Institute:Office of National Coordinator (ONC) Workforce Training Curriculum
Component:The Culture of Health Care
Unit:Sociotechnical Aspects: Clinicians and Technology
Lecture:Medical errors
Patient safety
Slide content:Slips: Solving the Problem Need to limit opportunities for loss of attention Example: Sleep deprivation during resident training Resident training in United Stateslimit the number of duty hours per week to reduce slips due to fatigue and sleep deprivation 11
Slide notes:How can health care systems reduce or eliminate individual errors or slips? One answer is to limit the opportunities for loss of attention. For example, sleep deprivation during physicians resident training is associated with an increased incidence of errors. After graduating from medical school, physicians undergo additional specialized training as residents. Residency is a concentrated learning experience in the clinical setting during which residents spend a protracted number of continuous hours delivering patient care; this leads to sleep deprivation and fatigue. The rules about resident training in the United States have been changed to limit the number of duty hours per week allowed for residents in order to reduce slips due to fatigue and sleep deprivation. 11