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Master Thesis

Effets de la limitation des heures de travail et de garde des internes de spécialités médicales sur la sécurité des soins : une revue systématique de la littérature

Abstract : Background: for 30 years, duty hours restrictions are applied for resident around the world, with aim goal was to enhance patient safety. But the impact of resident duty hour restrictions on patients and residents still is unclear. Methods: the review draws on reports catalogued in Pubmed, Cochrane, Embase. Studies included were evaluating restricted duty hours on medical residents. Outcomes were evaluating patient care and safety (mortality, morbidity, length of stay, medical errors). Results: ten studies met the inclusion criteria. A metaanalysis found a significative reduction of mortality: OR 0,78 IC (0,72-0,85): reduction of 22 % of mortality. Length of stay was unchanged, results about medical errors were contradictory. Safety of care, and morbidity reported were found diminished in one study. Conclusion: this updated review, including 10 recent applicable studies, demonstrates that restricted medical resident duty hours resulted in improvements in patient care, especially on mortality.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03204566
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Submitted on : Thursday, May 6, 2021 - 4:09:05 PM
Last modification on : Tuesday, September 7, 2021 - 3:23:50 AM

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  • HAL Id : dumas-03204566, version 1

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Maxime Faidix. Effets de la limitation des heures de travail et de garde des internes de spécialités médicales sur la sécurité des soins : une revue systématique de la littérature. Médecine humaine et pathologie. 2019. ⟨dumas-03204566⟩

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