Resident Duty Hours:Enhancing Sleep, Supervision, and Safety

[1]  A. Merry,et al.  Hours of Work and Fatigue-Related Error: A Survey of New Zealand Anaesthetists , 2000, Anaesthesia and intensive care.

[2]  E. Puscheck,et al.  Impact of duty hour limitations on resident and student education in obstetrics and gynecology. , 2007, The Journal of reproductive medicine.

[3]  R. Hughes.  Patient Safety and Quality: An Evidence-Based Handbook for Nurses , 2008 .

[4]  Karen Smith,et al.  Evaluation of the 12-hour shift trial in a regional intensive care unit. , 2007, Journal of nursing management.

[5]  Kanaka D. Shetty,et al.  Changes in Hospital Mortality Associated with Residency Work-Hour Regulations , 2007, Annals of Internal Medicine.

[6]  K. Eagle,et al.  Impact of duty hours restrictions on quality of care and clinical outcomes. , 2007, The American journal of medicine.

[7]  Hans P A Van Dongen,et al.  Response Surface Mapping of Neurobehavioral Performance: Testing the Feasibility of Split Sleep Schedules for Space Operations. , 2008, Acta astronautica.

[8]  T. Grantcharov,et al.  Laparoscopic performance after one night on call in a surgical department: prospective study , 2001, BMJ : British Medical Journal.

[9]  D. Gaba,et al.  The Risks and Implications of Excessive Daytime Sleepiness in Resident Physicians , 2002, Academic medicine : journal of the Association of American Medical Colleges.

[10]  Gregory G. Brown,et al.  Altered brain response to verbal learning following sleep deprivation , 2000, Nature.

[11]  E. Stemmer,et al.  Reducing the noneducational and nonclinical workload of the surgical resident; defining the role of the health technician. , 2003, Current surgery.

[12]  S. Drummond,et al.  The effects of one night of sleep deprivation on known‐risk and ambiguous‐risk decisions , 2007, Journal of sleep research.

[13]  M. Shah,et al.  Effects of Physician Experience on Costs and Outcomes on an Academic General Medicine Service: Results of a Trial of Hospitalists , 2002, Annals of Internal Medicine.

[14]  P. V. D. van de Weijer,et al.  Isoflavones from red clover (Promensil) significantly reduce menopausal hot flush symptoms compared with placebo. , 2002, Maturitas.

[15]  P. Knauth,et al.  Preventive and compensatory measures for shift workers. , 2003, Occupational medicine.

[16]  Paul Batalden,et al.  Teaching quality improvement: the devil is in the details. , 2007, JAMA.

[17]  R. Knapp.  Financing graduate medical education and limiting resident work hours: a political assessment(1). , 2002, American journal of surgery.

[18]  John Spooner,et al.  Work hours restrictions as an ethical dilemma for residents: a descriptive survey of violation types and frequency. , 2006, Current surgery.

[19]  L. Arco,et al.  Feedback for improving staff training and performance in behavioral treatment programs , 2008 .

[20]  S. Nguyen,et al.  Non-physician practitioners' overall enhancement to a surgical resident's experience. , 2008, Journal of surgical education.

[21]  N. Blum,et al.  Interrupted care. The effects of paging on pediatric resident activities. , 1992, American journal of diseases of children.

[22]  Grace A Lin,et al.  Residents' Perceptions of the Effects of Work Hour Limitations at a Large Teaching Hospital , 2006, Academic medicine : journal of the Association of American Medical Colleges.

[23]  Anne K Wong,et al.  Full scale computer simulators in anesthesia training and evaluation , 2004, Canadian journal of anaesthesia = Journal canadien d'anesthesie.

[24]  R. Evens,et al.  Results of and comments on the 1998 survey of the American Association of Academic Chief Residents in Radiology. , 1999, Academic radiology.

[25]  M. Johns,et al.  Reforming graduate medical education. , 2005, JAMA.

[26]  C. Griffith,et al.  Internal Medicine Residency Training and Outcomes , 1997 .

[27]  G. Regehr,et al.  Clinical Oversight: Conceptualizing the Relationship Between Supervision and Safety , 2007, Journal of General Internal Medicine.

[28]  Warwick Anderson,et al.  Time to Heal: American Medical Education from the Turn of the Century to the Era of Managed Care , 2001 .

[29]  Mortality among patients in VA hospitals in the first 2 years following ACGME resident duty hour reform. , 2007 .

[30]  C. Griffith,et al.  Housestaff experience, workload, and test ordering in a neonatal intensive care unit , 1996, Academic medicine : journal of the Association of American Medical Colleges.

[31]  H. Swick.  Toward a Normative Definition of Medical Professionalism , 2000, Academic medicine : journal of the Association of American Medical Colleges.

[32]  F. Meyers,et al.  Redesigning residency training in internal medicine: the consensus report of the Alliance for Academic Internal Medicine Education Redesign Task Force. , 2007, Academic medicine : journal of the Association of American Medical Colleges.

[33]  Michelle C Specht,et al.  Effects of limited work hours on surgical training. , 2002, Journal of the American College of Surgeons.

[34]  D. DiPette,et al.  Complying with ACGME resident duty hours restrictions: restructuring the 80-hour workweek to enhance education and patient safety at Texas A&M/Scott & White Memorial Hospital. , 2006, Academic medicine : journal of the Association of American Medical Colleges.

[35]  D. Dawson,et al.  Fatigue, alcohol and performance impairment , 1997, Nature.

[36]  Clinical and education implications of shift work , 2004, Medical teacher.

[37]  Paul C. Gorman,et al.  Strategic management simulations is a novel way to measure resident competencies. , 2001, American journal of surgery.

[38]  S. Brotherton,et al.  Graduate medical education, 2006-2007. , 2007, JAMA.

[39]  M. Karlowicz,et al.  Comparison of neonatal nurse practitioners' and pediatric residents' care of extremely low-birth-weight infants. , 2000, Archives of pediatrics & adolescent medicine.

[40]  Andrew M. Pack,et al.  Characteristics of crashes attributed to the driver having fallen asleep. , 1995, Accident; analysis and prevention.

[41]  Richard E. Mayer,et al.  When less is more: Meaningful learning from visual and verbal summaries of science textbook lessons. , 1996 .

[42]  A. M. Harrell,et al.  THE EFFECT OF INFORMATION LOAD ON DECISION MAKERS' CUE UTILIZATION LEVELS AND DECISION QUALITY IN... , 1990 .

[43]  C. Tribble,et al.  Acute sleep deprivation in the thoracic surgical resident does not affect operative outcomes. , 2005, The Annals of thoracic surgery.

[44]  A. Kluger,et al.  The effects of feedback interventions on performance: A historical review, a meta-analysis, and a preliminary feedback intervention theory. , 1996 .

[45]  Simon Folkard,et al.  Shiftwork: safety, sleepiness and sleep. , 2005, Industrial health.

[46]  Kenneth M Ludmerer,et al.  Learner-centered medical education. , 2004, The New England journal of medicine.

[47]  Dominik Aronsky,et al.  Shifting toward balance: measuring the distribution of workload among emergency physician teams. , 2007, Annals of emergency medicine.

