Christopher P Landrigan
Affiliation: Massachusetts General Hospital
- US public opinion regarding proposed limits on resident physician work hoursAlexander B Blum
Department of Health and Evidence Policy, Mount Sinai School of Medicine, New York, NY, USA
BMC Med 8:33. 2010..In 2008, the Institute of Medicine (IOM) recommended a reduction in resident physician work hours. We sought to assess the American public perspective on this issue...
- Temporal trends in rates of patient harm resulting from medical careChristopher P Landrigan
Division of Sleep Medicine, Department of Medicine, Brigham and Women s Hospital and Harvard Medical, Boston, MA 02115, USA
N Engl J Med 363:2124-34. 2010..In the 10 years since publication of the Institute of Medicine's report To Err Is Human, extensive efforts have been undertaken to improve patient safety. The success of these efforts remains unclear...
- Variation in pediatric hospitalists' use of proven and unproven therapies: a study from the Pediatric Research in Inpatient Settings (PRIS) networkChristopher P Landrigan
Department of Medicine, Brigham and Women s Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA
J Hosp Med 3:292-8. 2008..While care in pediatric hospitalist systems has been demonstrated to be efficient, neither the quality of care nor determinants of variation in pediatric hospitalist systems are well understood...
- Effects of the accreditation council for graduate medical education duty hour limits on sleep, work hours, and safetyChristopher P Landrigan
Division of Sleep Medicine, Department of Medicine, Brigham and Women s Hospital, 221 Longwood Ave, Boston, MA 02115, USA
Pediatrics 122:250-8. 2008..Our goal was to determine whether work hours, sleep, and safety changed after implementation of the Accreditation Council for Graduate Medical Education standards...
- Effect of reducing interns' work hours on serious medical errors in intensive care unitsChristopher P Landrigan
Division of Sleep Medicine, Brigham and Women s Hospital, Boston, MA 02115, USA
N Engl J Med 351:1838-48. 2004..Although sleep deprivation has been shown to impair neurobehavioral performance, few studies have measured its effects on medical errors...
- Effects of health care provider work hours and sleep deprivation on safety and performanceSteven W Lockley
Department of Medicine, Brigham and Women s Hospital, Boston, USA
Jt Comm J Qual Patient Saf 33:7-18. 2007..To reduce the unacceptably high rate of preventable fatigue-related medical error and injuries among health care workers, the United States must establish and enforce safe work-hour limits...
- The Critical Care Safety Study: The incidence and nature of adverse events and serious medical errors in intensive careJeffrey M Rothschild
Divisions of General Internal Medicine, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA
Crit Care Med 33:1694-700. 2005..Although many types of errors were identified, failure to carry out intended treatment correctly was the leading category...
- Effective implementation of work-hour limits and systemic improvementsChristopher P Landrigan
Department of Medicine, Brigham and Women s Hospital, Boston, USA
Jt Comm J Qual Patient Saf 33:19-29. 2007..Implementation of evidence-based work-hour limits, scientifically designed work schedules, and infrastructural changes, such as the development of standardized handoff systems, are urgently needed...
- Variations in management of common inpatient pediatric illnesses: hospitalists and community pediatriciansPatrick H Conway
Department of Medicine, Children s Hospital Boston, Harvard Medical School, Boston, Massachusetts, USA
Pediatrics 118:441-7. 2006....
- Rates of medication errors among depressed and burnt out residents: prospective cohort studyAmy M Fahrenkopf
Harvard Medical School, Department of Medicine, Children s Hospital Boston, Boston, MA 02115, USA
BMJ 336:488-91. 2008..To determine the prevalence of depression and burnout among residents in paediatrics and to establish if a relation exists between these disorders and medication errors...
- Pediatric residents' perspectives on reducing work hours and lengthening residency: a national surveyMary Beth Gordon
aDivision of General Pediatrics, Children s Hospital Boston, Boston, Massachusetts 02115, USA
Pediatrics 130:99-107. 2012..Program directors tend to oppose further restrictions; however, residents' views are unclear. We sought to determine whether residents support these proposals, and if so why...
