Word: landrigan
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...hospitals take advantage of residents’ long hours as sources of cheap labor. The results, unfortunately, are dangerous, with an increased risk of accidental needlestick injuries, for example, at the end of a long shift. The HMS researchers, led by Assistant Professor of Pediatrics and Medicine Christopher P. Landrigan, also cite an earlier study that found that “human performance” after staying awake for 24 hours is comparable to human performance of those with a blood alcohol content of 0.10 percent; so a resident working a 30-hour shift might, by the end, quite literally...
...Director of the Sleep and Patient Safety Program Christopher P. Landrigan, the lead researcher for the second study, recommended that interns work no more than 16-hour shifts...
...Landrigan found that compared to an alternate working schedule where interns worked a maximum of 16 hours per shift, current interns make 36 percent more serious medical errors and five times more serious diagnostic errors...
According to Landrigan, the long hours of an intern are due in large part to how residences are historically based on an apprenticeship model. This model, which encouraged doctors to stay with patients every step of the way, is now outdated, he said...
...have a residual system...whose most critical element has been continuity of care—single physicians follow through with each patient,” said Landrigan. “The reality of modern medicine is that you’re being taken care of by multiple teams of doctors...