[48]  E. Wooltorton.  Herbal kava: reports of liver toxicity. , 2002, CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne.

[49]  Julie J. Mohr,et al.  Exploring Innovation and Quality Improvement in Health Care Micro-Systems: A Cross-Case Analysis , 2001 .

[50]  J. Robbins,et al.  Sleep deprivation and cognitive testing in internal medicine house staff. , 1990, The Western journal of medicine.

[51]  E. Orav,et al.  Objective assessment of sleep and alertness in medical house staff and the impact of protected time for sleep. , 1996, Sleep.

[52]  Kevin G M Volpp,et al.  Residents' suggestions for reducing errors in teaching hospitals. , 2003, The New England journal of medicine.

[53]  C. Vincent,et al.  Adverse events in British hospitals: preliminary retrospective record review , 2001, BMJ : British Medical Journal.

[54]  T. Graham,et al.  The European Working Time Directive and training in cardiothoracic surgery in the United Kingdom. , 2007, The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland.

[55]  C. Tribble,et al.  Sleep deprivation does not affect operative results in cardiac surgery. , 2004, The Annals of thoracic surgery.

[56]  K. Gleason,et al.  Teaching Medication Reconciliation Through Simulation: A Patient Safety Initiative for Second Year Medical Students , 2008, Journal of general internal medicine.

[57]  Y. Yeh,et al.  S-alk(en)yl cysteines of garlic inhibit cholesterol synthesis by deactivating HMG-CoA reductase in cultured rat hepatocytes. , 2002, The Journal of nutrition.

[58]  David M Gaba,et al.  Patient safety: fatigue among clinicians and the safety of patients. , 2002, The New England journal of medicine.

[59]  Anita L. Tucker,et al.  Operational failures and interruptions in hospital nursing. , 2006, Health services research.

[60]  R. Wachter,et al.  Hospitalist staffing requirements. , 1999, Effective clinical practice : ECP.

[61]  J. Horne,et al.  The impact of sleep deprivation on decision making: a review. , 2000, Journal of experimental psychology. Applied.

[62]  William D. Marder,et al.  Multiple Chronic Conditions: Prevalence, Health Consequences, and Implications for Quality, Care Management, and Costs , 2007, Journal of General Internal Medicine.

[63]  T. Johnson,et al.  Replacing residents with midlevel practitioners: a New York City-area analysis. , 1995, Health affairs.

[64]  J. Weigelt,et al.  Resident work hours: what they are really doing. , 2004, Archives of surgery.

[65]  R. Steinbrook,et al.  The debate over residents' work hours. , 2002, The New England journal of medicine.

[66]  J. Cofer,et al.  How surgical faculty and residents assess the first year of the Accreditation Council for Graduate Medical Education duty-hour restrictions: results of a multi-institutional study. , 2006, American journal of surgery.

[67]  Ann E. K. Page.  Keeping Patients Safe: Transforming the Work Environment of Nurses , 2004 .

[68]  K. McDonald,et al.  Making health care safer: a critical analysis of patient safety practices. , 2001, Evidence report/technology assessment.

[69]  D. Baldwin,et al.  A National Survey of Residents’ Self-Reported Work Hours: Thinking Beyond Specialty , 2003, Academic medicine : journal of the Association of American Medical Colleges.

[70]  Fawaz Ahmad,et al.  The Effects of On-Duty Napping on Intern Sleep Time and Fatigue , 2006, Annals of Internal Medicine.

[71]  Harry H Yoon.  Adapting to duty-hour limits--four years on. , 2007, The New England journal of medicine.

[72]  T. Brennan,et al.  INCIDENCE OF ADVERSE EVENTS AND NEGLIGENCE IN HOSPITALIZED PATIENTS , 2008 .

[73]  C. Stampi.  Why We Nap , 1990 .

[74]  M. Orne,et al.  The benefits of a nap during prolonged work and wakefulness , 1988 .

[75]  Drew Dawson,et al.  Work hours and reducing fatigue-related risk: good research vs good policy. , 2005, JAMA.

[76]  M H Bonnet,et al.  The effect of varying prophylactic naps on performance, alertness and mood throughout a 52-hour continuous operation. , 1991, Sleep.

[77]  Alain Muzet,et al.  A critical review of techniques aiming at enhancing and sustaining worker's alertness during the night shift. , 2004, Industrial health.

[78]  Sanjay Saint,et al.  Systematic Review: Effects of Resident Work Hours on Patient Safety , 2004, Annals of Internal Medicine.

[79]  Carol DeFrances,et al.  2006 National Hospital Discharge Survey. , 2005, National health statistics reports.

[80]  Leora I. Horwitz,et al.  Changes in Outcomes for Internal Medicine Inpatients after Work-Hour Regulations , 2007, Annals of Internal Medicine.

[81]  Sleep deprivation, residency training, and ACGME rules: practical guidelines. , 2004, The Journal of pediatrics.

[82]  F. Griffin,et al.  Miles to go: an introduction to the 5 Million Lives Campaign. , 2007, Joint Commission journal on quality and patient safety.

[83]  S. Sereika,et al.  Care activities and outcomes of patients cared for by acute care nurse practitioners, physician assistants, and resident physicians: a comparison. , 1998, American journal of critical care : an official publication, American Association of Critical-Care Nurses.

[84]  E. Larson.  Twenty-First Century Hospitals: Intensification Increases , 2003 .

[85]  Ronald L. Jacobs,et al.  Structured On-the-Job Training: Unleashing Employee Expertise in the Workplace. Berrett-Koehler Organizational Performance Series. , 1995 .

[86]  P. Gimotty,et al.  Evolution of Sleep Quantity, Sleep Deprivation, Mood Disturbances, Empathy, and Burnout among Interns , 2006, Academic medicine : journal of the Association of American Medical Colleges.

[87]  C. Frith,et al.  A Specific Role for the Thalamus in Mediating the Interaction of Attention and Arousal in Humans , 1998, The Journal of Neuroscience.

[88]  Ellen Nolte,et al.  Measuring the health of nations: updating an earlier analysis. , 2008, Health affairs.

[89]  B. Bell.  Resident duty hour reform and mortality in hospitalized patients. , 2007, JAMA.

[90]  J. Bigger,et al.  The intern and sleep loss. , 1971, The New England journal of medicine.

[91]  J. Watson.  Impact of the ACGME Work Hour Requirements , 2005, Neurology.

[92]  S. Hamstra,et al.  Duty hours reforms in the United States, France, and Canada: is it time to refocus our attention on education? , 2006, Academic medicine : journal of the Association of American Medical Colleges.

[93]  J. Dorrian,et al.  The characteristics of recovery sleep when recovery opportunity is restricted. , 2007, Sleep.

[94]  M. Bonnet,et al.  Clinical effects of sleep fragmentation versus sleep deprivation. , 2003, Sleep medicine reviews.

[95]  K. Kort,et al.  Resident perceptions of the impact of work-hour restrictions on health care delivery and surgical education: time for transformational change. , 2004, Surgery.

[96]  P. Chandler,et al.  Assimilating complex information , 2002 .

[97]  Cleotilde Gonzalez,et al.  Task Workload and Cognitive Abilities in Dynamic Decision Making , 2005, Hum. Factors.

[98]  A. Ladd.  Pediatric surgery fellowship compliance to the 80-hour work week. , 2006, Journal of pediatric surgery.

[99]  M. Carskadon,et al.  Circadian rhythm sleep disorders: part I, basic principles, shift work and jet lag disorders. An American Academy of Sleep Medicine review. , 2007, Sleep.

[100]  B. Jolly,et al.  Lack of integration of medical education in Australia: the need for change , 2006, The Medical journal of Australia.

[101]  L. Kohn,et al.  To Err Is Human : Building a Safer Health System , 2007 .

[102]  M. Asken,et al.  Resident performance and sleep deprivation: a review. , 1983, Journal of medical education.

[103]  K. Anders Ericsson,et al.  Attaining Excellence Through Deliberate Practice: Insights from the Study of Expert Performance , 2008 .

[104]  Edward E. Whang,et al.  Implementing Resident Work Hour Limitations: Lessons from the New York State Experience , 2003 .

[105]  M. J. Meloy,et al.  The neural basis of the psychomotor vigilance task. , 2005, Sleep.

[106]  D. Dinges,et al.  Caffeine eliminates psychomotor vigilance deficits from sleep inertia. , 2001, Sleep.

[107]  T. Roth,et al.  Fragmenting sleep diminishes its recuperative value. , 1987, Sleep.

[108]  R. Gibberd,et al.  The Quality in Australian Health Care Study , 1995, The Medical journal of Australia.

[109]  C. Landrigan,et al.  Building physician work hour regulations from first principles and best evidence. , 2008, JAMA.

[110]  David F. Dinges,et al.  Are you awake? Cognitive performance and reverie during the hypnopompic state. , 1990 .

[111]  R. Hayward,et al.  Estimating hospital deaths due to medical errors: preventability is in the eye of the reviewer. , 2001, JAMA.

[112]  Jason Ryan,et al.  Unintended Consequences: The Accreditation Council for Graduate Medical Education Work-Hour Rules in Practice , 2005, Annals of Internal Medicine.

[113]  J. Kolars,et al.  Introduction of a 14-hour work shift model for housestaff in the medical ICU. , 2005, Chest.

[114]  H. Colten,et al.  Sleep Disorders and Sleep Deprivation: An Unmet Public Health Problem , 2006 .

[115]  M. Ris,et al.  IMPACT OF NIGHT-FLOAT ROTATION ON SLEEP, MOOD, AND ALERTNESS: THE RESIDENT'S PERCEPTION , 2002, Chronobiology international.

[116]  Donna L. Miller,et al.  Alertness management: strategic naps in operational settings , 1995, Journal of sleep research.

[117]  N. Kleitman,et al.  SLEEP AND WAKEFULNESS , 1940 .

[118]  S. Brotherton,et al.  US graduate medical education, 2001-2002: changing dynamics. , 2002, JAMA.

[119]  Rachel Leproult,et al.  Metabolic and endocrine changes , 2016 .

[120]  C. Marcus,et al.  Effect of sleep deprivation on driving safety in housestaff. , 1996, Sleep.

[121]  J. Richardson,et al.  Brief communication of the Residency Review Committee-Surgery (RRC-S) on residents' surgical volume in general surgery. , 2005, American journal of surgery.

[122]  R. Kronauer,et al.  Dose-response relationship between sleep duration and human psychomotor vigilance and subjective alertness. , 1999, Sleep.

[123]  M. Chee,et al.  Lapsing during Sleep Deprivation Is Associated with Distributed Changes in Brain Activation , 2008, The Journal of Neuroscience.

[124]  D. Dinges,et al.  Neurocognitive consequences of sleep deprivation. , 2005, Seminars in neurology.

[125]  Jane C Stutts,et al.  Driver risk factors for sleep-related crashes. , 2003, Accident; analysis and prevention.

[126]  Arpana R. Vidyarthi,et al.  Impact of Reduced Duty Hours on Residents' Educational Satisfaction at the University of California, San Francisco , 2006, Academic medicine : journal of the Association of American Medical Colleges.

[127]  Edward M. Hitchcock,et al.  Overtime and Extended Work Shifts: Recent Findings on Illnesses, Injuries, and Health Behaviors , 2004 .

[128]  R. Wachter.  The hospitalist movement 10 years later: life as a Swiss army knife. , 2006, MedGenMed : Medscape general medicine.

[129]  L Thorne,et al.  Neurosurgical trainees operative experience before and after introduction of the New Deal for junior doctors , 2006, British journal of neurosurgery.

[130]  M. Chee,et al.  Functional Imaging of Working Memory after 24 Hr of Total Sleep Deprivation , 2004, The Journal of Neuroscience.

[131]  T Akerstedt,et al.  Disturbed sleep while being on-call: an EEG study of ships' engineers. , 1988, Sleep.

[132]  S. Shackford,et al.  Workload redistribution: a new approach to the 80-hour workweek. , 2005, The Journal of trauma.

[133]  S. Doran,et al.  Sustained attention performance during sleep deprivation: evidence of state instability. , 2001, Archives italiennes de biologie.

[134]  A. Townson,et al.  Work hours, sleep deprivation, and fatigue: A British Columbia snapshot Survey results suggest that more explicit work-hour limits may be needed to protect first-year residents and their patients. , 2007 .

[135]  K. Sepkowitz,et al.  A method for assessing house staff workload as a function of length of stay. , 2001, JAMA.

[136]  J. Born,et al.  Effects of Early and Late Nocturnal Sleep on Declarative and Procedural Memory , 1997, Journal of Cognitive Neuroscience.

[137]  J. Civetta,et al.  24 hours on-call and acute fatigue no longer worsen resident mood under the 80-hour work week regulations. , 2006, Current surgery.

[138]  A Rahman,et al.  Perceived workload and performance of shift workers. , 1992, Journal of human ergology.

[139]  Caldwell Jl,et al.  Comparison of the effects of zolpidem-induced prophylactic naps to placebo naps and forced rest periods in prolonged work schedules. , 1998, Sleep.

[140]  T. Brennan,et al.  The effect of supervision of residents on quality of care in five university‐affiliated emergency departments , 1998, Academic medicine : journal of the Association of American Medical Colleges.

[141]  Debra F. Weinstein,et al.  Residents report on adverse events and their causes. , 2005, Archives of internal medicine.

[142]  N. Laird,et al.  Incidence of adverse drug events and potential adverse drug events , 1995 .

[143]  J. Cofer,et al.  Duty-Hour Restrictions and the Work of Surgical Faculty: Results of a Multi-Institutional Study , 2006, Academic medicine : journal of the Association of American Medical Colleges.

[144]  C. Parshuram,et al.  Fellowship training, workload, fatigue and physical stress: a prospective observational study , 2004, Canadian Medical Association Journal.

[145]  Melinda E Glines.  The Effect of Work Hour Regulations on Personal Development during Residency , 2004, Annals of Internal Medicine.

[146]  P. Leahy,et al.  Understanding Residents’ Work: Moving Beyond Counting Hours to Assessing Educational Value , 2003, Academic medicine : journal of the Association of American Medical Colleges.

[147]  M. Henderson,et al.  Redesigning Residency Education in Internal Medicine: A Position Paper from the Association of Program Directors in Internal Medicine , 2006, Annals of Internal Medicine.

[148]  Pascale Carayon,et al.  Nursing Workload and Patient Safety—A Human Factors Engineering Perspective , 2008 .

[149]  Paul Naitoh,et al.  Napping and Human Functioning during Prolonged Work , 1987 .

[150]  L. Scott,et al.  Effects of critical care nurses' work hours on vigilance and patients' safety. , 2006, American journal of critical care : an official publication, American Association of Critical-Care Nurses.

[151]  Sethuraman Panchanathan,et al.  Effect of fatigue on psychomotor and cognitive skills. , 2008, American journal of surgery.

[152]  R. Lewis,et al.  The 80-hour resident workweek does not adversely affect patient outcomes or resident education. , 2006, Current surgery.

[153]  J. McCulloch,et al.  CHAPTER 7 – Implications for Prevention , 1972 .

[154]  T. Balkin,et al.  The use of stimulants to modify performance during sleep loss: a review by the sleep deprivation and Stimulant Task Force of the American Academy of Sleep Medicine. , 2005, Sleep.

[155]  Paul Batalden,et al.  General competencies and accreditation in graduate medical education. , 2002, Health affairs.

[156]  J. Dorrian,et al.  The dynamics of neurobehavioural recovery following sleep loss , 2007, Journal of sleep research.

[157]  L. Aiken,et al.  The working hours of hospital staff nurses and patient safety. , 2004, Health affairs.

[158]  K. Skeff,et al.  Factorial validation of a widely disseminated educational framework for evaluating clinical teachers , 1998, Academic medicine : journal of the Association of American Medical Colleges.

[159]  Matthew B Weinger,et al.  Multiple Measures of Anesthesia Workload During Teaching and Nonteaching Cases , 2004, Anesthesia and analgesia.

[160]  C. Parshuram.  The impact of fatigue on patient safety. , 2006, Pediatric clinics of North America.

[161]  Peter Haug,et al.  Hospital Workload and Adverse Events , 2007, Medical care.

[162]  W. Levinson,et al.  Lost opportunities: how physicians communicate about medical errors. , 2008, Health affairs.

[163]  D B Raemer,et al.  Computerized realistic simulation: a teaching module for crisis management in radiology. , 1999, AJR. American journal of roentgenology.

[164]  A. Collins,et al.  Situated Cognition and the Culture of Learning , 1989 .

[165]  D. Fisman,et al.  Fatigue Increases the Risk of Injury From Sharp Devices in Medical Trainees Results From a Case-Crossover Study , 2007, Infection Control & Hospital Epidemiology.

[166]  B. Samstein,et al.  Work Hours Assessment and Monitoring Initiative (WHAMI) under resident direction: a strategy for working within limitations. , 2005, Current surgery.

[167]  C. Drake,et al.  Shift work sleep disorder: prevalence and consequences beyond that of symptomatic day workers. , 2004, Sleep.

[168]  Peter Davis,et al.  Adverse Events in New Zealand Public Hospitals: Principal Findings from a National Survey , 2003 .

[169]  D. Meltzer,et al.  Resident uncertainty in clinical decision making and impact on patient care: a qualitative study , 2008, Quality & Safety in Health Care.

[170]  C. Laine,et al.  The impact of a regulation restricting medical house staff working hours on the quality of patient care. , 1993, JAMA.

[171]  P Barach,et al.  Understanding the complexity of redesigning care around the clinical microsystem , 2006, Quality and Safety in Health Care.

[172]  D. Mahvi,et al.  The impact of work hour restrictions on surgical resident education. , 2008, Journal of surgical education.

[173]  Pascale Carayon,et al.  A human factors engineering conceptual framework of nursing workload and patient safety in intensive care units. , 2005, Intensive & critical care nursing.

[174]  David F. Dinges,et al.  Adult Napping and Its Effects on Ability to Function , 1992 .

[175]  J. Fischer.  Continuity of Care: A Casualty of the 80-Hour Work Week , 2004, Academic medicine : journal of the Association of American Medical Colleges.

[176]  A. Kozyrskyj.  Herbal products in Canada. How safe are they? , 1997, Canadian family physician Medecin de famille canadien.

[177]  C. Lindsell,et al.  The use of sleep aids among Emergency Medicine residents: a web based survey , 2006, BMC Health Services Research.

[178]  S. Sheps,et al.  The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada , 2004, Canadian Medical Association Journal.

[179]  B. Bell.  Reconsideration of the New York State Laws Rationalizing the Supervision and the Working Conditions of Residents , 2016 .

[180]  B. Bell.  Supervision, not regulation of hours, is the key to improving the quality of patient care. , 1993, JAMA.

[181]  E. Holmboe,et al.  Teaching and Improving Quality of Care in a Primary Care Internal Medicine Residency Clinic , 2005, Academic medicine : journal of the Association of American Medical Colleges.

[182]  Arpana R. Vidyarthi,et al.  The Impact of Duty Hours on Resident Self Reports of Errors , 2007, Journal of General Internal Medicine.

[183]  Reshma Jagsi,et al.  Regulation of junior doctors' work hours: an analysis of British and American doctors' experiences and attitudes. , 2004, Social science & medicine.

[184]  L. Côté,et al.  How Clinical Teachers Perceive the Doctor—Patient Relationship and Themselves as Role Models , 2000, Academic medicine : journal of the Association of American Medical Colleges.

[185]  Robert J. Crutcher,et al.  The role of deliberate practice in the acquisition of expert performance. , 1993 .

[186]  Katherine C. Kellogg,et al.  The Impact of the 80-Hour Resident Workweek on Surgical Residents and Attending Surgeons , 2006, Annals of surgery.

[187]  C. Leonard,et al.  The effect of fatigue, sleep deprivation and onerous working hours on the physical and mental wellbeing of pre-registration house officers , 1998, Irish journal of medical science.

[188]  T. Kubo,et al.  The nighttime nap strategies for improving night shift work in workplace. , 2005, Industrial health.

[189]  W B Runciman,et al.  A comparison of iatrogenic injury studies in Australia and the USA. I: Context, methods, casemix, population, patient and hospital characteristics. , 2000, International journal for quality in health care : journal of the International Society for Quality in Health Care.

[190]  E L Wiener,et al.  Vigilance and Task Load: In Search of the Inverted U , 1984, Human factors.

[191]  Pascale Carayon,et al.  Performance Obstacles of Intensive Care Nurses , 2007, Nursing research.

[192]  Kevin G Volpp,et al.  Mortality among hospitalized Medicare beneficiaries in the first 2 years following ACGME resident duty hour reform. , 2007, JAMA.

[193]  B. Dowd,et al.  Call nights and patient care: Effects on inpatients at one teaching hospital , 2007, Journal of General Internal Medicine.

[194]  T. Åkerstedt,et al.  SLEEPINESS AND DAYS OF RECOVERY , 2000 .

[195]  N M Laird,et al.  Hospital characteristics associated with adverse events and substandard care. , 1991, JAMA.

[196]  M. Kryger,et al.  Principles and Practice of Sleep Medicine , 1989 .

[197]  Laura K Barger,et al.  When policy meets physiology: the challenge of reducing resident work hours. , 2006, Clinical orthopaedics and related research.

[198]  David E. Ruchelsman,et al.  Operative experience in an orthopaedic surgery residency program: the effect of work-hour restrictions. , 2008, The Journal of bone and joint surgery. American volume.

[199]  T. Miclau,et al.  Measuring the attitudes and impact of the eighty-hour workweek rules on orthopaedic surgery residents. , 2007, The Journal of bone and joint surgery. American volume.

[200]  C. Vincent,et al.  Framework for analysing risk and safety in clinical medicine. , 1998, BMJ.

[201]  Tait Shanafelt,et al.  Burnout and Self-Reported Patient Care in an Internal Medicine Residency Program , 2002, Annals of Internal Medicine.

[202]  J Shamian,et al.  Nurses' reports on hospital care in five countries. , 2001, Health affairs.

[203]  D. Dula,et al.  The effect of working serial night shifts on the cognitive functioning of emergency physicians. , 2001, Annals of emergency medicine.

[204]  P. Barach,et al.  Reporting and preventing medical mishaps: lessons from non-medical near miss reporting systems , 2000, BMJ : British Medical Journal.

[205]  B. Barzansky,et al.  Sleep loss and fatigue in residency training: a reappraisal. , 2002, JAMA.

[206]  A E Crowley,et al.  Graduate medical education. , 1986, JAMA.

[207]  S. Carr,et al.  Education of senior house officers: current challenges , 2003, Postgraduate medical journal.

[208]  T. Sectish,et al.  Rates of medication errors among depressed and burnt out residents: prospective cohort study , 2008, BMJ : British Medical Journal.

[209]  D. West.  European Working Time Directive implementation and cardiothoracic training: larger centers may optimise training. , 2007, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery.

[210]  M. McDaniel,et al.  Hospitalwide adverse drug events before and after limiting weekly work hours of medical residents to 80. , 2005, American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists.

[211]  D. Bates,et al.  The Critical Care Safety Study: The incidence and nature of adverse events and serious medical errors in intensive care* , 2005, Critical care medicine.

[212]  J. Manson,et al.  A prospective study of self-reported sleep duration and incident diabetes in women. , 2003, Diabetes care.

[213]  Ajay K. Shah,et al.  Electronic Submission of Resident Work Hours: A Convenient Way of Exchange of Information , 2006, The American surgeon.

[214]  C. Vincent,et al.  Causes of prescribing errors in hospital inpatients: a prospective study , 2002, The Lancet.

[215]  N. Kohner.  Clinical Supervision in Practice , 1994 .

[216]  P. Pompei,et al.  Benefits of Resident Work Hours Regulation , 2004, Annals of Internal Medicine.

[217]  Anne K. Wong.  Curriculum development in anesthesia: Basic theoretical principles , 2006, Canadian journal of anaesthesia = Journal canadien d'anesthesie.

[218]  J. Como,et al.  Life after 80 hours: the impact of resident work hours mandates on trauma and emergency experience and work effort for senior residents and faculty. , 2005, The Journal of trauma.

[219]  Vinod Venkatraman,et al.  Sleep deprivation elevates expectation of gains and attenuates response to losses following risky decisions. , 2007, Sleep.

[220]  D. Dinges.  An overview of sleepiness and accidents , 1995, Journal of sleep research.

[221]  J. Carey,et al.  A method to limit working hours and reduce sleep deprivation in an obstetrics and gynecology residency program , 1990, Obstetrics and gynecology.

[222]  D. Teitelbaum,et al.  Impact of work-hour restrictions on residents' operative volume on a subspecialty surgical service. , 2005, Journal of the American College of Surgeons.

[223]  Mark R. Rosekind,et al.  Crew factors in flight operations 9: Effects of planned cockpit rest on crew performance and alertness in long-haul operations , 1994 .

[224]  C A Czeisler,et al.  Circadian pacemaker interferes with sleep onset at specific times each day: role in insomnia. , 1987, The American journal of physiology.

[225]  B. Hamilton,et al.  Impact of resident duty-hour reform on faculty clinical productivity. , 2006, Current surgery.

[226]  Jordan J. Cohen.  Professionalism in medical education, an American perspective: from evidence to accountability , 2006, Medical education.

[227]  Erik N. Kubiak,et al.  Resident work-hour rules: a survey of residents' and program directors' opinions and attitudes. , 2007, American journal of orthopedics.

[228]  Leora I. Horwitz,et al.  Internal medicine residents' clinical and didactic experiences after work hour regulation: a survey of chief residents. , 2006 .

[229]  T. Brennan,et al.  Incidence and types of adverse events and negligent care in Utah and Colorado. , 2000, Medical care.

[230]  N. Horrocks,et al.  Working the night shift: preparation, survival and recovery--a guide for junior doctors. , 2006, Clinical medicine.

[231]  S. Strogatz,et al.  Circadian regulation dominates homeostatic control of sleep length and prior wake length in humans. , 1986, Sleep.

[232]  A. C. Yankah,et al.  The European Working Time Directive: quo vadis? A well-planned and organized assassination of surgery. , 2006, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery.

[233]  Katherine C. Kellogg,et al.  Effect of work-hour reforms on operative case volume of surgical residents. , 2005, Current surgery.

[234]  Drew Dawson,et al.  Managing fatigue: it's about sleep. , 2005, Sleep medicine reviews.

[235]  T. Habermann,et al.  Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study. , 2006, JAMA.

[236]  M. Harders,et al.  Improving operating room efficiency through process redesign. , 2006, Surgery.

[237]  H. Mulvey,et al.  Pediatric Residency Duty Hours Before and After Limitations , 2006, Pediatrics.

[238]  Maria L. Thomas,et al.  Patterns of performance degradation and restoration during sleep restriction and subsequent recovery: a sleep dose‐response study , 2003, Journal of sleep research.

[239]  M. Buchsbaum,et al.  Frontal Lobe Metabolic Decreases with Sleep Deprivation not Totally Reversed by Recovery Sleep , 2006, Neuropsychopharmacology.

[240]  C. George,et al.  Sleep and motor performance in on-call internal medicine residents. , 2005, Sleep.

[241]  Michael W. L. Chee,et al.  Functional imaging of working memory following normal sleep and after 24 and 35 h of sleep deprivation: Correlations of fronto-parietal activation with performance , 2006, NeuroImage.

[242]  M. Fried,et al.  Effects of a Twenty‐Four Hour Call Period on Resident Performance During Simulated Endoscopic Sinus Surgery in an Accreditation Council for Graduate Medical Education–Compliant Training Program , 2005, The Laryngoscope.

[243]  C. Forrest,et al.  Effects of a night-float system on resident activities and parent satisfaction. , 1992, American journal of diseases of children.

[244]  Marvin C. Alkin,et al.  What Have We Learned? , 2019, Stumbling Blocks Against Unification.

[245]  L. Leape.  Error in Medicine , 1994 .

[246]  Alberto Malliani,et al.  Medical professionalism in the new millennium: a physician charter. , 2002, Annals of internal medicine.

[247]  R. Norton,et al.  Driver sleepiness and risk of serious injury to car occupants: population based case control study , 2002, BMJ : British Medical Journal.

[248]  D. Dawson,et al.  Quantifying the performance impairment associated with fatigue , 1999, Journal of sleep research.

[249]  J. Hobson,et al.  Visual discrimination learning requires sleep after training , 2000, Nature Neuroscience.

[250]  R J Fairbanks,et al.  How Residents Spend Their Nights on Call , 2000, Academic medicine : journal of the Association of American Medical Colleges.

[251]  W. Hirst,et al.  Characterizing attentional resources. , 1987, Journal of experimental psychology. General.

[252]  W. Leung.  Competency based medical training: review. , 2002, BMJ.

[253]  Peter Knauth,et al.  Extended work periods. , 2007, Industrial health.

[254]  T. Brennan,et al.  Incidence and types of preventable adverse events in elderly patients: population based review of medical records , 2000, BMJ : British Medical Journal.

[255]  R. Harrison,et al.  Teaching internal medicine residents in the new era , 2006, Journal of General Internal Medicine.

[256]  T. Brennan,et al.  Missed and Delayed Diagnoses in the Ambulatory Setting: A Study of Closed Malpractice Claims , 2006, Annals of Internal Medicine.

[257]  W. Bond,et al.  P REHOSPITAL AND H OSPITAL-BASED H EALTH C ARE P ROVIDERS ' E XPERIENCE WITH A H UMAN P ATIENT S IMULATOR , 2001, Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors.

[258]  William F Bond,et al.  The use of simulation for emergency medicine resident assessment. , 2002, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.

[259]  T. Hoff,et al.  Teaching but not learning: how medical residency programs handle errors , 2006 .

[260]  E. Salas,et al.  The science of training: a decade of progress. , 2001, Annual review of psychology.

[261]  Charles McCulloch,et al.  House staff team workload and organization effects on patient outcomes in an academic general internal medicine inpatient service. , 2007, Archives of internal medicine.

[262]  G. Anderson,et al.  The Growing Burden of Chronic Disease in America , 2004, Public health reports.

[263]  D. Dowding,et al.  Teaching evidence-based practice on foot , 2005, Evidence-based nursing.

[264]  L. Britt,et al.  Resident operative experience during the transition to work-hour reform. , 2005, Archives of surgery.

[265]  H. V. Dongen.  Shift Work and Inter‐Individual Differences in Sleep and Sleepiness , 2006 .

[266]  J. Pepper,et al.  No time to train the surgeons , 2004, BMJ : British Medical Journal.

[267]  E Salas,et al.  Simulation for training is effective when … , 2002, Quality & safety in health care.

[268]  David C. Classen,et al.  Development and Evaluation of the Institute for Healthcare Improvement Global Trigger Tool , 2008 .

[269]  J. Mincer.  On-the-Job Training: Costs, Returns, and Some Implications , 1962, Journal of Political Economy.

[270]  M. Hough.  Learning, Decisions and Transformation in Critical Care Nursing Practice , 2008, Nursing ethics.

[271]  L. McMahon,et al.  Effects of work hour reduction on residents' lives: a systematic review. , 2005, JAMA.

[272]  J. Sedelaar,et al.  Urological training in Europe: similarities and differences , 2005, BJU international.

[273]  Larrie Greenberg,et al.  The Reflective Practitioner: Reaching for Excellence in Practice , 2005, Pediatrics.

[274]  J. Gaughan,et al.  Short-term sleep deficits do not adversely affect acquisition of laparoscopic skills in a laboratory setting , 2004, Surgical Endoscopy.

[275]  David F Dinges,et al.  Critical research issues in development of biomathematical models of fatigue and performance. , 2004, Aviation, space, and environmental medicine.

[276]  Yaakov Stern,et al.  Identification and differential vulnerability of a neural network in sleep deprivation. , 2004, Cerebral cortex.

[277]  C A Czeisler,et al.  Human sleep: its duration and organization depend on its circadian phase. , 1980, Science.

[278]  R. Gillies,et al.  Exploring the views of second-year Foundation Programme doctors and their educational supervisors during a deanery-wide pilot Foundation Programme , 2006, Postgraduate Medical Journal.

[279]  C. Ulmer,et al.  Resident Duty Hours , 2009 .

[280]  K N Barker,et al.  Impact of interruptions and distractions on dispensing errors in an ambulatory care pharmacy. , 1999, American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists.

[281]  Debra F. Weinstein,et al.  The Educational Impact of ACGME Limits on Resident and Fellow Duty Hours: A Pre–Post Survey Study , 2006, Academic medicine : journal of the Association of American Medical Colleges.

[282]  M. Chee,et al.  Reproducibility of changes in behaviour and fMRI activation associated with sleep deprivation in a working memory task. , 2007, Sleep.

[283]  C. Skinner.  Re‐inventing medical work and training: a view from generation X , 2006, The Medical journal of Australia.

[284]  Joseph D Zuckerman,et al.  The early effects of code 405 work rules on attitudes of orthopaedic residents and attending surgeons. , 2005, The Journal of bone and joint surgery. American volume.

[285]  D. Dinges,et al.  Circadian Rhythms in Sleepiness, Alertness, and Performance , 2009 .

[286]  John A Groeger,et al.  Early morning executive functioning during sleep deprivation is compromised by a PERIOD3 polymorphism. , 2008, Sleep.

[287]  Joshua J Gooley,et al.  Neurobiology of the Sleep-Wake Cycle: Sleep Architecture, Circadian Regulation, and Regulatory Feedback , 2006, Journal of biological rhythms.

[288]  John J. Sosik,et al.  Investigating work group characteristics and performance over time: A replication and cross-cultural extension , 2002 .

[289]  A. Pack,et al.  Cumulative sleepiness, mood disturbance, and psychomotor vigilance performance decrements during a week of sleep restricted to 4-5 hours per night. , 1997, Sleep.

[290]  S. Tibby,et al.  Adverse events in a paediatric intensive care unit: relationship to workload, skill mix and staff supervision , 2004, Intensive Care Medicine.

[291]  S. Krishnamurthy,et al.  Resident Duty Hours Reform: Results of a National Survey of the Program Directors and Residents in Neurosurgery Training Programs , 2004, Neurosurgery.

[292]  W L Haskell,et al.  A review of the incorporation of complementary and alternative medicine by mainstream physicians. , 1998, Archives of internal medicine.

[293]  C. Guilleminault,et al.  Preliminary observations on the effects of sleep time in a sleep restriction paradigm. , 2003, Sleep medicine.

[294]  A. Flexner.  Medical education : a comparative study , 1925 .

[295]  D. Dinges,et al.  Sleep Deprivation and Vigilant Attention , 2008, Annals of the New York Academy of Sciences.

[296]  L. Osborn,et al.  Effects of time-in-clinic, clinic setting, and faculty supervision on the continuity clinic experience. , 1993, Pediatrics.

[297]  Debra F. Weinstein,et al.  The Accreditation Council for Graduate Medical Education's limits on residents' work hours and patient safety. A study of resident experiences and perceptions before and after hours reductions. , 2008, Archives of internal medicine.

[298]  D. Dinges,et al.  The cumulative cost of additional wakefulness: dose-response effects on neurobehavioral functions and sleep physiology from chronic sleep restriction and total sleep deprivation. , 2003, Sleep.

[299]  K. Sutcliffe,et al.  Residents' Responses to Medical Error: Coping, Learning, and Change , 2006, Academic medicine : journal of the Association of American Medical Colleges.

[300]  Stuart R. Lipsitz,et al.  Patterns of Technical Error Among Surgical Malpractice Claims: An Analysis of Strategies to Prevent Injury to Surgical Patients , 2007, Annals of surgery.

[301]  Howard A. Schwid,et al.  Computers in radiology , 2000, Pediatric Radiology.

[302]  M. Orne,et al.  Temporal placement of a nap for alertness: contributions of circadian phase and prior wakefulness. , 1987, Sleep.

[303]  P. Pronovost,et al.  Evaluation of two methods for quality improvement in intensive care: Facilitated incident monitoring and retrospective medical chart review* , 2003, Critical care medicine.

[304]  D. Dinges,et al.  Chapter 6 – Chronic Sleep Deprivation , 2005 .

[305]  F. Speizer,et al.  Extended work shifts and the risk of motor vehicle crashes among interns. , 2005, The New England journal of medicine.

[306]  E. Warm,et al.  The Ambulatory Long-Block: An Accreditation Council for Graduate Medical Education (ACGME) Educational Innovations Project (EIP) , 2008, Journal of General Internal Medicine.

[307]  V. Keyser,et al.  Occupational stress and burnout in anaesthesia. , 2003, British journal of anaesthesia.

[308]  J. C. Lynch,et al.  The effects of sleep loss on cognitive performance of resident physicians. , 1990, The Journal of family practice.

[309]  R. Budhiraja,et al.  Sleep and well-being of ICU housestaff. , 2007, Chest.

[310]  M. Booth,et al.  The Budget and Economic Outlook: An Update , 2011 .

[311]  A. Williamson,et al.  Work and rest in the long-distance road transport industry in Australia , 1995 .

[312]  A. Woodward,et al.  Work patterns and fatigue-related risk among junior doctors , 2007, Occupational and Environmental Medicine.

[313]  E. Langer.  The power of mindful learning , 1997 .

[314]  James E. Driskell,et al.  The Efficacy of Naps as a Fatigue Countermeasure: A Meta-Analytic Integration , 2005, Hum. Factors.

[315]  D. Meltzer,et al.  Effect of ACGME duty hours on attending physician teaching and satisfaction. , 2008, Archives of internal medicine.

[316]  N. Charness,et al.  Expert Performance Its Structure and Acquisition , 2002 .

[317]  Jennifer L. Chiu,et al.  Teaching and Assessing Knowledge Integration in Science , 2006, Science.

[318]  S. Ancoli-Israel,et al.  Sleep deprivation and clinical performance. , 2002, JAMA.

[319]  L. Lamberg.  Impact of long working hours explored. , 2004, JAMA.

[320]  Robert V Rege,et al.  Effect of sleep deprivation on the performance of simulated laparoscopic surgical skill. , 2003, American journal of surgery.

[321]  D. Bates,et al.  The Incidence and Severity of Adverse Events Affecting Patients after Discharge from the Hospital , 2003, Annals of Internal Medicine.

[322]  L. Halasyamani,et al.  Work hour rules and contributors to patient care mistakes: a focus group study with internal medicine residents. , 2008, Journal of hospital medicine.

[323]  Christine Webb,et al.  Clinical supervision skills: a Delphi and critical incident technique study , 1994 .

[324]  J. Walsh,et al.  Laboratory and field studies of naps and caffeine as practical countermeasures for sleep-wake problems associated with night work. , 2006, Sleep.

[325]  William J. Rothwell,et al.  Improving On-the-Job Training: How To Establish and Operate a Comprehensive OJT Program. Jossey-Bass Management Series. , 1994 .

[326]  W. Tarnow-Mordi,et al.  Hospital mortality in relation to staff workload: a 4-year study in an adult intensive-care unit , 2000, The Lancet.

[327]  D. C. Glass,et al.  Perceived control, depressive symptomatology, and professional burnout: A review of the evidence , 1996 .

[328]  A. Evans,et al.  Evaluating the performance of inpatient attending physicians , 2004, Journal of General Internal Medicine.

[329]  Sonia Ancoli-Israel,et al.  Sleep duration, illumination, and activity patterns in a population sample: effects of gender and ethnicity , 2000, Biological Psychiatry.

[330]  Teamwork on a cognitive task during a night of sleep deprivation and sustained operations , 2007 .

[331]  A. Hölscher,et al.  Alternative shift models and the quality of patient care , 2001, Langenbeck's Archives of Surgery.

[332]  J. Wong,et al.  Teaching and learning in an 80-hour work week , 2004, Journal of General Internal Medicine.

[333]  R. Balon,et al.  Burnout Comparison Among Residents in Different Medical Specialties , 2004, Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry.

[334]  J. Born,et al.  Early sleep triggers memory for early visual discrimination skills , 2000, Nature Neuroscience.

[335]  Anthony L Back,et al.  The effects of work-hour limitations on resident well-being, patient care, and education in an internal medicine residency program. , 2005, Archives of internal medicine.

[336]  K. Shojania,et al.  Graduate Medical Education and Patient Safety: A Busyand Occasionally HazardousIntersection , 2006, Annals of Internal Medicine.

[337]  D. Bates,et al.  Effect of reducing interns' work hours on serious medical errors in intensive care units. , 2004, The New England journal of medicine.

[338]  K. Spiegel,et al.  Brief Communication: Sleep Curtailment in Healthy Young Men Is Associated with Decreased Leptin Levels, Elevated Ghrelin Levels, and Increased Hunger and Appetite , 2004, Annals of Internal Medicine.

[339]  S. Roey.  Medical Education and the ACGME Duty Hour Requirements: Assessing the Effect of a Day Float System on Educational Activities , 2006, Teaching and learning in medicine.

[340]  DeBuono Ba,et al.  The medical resident workload: the case of New York State. , 1998 .

[341]  Laura K Barger,et al.  Effective implementation of work-hour limits and systemic improvements. , 2007, Joint Commission journal on quality and patient safety.

[342]  D. Meltzer,et al.  Association of workload of on-call medical interns with on-call sleep duration, shift duration, and participation in educational activities. , 2008, JAMA.

[343]  R. Stickgold.  Sleep-dependent memory consolidation , 2005, Nature.

[344]  A. Gawande,et al.  The incidence and nature of surgical adverse events in Colorado and Utah in 1992. , 1999, Surgery.

[345]  D. Berwick.  About the Institute for Healthcare Improvement , 1993 .

[346]  O. Kirton,et al.  Midlevel practitioner workforce analysis at a university-affiliated teaching hospital. , 2007, Archives of surgery.

[347]  Eduardo Salas,et al.  Simulation-Based Training for Patient Safety: 10 Principles That Matter , 2008 .

