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Is There an Evidence-Based Approach to Surgeons' Working Hours?

Daniel Leff, MRCS; Omer Aziz, MRCS, BSc; Ara Darzi, FRCS, KBE

Arch Surg. 2007;142(9):817-820.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

There is at present an increasing body of evidence, in the form of both clinical studies and individual cases, suggesting that a tired physician is a dangerous one. A number of clinical studies have demonstrated that both technical and cognitive ability decline as a result of sleep deprivation and cumulative fatigue.^1-7 Isolated cases in which long hours were thought to compromise patient safety have accelerated the implementation of such change at a local level. The unexpected death of an 18-year-old girl in a New York State emergency department in 1986 resulted in a landmark ruling against the hospital because she had been treated by an emergency department resident and a medical intern who had been on duty for more than 18 hours. The response to this ruling, along with lobbying from key political groups, resulted in a modification of . . . [Full Text of this Article]

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