Early Effects of Resident Work-Hour Restrictions on Patient Safety: A Systematic Review and Plea for...

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Early Effects of Resident Work-Hour Restrictions on Patient Safety: A Systematic Review and Plea for Improved Studies by Keith Baldwin, Surena Namdari, Derek Donegan, Atul F. Kamath, and Samir Mehta J Bone Joint Surg Am Volume 93(2):e5 January 19, 2011 ©2011 by The Journal of Bone and Joint Surgery, Inc.

Transcript of Early Effects of Resident Work-Hour Restrictions on Patient Safety: A Systematic Review and Plea for...

Page 1: Early Effects of Resident Work-Hour Restrictions on Patient Safety: A Systematic Review and Plea for Improved Studies by Keith Baldwin, Surena Namdari,

Early Effects of Resident Work-Hour Restrictions on Patient Safety: A Systematic Review and Plea for Improved

Studies

by Keith Baldwin, Surena Namdari, Derek Donegan, Atul F. Kamath, and Samir Mehta

J Bone Joint Surg AmVolume 93(2):e5January 19, 2011

©2011 by The Journal of Bone and Joint Surgery, Inc.

Page 2: Early Effects of Resident Work-Hour Restrictions on Patient Safety: A Systematic Review and Plea for Improved Studies by Keith Baldwin, Surena Namdari,

Search strategy. *The search terms were “resident” and “duty hour” or “work hour” and “mortality.”.

Keith Baldwin et al. J Bone Joint Surg Am 2011;93:e5

©2011 by The Journal of Bone and Joint Surgery, Inc.

Page 3: Early Effects of Resident Work-Hour Restrictions on Patient Safety: A Systematic Review and Plea for Improved Studies by Keith Baldwin, Surena Namdari,

Forest plot for meta-analysis for odds ratio (OR) of patient mortality before and after the implementation of the eighty-hour work week.

Keith Baldwin et al. J Bone Joint Surg Am 2011;93:e5

©2011 by The Journal of Bone and Joint Surgery, Inc.

Page 4: Early Effects of Resident Work-Hour Restrictions on Patient Safety: A Systematic Review and Plea for Improved Studies by Keith Baldwin, Surena Namdari,

Forest plot for meta-analysis for odds ratio (OR) of death among patients in nonteaching hospitals before and after the implementation of the eighty-hour work week.

Keith Baldwin et al. J Bone Joint Surg Am 2011;93:e5

©2011 by The Journal of Bone and Joint Surgery, Inc.

Page 5: Early Effects of Resident Work-Hour Restrictions on Patient Safety: A Systematic Review and Plea for Improved Studies by Keith Baldwin, Surena Namdari,

Assessment of publication bias for all work-hour studies (funnel plot of odds ratio [Ln OR] against standard error).

Keith Baldwin et al. J Bone Joint Surg Am 2011;93:e5

©2011 by The Journal of Bone and Joint Surgery, Inc.