内科住院医师对2011年美国毕业后医学教育认证委员会工作时间规定对患者护理影响的看法。
Internal medicine residents' perspectives on effects of 2011 ACGME work hour regulations on patient care.
作者信息
Hoskote Sumedh S, Nadkarni Girish N, Annapureddy Narender, Shetty Aneesha A, Fried Ethan D
机构信息
a Department of Medicine, St. Luke's-Roosevelt Hospital Center , Columbia University College of Physicians and Surgeons , New York , New York , USA.
出版信息
Teach Learn Med. 2014;26(3):274-8. doi: 10.1080/10401334.2014.910458.
BACKGROUND
The Accreditation Council for Graduate Medical Education (ACGME) introduced new work hour limitations in July 2011.
PURPOSES
The aim is to assess internal medicine residents' perspectives on the impact of these limitations on their ability to discharge patient care duties.
METHODS
An anonymous survey was administered to 158 medicine residents in an urban university-affiliated internal medicine residency program. Residents' perspectives on various aspects of patient care were recorded on a 5-point Likert-type scale.
RESULTS
The response rate was 62%. The majority of residents (80%) agreed that patients had adequate continuity of care. Most residents agreed that they had enough time to follow up on consult notes (64% agreed) and investigations (80% agreed) daily. Most PGY-1 residents (59%) reported having enough time to prepare sign-outs. Most (60%) residents felt that reducing handoffs would improve patient care.
CONCLUSIONS
Most residents believe that the new work hour limitations would continue to uphold patient safety, but handoffs in care must be restricted.
背景
毕业后医学教育认证委员会（ACGME）于2011年7月出台了新的工作时间限制规定。
目的
旨在评估内科住院医师对于这些限制规定对其履行患者护理职责能力的影响的看法。
方法
对一所城市大学附属内科住院医师培训项目中的158名内科住院医师进行了匿名调查。住院医师对患者护理各个方面的看法通过5级李克特量表进行记录。
结果
回复率为62%。大多数住院医师（80%）认为患者得到了足够的连续性护理。大多数住院医师同意他们每天有足够的时间跟进会诊记录（64%表示同意）和检查结果（80%表示同意）。大多数第一年住院医师（59%）报告有足够的时间准备交班报告。大多数（60%）住院医师认为减少交接班次数会改善患者护理。
结论
大多数住院医师认为新的工作时间限制规定将继续保障患者安全，但必须限制护理工作中的交接班。
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