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Comment & Response
March 24/31, 2015

Duty Hour Reforms and Patient Outcomes—Reply

Author Affiliations
  • 1University of Pennsylvania, Philadelphia
JAMA. 2015;313(12):1269. doi:10.1001/jama.2015.1441

In Reply We evaluated the association of the 2011 Accreditation Council for Graduate Medical Education duty hour reforms with 30-day all-location mortality and 30-day all-cause readmissions. This nationwide study evaluated 6 384 273 admissions from 2 790 356 patients at 3104 hospitals.

We compared outcomes in more intensive teaching hospitals relative to less intensive or nonteaching hospitals. In the first year after the reforms, there were no significant associations between the 2011 duty hour reforms and patient outcomes. In our risk-adjusted models, the odds ratios for mortality were 1.00 (95% CI, 0.96-1.03) for combined medical conditions and 0.99 (95% CI, 0.94-1.04) for combined surgical conditions.

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