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Cutting resident hours could cost big bucks

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academic medical centers
nurse practitioners
lawmakers
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As we've noted previously in FierceHealthcare, the long shifts worked by residents may not be good for patient care, as error rates shoot up when they get too tired. But according to one study, it could hit facilities in the pocketbook, and hard, if they were to work fewer hours. Why? Because someone else, probably physician assistants, nurse practitioners or hospitalists, would have to do the work. What's more, facilities might have trouble adding such workers, as each category faces labor shortages. Hospital accreditation rules already limit resident schedules to 80 hours per week, and shifts to 30 hours. Cutting resident workloads down to a less-taxing 60 hours a week would cost a typical surgical center $2.9 million over five years, according study published in the Archives of Surgery. Meanwhile, if lawmakers or agencies were to set further scheduling limits, it could significantly change the way academic medical centers work, as they rely heavily on resident labor.

To find out more about the study:
- read this United Press International piece

Related Articles:
Long hospital shifts boost mistakes. Report
Lawmakers want study of doc hours, error rates. Report

Comments

Why not just add more residents????

There is evidence showing health care worker fatigue after approximately 12 hours of continuous work (Jt Comm J Qual Patient Saf. 2007 Nov;33(11 Suppl):7-18), yet hospitals and residency programs continue to require overnight shifts and excessively long work weeks in the interest of "training". Given the economics outlined here, there are obviously undeniable, major financial influences involved. Excessive work hours are inhumane and unsafe. Residents and other health care workers are human beings, not machines. Adding residents will not change the fact that they are currently grossly underpaid. Our society and the facilities that employ these hard-working professionals who selflessly save other's lives at all cost will just have to find another way; that is their job, not the residents'.

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