- Recovery from medical errors: the critical care nursing safety netJeffrey M Rothschild
Harvard Medical School, Boston, USA
Jt Comm J Qual Patient Saf 32:63-72. 2006..Patient surveillance and preventing errors from harming patients represent essential nursing responsibilities but have received relatively little study...
- Does simulator-based clinical performance correlate with actual hospital behavior? The effect of extended work hours on patient care provided by medical internsJames A Gordon
Gilbert Program in Medical Simulation, Harvard Medical School, Boston, Massachusetts, USA
Acad Med 85:1583-8. 2010..This study explored whether the effects of extended work hours on clinical performance, as reported in prior hospital-based studies, could be observed in a simulator-based testing environment...
- Risks of complications by attending physicians after performing nighttime proceduresJeffrey M Rothschild
Division of General Medicine and Primary Care, Brigham and Women s Hospital, 1620 Tremont St, Boston, MA 02120 1613, USA
JAMA 302:1565-72. 2009..Few data exist on the relationships between experienced physicians' work hours and sleep, and patient safety...
- Pediatric hospitalists: a systematic review of the literatureChristopher P Landrigan
Department of Medicine, Children s Hospital Boston, MA 02115, USA
Pediatrics 117:1736-44. 2006..Systematic reviews have demonstrated consistently decreased length of stay and costs in internal medicine hospitalist systems. Systematic reviews of pediatric hospitalist systems have not been conducted...
- When policy meets physiology: the challenge of reducing resident work hoursSteven W Lockley
Division of Sleep Medicine, Brigham and Women s Hospital, Boston, MA 02115, USA
Clin Orthop Relat Res 449:116-27. 2006..An evidence-based approach is needed to minimize the well-documented risk that current work hour practices confer on resident health and patient safety while optimizing education and continuity of care...
- Preventable adverse events in infants hospitalized with bronchiolitisSarah C McBride
Department of Medicine, Children s Hospital Boston, Boston, MA 02115, USA
Pediatrics 116:603-8. 2005..To determine the incidence of preventable adverse events (AEs) and near misses (NMs) among infants hospitalized for bronchiolitis at a pediatric tertiary care hospital and the impact of these errors on hospital length of stay (LOS)...
- Interns' compliance with accreditation council for graduate medical education work-hour limitsChristopher P Landrigan
Harvard Work Hours, Health and Safety Group, Division of Sleep Medicine, Department of Medicine, Brigham and Women s Hospital, Boston, Mass 02115, USA
JAMA 296:1063-70. 2006..The Accreditation Council for Graduate Medical Education (ACGME) introduced duty-hour standards in 2003 to reduce work hours...
- Sleep disorders, health, and safety in police officersShantha M W Rajaratnam
Division of Sleep Medicine, Department of Medicine, Brigham and Women s Hospital, Boston, MA 02115, USA
JAMA 306:2567-78. 2011..Sleep disorders often remain undiagnosed. Untreated sleep disorders among police officers may adversely affect their health and safety and pose a risk to the public...
- Effects of a night-team system on resident sleep and work hoursKao Ping Chua
Harvard Pediatric Health Services Research Fellowship, Children s Hospital Boston, Boston, MA 02115, USA
Pediatrics 128:1142-7. 2011..Of note, resident staffing at night decreased under this system. The objective of this study was to assess the effects of this system on resident sleep and work hours...
- Impact of a health maintenance organization hospitalist system in academic pediatricsChristopher P Landrigan
Department of Medicine, Children s Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA
Pediatrics 110:720-8. 2002..We wanted to determine whether a health maintenance organization's (HMO's) implementation of a pediatric hospitalist system affected LOS, costs, mortality, readmission rate, follow-up rate, and parents' ratings of care...
- Effect of reducing interns' weekly work hours on sleep and attentional failuresSteven W Lockley
Division of Sleep Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA 02115, USA
N Engl J Med 351:1829-37. 2004..CONCLUSIONS: Eliminating interns' extended work shifts in an intensive care unit significantly increased sleep and decreased attentional failures during night work hours...
