Related Experiment Video

Updated: May 14, 2026

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
06:52

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Published on: September 30, 2020

Association between adaptations to ACGME duty hour requirements, length of stay, and costs

Glenn Rosenbluth1, Darren M Fiore, Judith H Maselli

  • 1Division of Pediatric Hospital Medicine, University of California San Francisco School of Medicine, San Francisco, CA 94143-0110, USA. rosenbluthg@peds.ucsf.edu

Sleep
|February 2, 2013
PubMed

Insights

Implementing Accreditation Council for Graduate Medical Education (ACGME) duty hour requirements, which involve shorter shifts for pediatric trainees, reduced patient length of stay and total costs for non-intensive care unit patients.

Area of Science:

  • Pediatric healthcare quality and cost-effectiveness.
  • Graduate medical education and patient outcomes.

Background:

  • Accreditation Council for Graduate Medical Education (ACGME) duty hour regulations aim to improve resident well-being and patient safety.
  • Previous studies have explored the impact of duty hour reforms on various healthcare metrics.

Purpose of the Study:

  • To evaluate the association between adapting to ACGME duty hour requirements and changes in total cost and length of stay for pediatric inpatients.
  • To assess the impact of trainee work schedule modifications on healthcare resource utilization.

Main Methods:

  • Retrospective, interrupted time-series cohort study design.
  • Utilized concurrent control patients for comparison.
  • Intervention involved changing pediatrics trainees' work schedules to shorter day and night shifts.

Main Results:

  • Significant relative reductions in length of stay were observed.
  • No significant changes in total cost were detected overall.
  • For non-intensive care unit patients, length of stay decreased by 18% and total cost by 10%.

Conclusions:

  • A trainee staffing model aligning with ACGME duty hour requirements (shorter shifts) is associated with reduced length of stay.
  • This model also demonstrated reduced total costs for pediatric patients not requiring intensive care.
  • Findings suggest potential for improved efficiency and cost savings in pediatric care settings.
Abstract

More Related Videos

Collecting Sleep, Circadian, Fatigue, and Performance Data in Complex Operational Environments08:36

Collecting Sleep, Circadian, Fatigue, and Performance Data in Complex Operational Environments

Published on: August 8, 2019

Related Concept Videos

Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
Guidelines for Nursing Documentation II01:26

Guidelines for Nursing Documentation II

Effective documentation is an integral part of nursing practice. Here are some essential guidelines to follow when documenting patient care:
Timely documentation is crucial to ensure continuity of care for patients. Any delays in recording or reporting medical information can result in medical errors and even adverse patient outcomes. From medication administration to diagnostic test results, every detail must be accurately and promptly documented to provide the best possible care for patients.
Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Chronopharmacokinetics: Circadian Rhythms and Influence on Drug Response01:15

Chronopharmacokinetics: Circadian Rhythms and Influence on Drug Response

Circadian rhythms are cyclic changes that are crucial in plasma drug concentrations. Various standard circadian parameters, including core body temperature, heart rate, and other cardiovascular factors, directly impact disease states and the therapeutic response to drug therapy.
The time of drug administration is an important factor to consider, as it can influence the toxic dose of a drug. For example, a study conducted by Prins et al. in 1997 examined the effects of the timing of...