Service census caps and unit-based admissions: resident workload, conference attendance, duty hour compliance, and patient safety.

PubWeight™: 1.12‹?› | Rank: Top 10%

🔗 View Article (PMC 3538463)

Published in Mayo Clin Proc on April 01, 2012

Authors

Uma Thanarajasingam1, Furman S McDonald, Andrew J Halvorsen, James M Naessens, Rosa L Cabanela, Matthew G Johnson, Paul R Daniels, Amy W Williams, Darcy A Reed

Author Affiliations

1: Department of Internal Medicine, Mayo Clinic, Rochester, MN 59906, USA. thanarajasingam.uma@mayo.edu

Articles cited by this

The new recommendations on duty hours from the ACGME Task Force. N Engl J Med (2010) 7.88

New requirements for resident duty hours. JAMA (2002) 6.38

Redesigning training for internal medicine. Ann Intern Med (2006) 5.72

Major changes in radiology residency program requirements are coming. AJR Am J Roentgenol (2007) 4.99

Evaluation of a redesign initiative in an internal-medicine residency. N Engl J Med (2010) 4.85

Charting the road to competence: developmental milestones for internal medicine residency training. J Grad Med Educ (2009) 4.26

Reforming internal medicine residency training. A report from the Society of General Internal Medicine's task force for residency reform. J Gen Intern Med (2005) 3.58

Association between funding and quality of published medical education research. JAMA (2007) 3.11

Time spent on clinical documentation: a survey of internal medicine residents and program directors. Arch Intern Med (2010) 2.60

Association of workload of on-call medical interns with on-call sleep duration, shift duration, and participation in educational activities. JAMA (2008) 2.56

Redesigning residency training in internal medicine: the consensus report of the Alliance for Academic Internal Medicine Education Redesign Task Force. Acad Med (2007) 2.53

Duty hour recommendations and implications for meeting the ACGME core competencies: views of residency directors. Mayo Clin Proc (2011) 2.17

Observations of residents' work activities for 24 consecutive hours: implications for workflow redesign. Acad Med (2006) 1.66

Cumulative operative experience is decreasing during general surgery residency: a worrisome trend for surgical trainees? J Am Coll Surg (2008) 1.63

ACGME duty-hour restrictions decrease resident operative volume: a 5-year comparison at an ACGME-accredited university general surgery residency. J Surg Educ (2007) 1.57

Understanding residents' work: moving beyond counting hours to assessing educational value. Acad Med (2003) 1.53

The effect of workload reduction on the quality of residents' discharge summaries. J Gen Intern Med (2010) 1.43

Impact of reduced duty hours on residents' educational satisfaction at the University of California, San Francisco. Acad Med (2006) 1.38

Effect of the 80-hour work week on resident operative experience in general surgery. Am J Surg (2007) 1.36

Analyzing the time and value of housestaff inpatient work. J Gen Intern Med (1998) 1.29

Resident perceptions of the impact of work hour limitations. J Gen Intern Med (2007) 1.25

Multiple measures of anesthesia workload during teaching and nonteaching cases. Anesth Analg (2004) 1.19

House staff team workload and organization effects on patient outcomes in an academic general internal medicine inpatient service. Arch Intern Med (2007) 1.07

A method for assessing house staff workload as a function of length of stay. JAMA (2001) 1.06

The impact of duty hours on resident self reports of errors. J Gen Intern Med (2007) 0.97

The effect of resident work hour regulations on orthopaedic surgical education. J Surg Orthop Adv (2007) 0.95

Duty hour reform and internal medicine residency training: no time to lose. J Gen Intern Med (2009) 0.89

Doing the dirty work: measuring and optimizing resident workload. J Gen Intern Med (2011) 0.89

Interruptions and geographic challenges to nurses' cognitive workload. J Nurs Care Qual (2009) 0.84

Factors associated with intern fatigue. J Gen Intern Med (2008) 0.82

A comparative resident site visit project: a novel approach for implementing programmatic change in the duty hours era. Acad Med (2010) 0.81

Cost savings of hip arthroplasty patients on specialized orthopedic surgery units. Am J Orthop (Belle Mead NJ) (2009) 0.78

Articles by these authors

Intensive intraoperative insulin therapy versus conventional glucose management during cardiac surgery: a randomized trial. Ann Intern Med (2007) 6.00

A randomized controlled trial of telemonitoring in older adults with multiple health issues to prevent hospitalizations and emergency department visits. Arch Intern Med (2012) 5.00

Medical and surgical comanagement after elective hip and knee arthroplasty: a randomized, controlled trial. Ann Intern Med (2004) 3.21

