Resident Working Hour Restrictions Increased the Workload of the Medical Emergency Team: A Retrospective Observational Study

This study evaluated how limiting residents' working hours affected the workload of MET in a pulmonology unit. Methods This retrospective observational study analyzed MET activity during periods before and after we limited the working hours of residents in our pulmonary unit to 88 h/wk: Period 1, March 2014 to February 2015; and Period 2, March 2015 to February 2016. Medical emergency team activities, dose (activations/1000 admissions), intensive care unit transfers, and mortality were compared between the two periods for weekdays and for weekends and holidays. Results There were no significant differences between the two periods in MET dose (85.0 in Period 1 versus 91.3 in Period 2, P = 0.675), intensive care unit transfers (P = 0.828), 30-day mortality (P = 0.701), and 60-day mortality (P = 0.531). However, some activities increased significantly or near significantly in Period 2, including portable echocardiography (P
Source: Journal of Patient Safety - Category: Health Management Tags: Original Articles Source Type: research