmark publication published by the AAMC identifies a list of integrated activities to be expected of all M.D. graduates making the transition from medical school to residency. This guide delineates 13 Entrustable Professional Activities (EPAs) that all entering residents should be expected to perform on day 1 of residency without direct supervision regardless of specialty choice.The Core EPAs for Entering Residency are designed to be a subset of all of the graduation requirements of a medical school. Individual schools may have additional mission-specific graduation requirements, and specialties may have specific EPAs that would be required after the student has made the specialty decision but before residency matriculation. The Core EPAs may also be foundational to an EPA for any practicing physician or for specialty-specific EPAs.Update: In August 2014, the AAMC selected ten institutions to join a five-year pilot to test the implementation of the Core Entrustable Professional Activities (EPAs) for Entering Residency. More than 70 institutions, representing over half of the medical schools accredited by the U.S. Liaison Committee on Medical Education (LCME), applied to join the pilot, demonstrating the significant energy and enthusiasm towards closing the gap between expectations and performance for residents on day one. The cohort reflects the breadth and diversity of the applicant pool, and the institutions selected are intended to complement each other through the unique qualities and skills that each team and institution brings to the pilot.Faculty and Learners' Guide (69 pages) - Developing faculty: The EPA descriptions, the expected behaviors, and the vignettes are expected to serve as the foundation for faculty development. Faculty can use this guide as a reference for both feedback and assessment in pre-clinical and clinical settings.- Developing learners: Learners can also use this document to understand the core of what is expected of them by the time they graduate. The EPA descriptions themselves delineate the expectations, while the developmental progression laid out from pre-entrustable to entrustable behaviors can serve as the roadmap for achieving them.

Challenging Operations

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Publisher : University of Chicago Press
ISBN 13 : 0226430014
Total Pages : 244 pages
Book Rating : 4.2/5 (264 download)

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Book Synopsis Challenging Operations by : Katherine C. Kellogg

Download or read book Challenging Operations written by Katherine C. Kellogg and published by University of Chicago Press. This book was released on 2011-07-05 with total page 244 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 2003, in the face of errors and accidents caused by medical and surgical trainees, the American Council of Graduate Medical Education mandated a reduction in resident work hours to eighty per week. Over the course of two and a half years spent observing residents and staff surgeons trying to implement this new regulation, Katherine C. Kellogg discovered that resistance to it was both strong and successful—in fact, two of the three hospitals she studied failed to make the change. Challenging Operations takes up the apparent paradox of medical professionals resisting reforms designed to help them and their patients. Through vivid anecdotes, interviews, and incisive observation and analysis, Kellogg shows the complex ways that institutional reforms spark resistance when they challenge long-standing beliefs, roles, and systems of authority. At a time when numerous policies have been enacted to address the nation’s soaring medical costs, uneven access to care, and shortage of primary-care physicians, Challenging Operations sheds new light on the difficulty of implementing reforms and offers concrete recommendations for effectively meeting that challenge.

Keeping Patients Safe

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Publisher : National Academies Press
ISBN 13 : 0309187362
Total Pages : 485 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Keeping Patients Safe by : Institute of Medicine

Download or read book Keeping Patients Safe written by Institute of Medicine and published by National Academies Press. This book was released on 2004-03-27 with total page 485 pages. Available in PDF, EPUB and Kindle. Book excerpt: Building on the revolutionary Institute of Medicine reports To Err is Human and Crossing the Quality Chasm, Keeping Patients Safe lays out guidelines for improving patient safety by changing nurses' working conditions and demands. Licensed nurses and unlicensed nursing assistants are critical participants in our national effort to protect patients from health care errors. The nature of the activities nurses typically perform â€" monitoring patients, educating home caretakers, performing treatments, and rescuing patients who are in crisis â€" provides an indispensable resource in detecting and remedying error-producing defects in the U.S. health care system. During the past two decades, substantial changes have been made in the organization and delivery of health care â€" and consequently in the job description and work environment of nurses. As patients are increasingly cared for as outpatients, nurses in hospitals and nursing homes deal with greater severity of illness. Problems in management practices, employee deployment, work and workspace design, and the basic safety culture of health care organizations place patients at further risk. This newest edition in the groundbreaking Institute of Medicine Quality Chasm series discusses the key aspects of the work environment for nurses and reviews the potential improvements in working conditions that are likely to have an impact on patient safety.

Occupational Outlook Handbook

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Author :
Publisher :
ISBN 13 :
Total Pages : 740 pages
Book Rating : 4.3/5 ( download)

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Book Synopsis Occupational Outlook Handbook by : United States. Bureau of Labor Statistics

Download or read book Occupational Outlook Handbook written by United States. Bureau of Labor Statistics and published by . This book was released on 1957 with total page 740 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Time to Heal

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Publisher : Oxford University Press, USA
ISBN 13 : 0195181360
Total Pages : 541 pages
Book Rating : 4.1/5 (951 download)

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Book Synopsis Time to Heal by : Kenneth M. Ludmerer

Download or read book Time to Heal written by Kenneth M. Ludmerer and published by Oxford University Press, USA. This book was released on 2005 with total page 541 pages. Available in PDF, EPUB and Kindle. Book excerpt: A leading authority in the history of medicine provides an insightful look at medical education in America since 1910, warning of the negative impact of managed care on medical schools and the practice of medicine. 10 line illustrations.

The Washington Manual Internship Survival Guide

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Publisher :
ISBN 13 : 9780781786454
Total Pages : 235 pages
Book Rating : 4.7/5 (864 download)

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Book Synopsis The Washington Manual Internship Survival Guide by : Thomas M. DeFer

Download or read book The Washington Manual Internship Survival Guide written by Thomas M. DeFer and published by . This book was released on 2006 with total page 235 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by Washington University residents, this small pocket book contains all the essential information that interns need from day 1 on the wards, including ACLS algorithms, useful formulas, patient notes, top 10 workups, common calls/complaints, and common consultative questions in all subspecialties. Content includes vital pointers on what not to miss, when to refer/call for help, triage, cross-covering, and working with difficult patients. This edition has been thoroughly updated and several chapters have been expanded, particularly the critical care chapter. Other revisions include expanded coverage of anticoagulation and new guidelines on patient safety issues, DVT prophylaxis, and GI prophylaxis. This edition is also available for PDAs. See PDA listing for details. The Washington Manual� is a registered mark belonging to Washington University in St. Louis to which international legal protection applies. The mark is used in this publication by LWW under license from Washington University.

Michigan Court Rules

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Publisher :
ISBN 13 :
Total Pages : 520 pages
Book Rating : 4.A/5 ( download)

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Book Synopsis Michigan Court Rules by : Kelly Stephen Searl

Download or read book Michigan Court Rules written by Kelly Stephen Searl and published by . This book was released on 1922 with total page 520 pages. Available in PDF, EPUB and Kindle. Book excerpt: