Early Effects of Resident Work-Hour Restrictions on Patient Safety: A Systematic Review and Plea for Improved Studies by Keith Baldwin, Surena Namdari,

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Presentation transcript:

Early Effects of Resident Work-Hour Restrictions on Patient Safety: A Systematic Review and Plea for Improved Studies by Keith Baldwin, Surena Namdari, Derek Donegan, Atul F. Kamath, and Samir Mehta J Bone Joint Surg Am Volume 93(2):e5 January 19, 2011 ©2011 by The Journal of Bone and Joint Surgery, Inc.

Search strategy. *The search terms were “resident” and “duty hour” or “work hour” and “mortality.”. Keith Baldwin et al. J Bone Joint Surg Am 2011;93:e5 ©2011 by The Journal of Bone and Joint Surgery, Inc.

Forest plot for meta-analysis for odds ratio (OR) of patient mortality before and after the implementation of the eighty-hour work week. Keith Baldwin et al. J Bone Joint Surg Am 2011;93:e5 ©2011 by The Journal of Bone and Joint Surgery, Inc.

Forest plot for meta-analysis for odds ratio (OR) of death among patients in nonteaching hospitals before and after the implementation of the eighty-hour work week. Keith Baldwin et al. J Bone Joint Surg Am 2011;93:e5 ©2011 by The Journal of Bone and Joint Surgery, Inc.

Assessment of publication bias for all work-hour studies (funnel plot of odds ratio [Ln OR] against standard error). Keith Baldwin et al. J Bone Joint Surg Am 2011;93:e5 ©2011 by The Journal of Bone and Joint Surgery, Inc.