RT Journal
A1 Kuehn BM
T1 Iom: Shorten residents’ work shifts to reduce fatigue, improve patient safety
JF JAMA
JO JAMA
YR 2009
FD January 21
VO 301
IS 3
SP 259
OP 261
DO 10.1001/jama.2008.940
UL http://dx.doi.org/10.1001/jama.2008.940
AB 
The report, requested by Congress and the Agency for Healthcare Research and Quality (AHRQ), which also funded the effort, adds to the ongoing debate over the long hours residents routinely work as part of their apprenticeship. Based on evidence of the effects of fatigue on human performance and on patient and resident safety, the report recommends several refinements to limits on residents’ work schedules that were established by the Accreditation Council for Graduate Medical Education (ACGME) in 2003. It also calls for better supervision of residents by faculty and improved protocols for transfer of patients from clinicians between shifts, or patient handoffs.