Archive for August 2011

Neurocirugía Julio 2011 (Vol 17)

Duty hour restrictions

Recently, the New York Times published an editorial reviewing medical errors in the setting of duty hour restrictions. (“The Phantom Menace of Sleep-Deprived Doctors” by Darshak Sanghavi, August 5, 2011). Dr. Sanghavi’s review of this subject noted that duty hour restrictions have not significantly decreased medical errors. He argued that increased sign-off frequencies left gaping holes in medical information for the “on-call” physician to make informed decisions. He cited the index case of Libby Zion, an 18-year-old who succumbed from serotonin syndrome that was undiagnosed and was blamed on the sleep-deprived intern. Dr. Sanghavi noted that lack of supervision and medical knowledge contributed significantly to Zion’s death and sleep deprivation was not the only culprit. He concluded that with improvements in “hand-offs” and electronic medical records, such mistakes are reduced. With these changes, more restricted duty hours (the new 16 hours a day for interns without overnight call) and a hospitalist system, the trainees will have fewer patients and more time to learn their field.

Continue reading ‘Duty hour restrictions’ »

Neurocirugía Marzo 2011 (Vol 16)

Hans Rosling’s 200 Countries, 200 Years, 4 Minutes – The Joy of Stats