Off-hour presentation and outcomes in patients with acute myocardial infarction: systematic review and meta-analysis. BMJ (2014) 2.87

Mortality associated with nephropathy after radiographic contrast exposure. Mayo Clin Proc (2008) 2.42

Risk-stratification methods for identifying patients for care coordination. Am J Manag Care (2013) 2.40

A program of anticipatory guidance for the prevention of emergency department visits for ear pain. Arch Pediatr Adolesc Med (2008) 2.36

Standards for reporting qualitative research: a synthesis of recommendations. Acad Med (2014) 2.35

Duty hour recommendations and implications for meeting the ACGME core competencies: views of residency directors. Mayo Clin Proc (2011) 2.17

Association of heparin-dependent antibodies and adverse outcomes in hemodialysis patients: a population-based study. Mayo Clin Proc (2005) 2.17

Surgical training, duty-hour restrictions, and implications for meeting the Accreditation Council for Graduate Medical Education core competencies: views of surgical interns compared with program directors. Arch Surg (2012) 2.13

Evaluating the performance of an institution using an intensive care unit benchmark. Mayo Clin Proc (2005) 2.13

Impact of resident workload and handoff training on patient outcomes. Am J Med (2012) 2.09

Major concerns about internal medicine: insights from program directors. South Med J (2011) 2.07

Preoperative testing before noncardiac surgery: guidelines and recommendations. Am Fam Physician (2013) 2.07

An evaluation of internal medicine residency continuity clinic redesign to a 50/50 outpatient-inpatient model. J Gen Intern Med (2013) 1.99

Effect of 16-hour duty periods on patient care and resident education. Mayo Clin Proc (2011) 1.97

Periprocedural anticoagulation management of patients with nonvalvular atrial fibrillation. Mayo Clin Proc (2008) 1.97

ACGME duty-hour recommendations - a national survey of residency program directors. N Engl J Med (2010) 1.85

Use of a novel ultrafiltration device as a treatment strategy for diuretic resistant, refractory heart failure: initial clinical experience in a single center. J Card Fail (2006) 1.77

Sodium bicarbonate is associated with an increased incidence of contrast nephropathy: a retrospective cohort study of 7977 patients at mayo clinic. Clin J Am Soc Nephrol (2007) 1.68

Impact of resident well-being and empathy on assessments of faculty physicians. J Gen Intern Med (2009) 1.65

Economic implications of nighttime attending intensivist coverage in a medical intensive care unit. Crit Care Med (2011) 1.57

Eight years of the Mayo International Health Program: what an international elective adds to resident education. Mayo Clin Proc (2010) 1.57

Patient safety, resident education and resident well-being following implementation of the 2003 ACGME duty hour rules. J Gen Intern Med (2011) 1.55

Methodological rigor of quality improvement curricula for physician trainees: a systematic review and recommendations for change. Acad Med (2009) 1.54

Web-based proactive system to improve breast cancer screening: a randomized controlled trial. Arch Intern Med (2007) 1.50

All at-risk patients are not created equal: analysis of Braden pressure ulcer risk scores to identify specific risks. J Wound Ostomy Continence Nurs (2012) 1.45

Sources of satisfaction: a second administration of the program director satisfaction survey. Am J Med (2009) 1.43

Effect of discharge instructions on readmission of hospitalised patients with heart failure: do all of the Joint Commission on Accreditation of Healthcare Organizations heart failure core measures reflect better care? Qual Saf Health Care (2006) 1.41

Exploratory study of relationship between hospitalized heart failure patients and chronic renal replacement therapy. Nephrol Dial Transplant (2009) 1.40

Recollection of previous colon cancer screening in Minnesota adults. Minn Med (2005) 1.40

How best to measure surgical quality? Comparison of the Agency for Healthcare Research and Quality Patient Safety Indicators (AHRQ-PSI) and the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) postoperative adverse events at a single institution. Surgery (2011) 1.38

37-year-old man with painful foot. Mayo Clin Proc (2008) 1.38

Anticipated consequences of the 2011 duty hours standards: views of internal medicine and surgery program directors. Acad Med (2012) 1.38

Relationship between critical reflection and quality improvement proposal scores in resident doctors. Med Educ (2010) 1.32

Measuring hospital adverse events: assessing inter-rater reliability and trigger performance of the Global Trigger Tool. Int J Qual Health Care (2010) 1.32

"Problem residents": prevalence, problems and remediation in the era of core competencies. Am J Med (2012) 1.30

Validation of a method for assessing resident physicians' quality improvement proposals. J Gen Intern Med (2007) 1.30

Teaching high-value, cost-conscious care: improving residents' knowledge and attitudes. Am J Med (2013) 1.27

