Am J Health-Syst Pharm
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

American Journal of Health-System Pharmacy, Vol. 62, Issue 15, 1592-1595
Copyright © 2005 by American Society of Health-System Pharmacists
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Mycyk, M. B.
Right arrow Articles by Regalado, J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Mycyk, M. B.
Right arrow Articles by Regalado, J.

Reports

Hospitalwide adverse drug events before and after limiting weekly work hours of medical residents to 80

Mark B. Mycyk, Molly R. McDaniel, Michael A. Fotis and Jane Regalado

MARK B. MYCYK, M.D., is Assistant Professor, Department of Emergency Medicine, School of Medicine, Northwestern University; Attending Physician, Department of Emergency Medicine, Northwestern Memorial Hospital (NMH); and Attending Physician, Section of Toxicology, John H. Stroger Jr. Hospital of Cook County, Chicago, IL. MOLLY R. MCDANIEL, PHARM.D., is Clinical Pharmacist, NMH; at the time of this study she was a pharmacy practice resident, NMH. MICHAEL A. FOTIS, B.S.PHARM., is Director of the Pharmacy Practice Residency and Manager of the Drug Information Center and JANE REGALADO, PHARM.D., is Drug Information Pharmacist, NMH.

Address correspondence to Dr. Mycyk at 259 E. Erie, Suite 100, Chicago, IL 60611 (mmycyk{at}northwestern.edu).


Purpose. Adverse drug events (ADEs) at a hospital before and after the weekly work hours of medical residents were limited to 80 were studied.

Methods. The study population included all adults admitted to a 750-bed academic tertiary care hospital where resident physicians provide direct care under the supervision of faculty attending physicians. The six-month period after implementation of the 80-hour work limit (July 1 to December 31, 2003) was compared with the same six-month period one year before implementation (July 1 to December 31, 2002).

Results. There were no significant differences between study periods in any measured variables, including number of confirmed ADEs (194 before, 172 after), number of ADEs per 1000 patient days (1.3 before, 1.1 after), and number of preventable ADEs (21 before, 22 after).

Conclusion. Hospitalwide ADEs remained constant despite limiting of resident physician weekly work hours to 80.

Index terms: Drugs, adverse reactions; Errors, medication; Hospitals; Hours; Physicians; Prescribing

 



This article has been cited by other articles:


Home page
 Arch Intern MedHome page
R. Jagsi, D. F. Weinstein, J. Shapiro, B. T. Kitch, D. Dorer, and J. S. Weissman
The Accreditation Council for Graduate Medical Education's Limits on Residents' Work Hours and Patient Safety: A Study of Resident Experiences and Perceptions Before and After Hours Reductions
Arch Intern Med, March 10, 2008; 168(5): 493 - 500.
[Abstract] [Full Text] [PDF]

Home page
 ANN INTERN MEDHome page
L. I. Horwitz, M. Kosiborod, Z. Lin, and H. M. Krumholz
Changes in Outcomes for Internal Medicine Inpatients after Work-Hour Regulations
Ann Intern Med, July 17, 2007; 147(2): 97 - 103.
[Abstract] [Full Text] [PDF]

Home page
 Am J Health Syst PharmHome page
T. J. Lyons, E. T. Hola, M. Patel, and A. S. Mathis
Effects of 16-hour shifts on order-verification medication errors by hospital pharmacists
Am. J. Health Syst. Pharm., July 15, 2007; 64(14): 1467 - 1468.
[Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2005 by the American Society of Health-System Pharmacists.