[348]  G. Tononi,et al.  Local sleep and learning , 2004, Nature.

[349]  Sharon K Tindall-Ford,et al.  Learning by imagining. , 2001, Journal of experimental psychology. Applied.

[350]  John Sweller,et al.  Efficiency in Learning: Evidence-Based Guidelines to Manage Cognitive Load , 2005 .

[351]  C. Abrass,et al.  A Process for Reducing Workload and Enhancing Residents' Education at an Academic Medical Center , 2001, Academic medicine : journal of the Association of American Medical Colleges.

[352]  D. Dinges,et al.  Performing while sleepy: Effects of experimentally-induced sleepiness. , 1991 .

[353]  P. Pronovost,et al.  An intervention to decrease catheter-related bloodstream infections in the ICU. , 2006, The New England journal of medicine.

[354]  Doris Østergaard.  National Medical Simulation training program in Denmark. , 2004 .

[355]  M. Mathur,et al.  Physician assistants as physician extenders in the pediatric intensive care unit setting—A 5-year experience , 2005, Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies.

[356]  A. Williamson,et al.  Moderate sleep deprivation produces impairments in cognitive and motor performance equivalent to legally prescribed levels of alcohol intoxication , 2000, Occupational and environmental medicine.

[357]  Wendy Macdonald,et al.  Effects of workload level and 8- versus 12-h workday duration on test battery performance , 2000 .

[358]  R. D. Alley,et al.  The society of thoracic surgeons. , 1976, The Annals of thoracic surgery.

[359]  I. Philibert.  Sleep loss and performance in residents and nonphysicians: a meta-analytic examination. , 2005, Sleep.

[360]  M. Bonnet,et al.  Acute Sleep Deprivation , 2013 .

[361]  M. Houston,et al.  Over the limit? , 2004, BMJ : British Medical Journal.

[362]  T. Åkerstedt,et al.  Impact of an 84-hour workweek on biomarkers for stress, metabolic processes and diurnal rhythm. , 2006, Scandinavian journal of work, environment & health.

[363]  D. Dinges,et al.  Catastrophes, sleep, and public policy: consensus report. , 1988, Sleep.

[364]  M. Stommel,et al.  Resident Attitudes Regarding the Impact of the 80–Duty-Hours Work Standards , 2005, The Journal of the American Osteopathic Association.

[365]  N. Gary,et al.  Changes in admissions, lengths of stay, and discharge diagnoses at a major university‐affiliated teaching hospital: implications for medical education , 1989, Academic medicine : journal of the Association of American Medical Colleges.

[366]  J. Hafner,et al.  Effect of time of day and duration into shift on hazardous exposures to biological fluids. , 1996, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.

[367]  D. Shulkin.  Like night and day--shedding light on off-hours care. , 2008, The New England journal of medicine.

[368]  E. F. Colecchia,et al.  Individual differences in subjective and objective alertness during sleep deprivation are stable and unrelated. , 2003, American journal of physiology. Regulatory, integrative and comparative physiology.

[369]  Benjamin K Poulose,et al.  Resident Work Hour Limits and Patient Safety , 2005, Annals of surgery.

[370]  Jordan J. Cohen.  Heeding the Plea To Deal with Resident Stress , 2002, Annals of Internal Medicine.

[371]  Samantha Scallan,et al.  Education and the working patterns of junior doctors in the UK: a review of the literature , 2003, Medical education.

[372]  D. Dinges.  Stress, fatigue, and behavioral energy. , 2009, Nutrition reviews.

[373]  S. Kilminster,et al.  Effective supervision in clinical practice settings: a literature review , 2000, Medical education.

[374]  T. Brennan,et al.  Costs of medical injuries in Utah and Colorado. , 1999, Inquiry : a journal of medical care organization, provision and financing.

[375]  F Nachreiner,et al.  Time on task effects on safety. , 2001, Journal of human ergology.

[376]  J. Gordon,et al.  The human patient simulator: acceptance and efficacy as a teaching tool for students. The Medical Readiness Trainer Team. , 2000, Academic medicine : journal of the Association of American Medical Colleges.

[377]  Robert S. Fleming.  That’s Not My Job! , 2011 .

[378]  Harlan M Krumholz,et al.  Transfers of patient care between house staff on internal medicine wards: a national survey. , 2006, Archives of internal medicine.

[379]  J. Rothschild,et al.  Effect of reducing interns' weekly work hours on sleep and attentional failures. , 2004, The New England journal of medicine.

[380]  S. Wilson,et al.  Effect of the 80-hour workweek on resident burnout. , 2004, Archives of surgery.

[381]  Pierre Philip,et al.  The Effects of Coffee and Napping on Nighttime Highway Driving , 2006, Annals of Internal Medicine.

[382]  P A Hancock,et al.  Influence of task demand characteristics on workload and performance. , 1995, The International journal of aviation psychology.

[383]  R. Levine,et al.  Effect of residency duty-hour limits: views of key clinical faculty. , 2007, Archives of internal medicine.

[384]  Training on the Clock: Family Medicine Residency Directors’ Responses to Resident Duty Hours Reform , 2006, Academic medicine : journal of the Association of American Medical Colleges.

[385]  C. Caruso.  Possible broad impacts of long work hours. , 2006, Industrial health.

[386]  M. Smolensky,et al.  DAY-NIGHT PATTERN IN ACCIDENTAL EXPOSURES TO BLOOD-BORNE PATHOGENS AMONG MEDICAL STUDENTS AND RESIDENTS , 2000, Chronobiology international.

[387]  T. Åkerstedt,et al.  Shift work and disturbed sleep/wakefulness. , 2003, Sleep medicine reviews.

[388]  Albert W. Wu,et al.  Medical error: the second victim , 2000, BMJ : British Medical Journal.

[389]  J. Veum,et al.  Training, Wages, and the Human Capital Model , 2013 .

[390]  Richard W. Johnson.  Gaps in Health Insurance Coverage Among the Near Elderly: Testimony before the Senate Finance Committee , 2001 .

[391]  D. Gaba,et al.  Simulation Study of Rested Versus Sleep-deprived Anesthesiologists , 2003, Anesthesiology.

[392]  Benjamin H Levi,et al.  Reporting medical errors to improve patient safety: a survey of physicians in teaching hospitals. , 2008, Archives of internal medicine.

[393]  Arpana R. Vidyarthi,et al.  Baseline duty hours recorded with time‐cards: a pre‐regulation study of internal medicine residents , 2006, Medical education.

[394]  R. Reznick,et al.  Differences in the perceived impact of sleep deprivation among surgical and non‐surgical residents , 2008, Medical education.

[395]  D. Classen,et al.  Detection of adverse events in surgical patients using the Trigger Tool approach , 2008, Quality & Safety in Health Care.

[396]  T. Balkin,et al.  Impaired decision making following 49 h of sleep deprivation , 2006, Journal of sleep research.

[397]  Charles Vincent,et al.  Exploring the Causes of Adverse Events in NHS Hospital Practice , 2001, Journal of the Royal Society of Medicine.

[398]  I. Wilson,et al.  Hospital economics of the hospitalist. , 2003, Health services research.