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Effects of Traditional 24-hour Work Shifts on Physician and Patient Safety
AHRQ 2007 Annual Conference: Improving Healthcare, Improving Lives Working Conditions, Organizational Culture, and Health Care Quality September 27, 2007
Christopher P. Landrigan, MD, MPH
Research Director, Children's Hospital Boston Inpatient Pediatrics Service
Director, Sleep and Patient Safety Program, Brigham and Women's Hospital
Assistant Professor of Pediatrics and Medicine, Harvard Medical School
IOM report on adverse drug events, NYS UTCOS studies
controversy of numbers but certainly large problem
Medications as subset
Relationship of errors to adverse events
What can be done?
Blame free culture
Seeking system-wide solutions
Investigating working conditions, outpatient errors
Take home messages:
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