Duty Hour Limits for Doctors in Training Have No Effect On Patient Deaths Or Readmissions

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360597

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NATSO/FULL Runs:02 NATSO/FULL Runs:02 “…yeah, so we did great overnight…” B-ROLL Doctors talking to patient in his room RESIDENTS AND INTERNS ARE AN INTEGRAL PART OF THE MEDICALTEAM AT MANY U-S HOSPITALS. NATSO/FULL Runs:07 “…if they call you and tell you that your potassium is really high and you need to take it then you’ll have it…all right…” B-ROLL Doctor talking to patient TRADITIONALLY, DOCTORS IN TRAINING HAVE WORKED VERY LONG HOURS. SOT/FULL Kevin G. Volpp, M.D., Ph.D., - University of Pennsylvania Super@:19 Runs:05 “It used to be the case that they could work as many hours as the hospitals they worked in needed them to.” SOT/FULL Mitesh S. Patel, M.D., M.B.A, M.S., - University of Pennsylvania Super@:24 Runs:08 (Video covering middle of bite: patient being examined) “The initial concerns were mainly over whether or not these long shifts were causing poorer outcomes or medical errors in the hospital.” B-ROLL Doctor walking in to sleep room and sitting on bed, Dr. Volpp and Dr. Patel walking, patient walking down hall SO IN 2011, THE RULES CHANGED FROM WORKING A MAXIMUM OF 30 CONSECUTIVE HOURS TO 16 FOR INTERNS AND UP TO 28 FOR RESIDENTS. DOCTORS MITESH (Mee-Tesh) PATEL AND KEVIN VOLPP FROM THE UNIVERSITY OF PENNSYLVANIA AND CO-AUTHORS EVALUATED WHETHER THIS CUT IN DUTY HOURS AFFECTED DEATH OR READMISSION RATES FOR ALMOST THREE MILLION HOSPITALIZED MEDICARE PATIENTS. SOT/FULL Mitesh S. Patel, M.D., M.B.A, M.S., - University of Pennsylvania Super@:53 Runs:08 (Video covering 1st part of bite: doctors walking down the hall) “In the first year after the reforms there was no positive or negative association with the duty hour reforms and changes in patient death or readmissions to the hospital.” GXF FULL JAMA COVER THE STUDY APPEARS IN JAMA, JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION. SOT/FULL Kevin G. Volpp, M.D., Ph.D., - University of Pennsylvania Super@1:03 Runs:09 “This was an important finding because there were both hopes that quality would improve significantly and concerns that it might actually get worse.” B-ROLL Doctors looking at computer NEITHER HAPPENED BUT THE CHANGES WERE MAJOR. SOT/FULL Mitesh S. Patel, M.D., M.B.A, M.S., - University of Pennsylvania Super@ 1:16 Runs:06 (Video covering 1st part of bite: doctor in sleeping room laying down on bed) “The duty hour reform was a significant intervention and implementation all across teaching hospitals in the United States.” SOT/FULL Kevin G. Volpp, M.D., Ph.D., - University of Pennsylvania Super@ 1:24 Runs:10 (Video covering 1st part of bite: doctor in sleeping room laying on bed) “While they may be important in terms of having better rested interns and residents may not directly lead to significant improvements in patients outcomes. B-ROLL Doctors in room talking with patient CATHERINE DOLF, THE JAMA REPORT.
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