Outcomes of arteriovenous fistula creation after the Fistula First Initiative. Clin J Am Soc Nephrol (2011) 1.25

A randomized trial of three diabetes registry implementation strategies in a community internal medicine practice. Jt Comm J Qual Improv (2002) 1.24

Identifying in-hospital venous thromboembolism (VTE): a comparison of claims-based approaches with the Rochester Epidemiology Project VTE cohort. Med Care (2008) 1.24

Effect of weekend hospital admission on gastrointestinal hemorrhage outcomes. Dig Dis Sci (2009) 1.22

Resident physicians' knowledge of underserved patients: a multi-institutional survey. Mayo Clin Proc (2010) 1.21

Acute decompensated heart failure and the cardiorenal syndrome. Crit Care Med (2008) 1.20

Predictors of discharge to an inpatient extended care facility after total hip or knee arthroplasty. J Arthroplasty (2006) 1.19

Effect of hospital follow-up appointment on clinical event outcomes and mortality. Arch Intern Med (2010) 1.18

Validity of the revised Impact on Family (IOF) scale. J Pediatr (2006) 1.18

Determinants of direct medical costs in primary and revision total knee arthroplasty. Clin Orthop Relat Res (2013) 1.16

Effects of duty hour restrictions on core competencies, education, quality of life, and burnout among general surgery interns. JAMA Surg (2013) 1.16

A collaborative of leading health systems finds wide variations in total knee replacement delivery and takes steps to improve value. Health Aff (Millwood) (2012) 1.14

Impact of short daily hemodialysis on restless legs symptoms and sleep disturbances. Clin J Am Soc Nephrol (2011) 1.13

Evaluation of a longitudinal medical school evidence-based medicine curriculum: a pilot study. J Gen Intern Med (2008) 1.12

Differences in patient and procedure characteristics and hospital resource use in primary and revision total joint arthroplasty: a multicenter study. J Arthroplasty (2005) 1.10

A randomized controlled trial of telemonitoring in older adults with multiple chronic conditions: the Tele-ERA study. BMC Health Serv Res (2010) 1.09

Morphologically cryptic biological species within the liverwort Frullania asagrayana. Am J Bot (2010) 1.09

Obesity increases length of stay and direct medical costs in total hip arthroplasty. Clin Orthop Relat Res (2013) 1.07

Iodixanol versus low-osmolar contrast media for prevention of contrast induced nephropathy: meta-analysis of randomized, controlled trials. Circ Cardiovasc Interv (2010) 1.06

Update in internal medicine residency education: a review of the literature in 2010 and 2011. J Grad Med Educ (2013) 1.04

Use of a registry-generated audit, feedback, and patient reminder intervention in an internal medicine resident clinic--a randomized trial. J Gen Intern Med (2007) 1.04

Implementation of a medication reconciliation process in an ambulatory internal medicine clinic. Qual Saf Health Care (2007) 1.03

The effects of incremental costs of smoking and obesity on health care costs among adults: a 7-year longitudinal study. J Occup Environ Med (2012) 1.02

Teamwork assessment in internal medicine: a systematic review of validity evidence and outcomes. J Gen Intern Med (2013) 1.01

Cardiopulmonary resuscitation and do-not-resuscitate orders: a guide for clinicians. Am J Med (2010) 1.01

A multi-institutional survey of internal medicine residents' learning habits. Med Teach (2010) 1.00

Extended evaluation of a longitudinal medical school evidence-based medicine curriculum. J Gen Intern Med (2011) 1.00

Effectiveness of an ultrasound training module for internal medicine residents. BMC Med Educ (2011) 0.99

A systems approach to morbidity and mortality conference. Am J Med (2010) 0.99

Outcome of patients with low ejection fraction undergoing coronary artery bypass grafting: renal function and mortality after 3.8 years. Circulation (2006) 0.98

Predictors of blood pressure control in patients with diabetes and hypertension seen in primary care clinics. Am J Hypertens (2005) 0.97

Comparison of chronic illness among children receiving mechanical ventilation in a cohort of children's hospitals in 1991 and 2001. J Pediatr (2006) 0.97

Resident physician well-being and assessments of their knowledge and clinical performance. J Gen Intern Med (2011) 0.96

Performance of the provider satisfaction inventory to measure provider satisfaction with diabetes care. Endocr Pract (2002) 0.95

The cost-effectiveness of acetaminophen, NSAIDs, and selective COX-2 inhibitors in the treatment of symptomatic knee osteoarthritis. Value Health (2003) 0.94

E-learning: is there anything special about the "E"? Perspect Biol Med (2008) 0.94

Internal medicine residency directors perspectives on global health experiences. Am J Med (2011) 0.93