- The effect of physician sleep deprivation on patient safety in perinatal-neonatal medicineAkindele Majekodunmi
Department of Medicine, Brigham and Women s Hospital, Boston, Massachusetts, USA
Am J Perinatol 29:43-8. 2012..This review will discuss what is known about how provider sleep deprivation may impact perinatal and neonatal medicine and will discuss ongoing research questions that must be addressed to guide future improvement efforts...
- Unit-based care teams and the frequency and quality of physician-nurse communicationsMary Beth Gordon
Division of General Pediatrics, Department of Medicine, Children s Hospital Boston, 300 Longwood Ave, Boston, MA 02115, USA
Arch Pediatr Adolesc Med 165:424-8. 2011....
- Neurobehavioral, health, and safety consequences associated with shift work in safety-sensitive professionsLaura K Barger
Division of Sleep Medicine, Brigham and Women s Hospital, 221 Longwood Avenue, Boston, MA 02115, USA
Curr Neurol Neurosci Rep 9:155-64. 2009..Comprehensive fatigue management programs that include education, screening for common sleep disorders, and appropriate interventions need to be developed to minimize these negative consequences associated with shift work...
- Surgeon fatigue: a prospective analysis of the incidence, risk, and intervals of predicted fatigue-related impairment in residentsFrank McCormick
Harvard Combined Orthopaedic Residency Program, Massachusetts General Hospital, Boston, MA 02494, USA
Arch Surg 147:430-5. 2012..A novel approach to identify at-risk periods among orthopedic surgical residents may direct fatigue risk mitigation and facilitate targeted interventions...
- Effects of reducing or eliminating resident work shifts over 16 hours: a systematic reviewAdam C Levine
Harvard Affiliated Emergency Medicine Residency, Department of Emergency Medicine, Brigham and Women s and Massachusetts General Hospital, Harvard Medical School, Boston, MA 02115, USA
Sleep 33:1043-53. 2010..The Institute of Medicine (IOM) has called for the elimination of resident work shifts exceeding 16 hours without sleep. We sought to comprehensively evaluate the effects of eliminating or reducing shifts over 16 hours...
- Effect of a pediatric hospitalist system on housestaff education and experienceChristopher P Landrigan
Department of Medicine, Children s Hospital, Main 10E, Room 1032 2, 300 Longwood Ave, Boston, MA 02115, USA
Arch Pediatr Adolesc Med 156:877-83. 2002..To determine the effect of a pediatric hospitalist system on housestaff education and experience...
- Prioritizing strategies for preventing medication errors and adverse drug events in pediatric inpatientsElizabeth B Fortescue
Department of Medicine, Quality Improvement, and Risk Management, Children's Hospital, Boston, Massachusetts, USA
Pediatrics 111:722-9. 2003..Development, implementation, and assessment of such interventions in the pediatric inpatient setting are needed...
- The safety of inpatient pediatrics: preventing medical errors and injuries among hospitalized childrenChristopher P Landrigan
Inpatient Pediatrics Service, Children s Hospital Boston, 300 Longwood Avenue, Boston, MA 02115, USA
Pediatr Clin North Am 52:979-93, vii. 2005..The article also discusses strategies proven effective in reducing medical errors and some of the barriers to implementing these strategies that must be overcome...
- Building physician work hour regulations from first principles and best evidenceKevin G Volpp
Center for Health Equity Research and Promotion, Veterans Administration Hospital, and Department of Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA
JAMA 300:1197-9. 2008
- Senior resident autonomy in a pediatric hospitalist systemChristopher P Landrigan
Arch Pediatr Adolesc Med 157:206-7. 2003
- Effect of intern's consecutive work hours on safety, medical education and professionalismChristopher P Landrigan
Crit Care 9:528-30; author reply 528-30. 2005
- A shift for the betterCraig M Lilly
Chest 128:3787-8. 2005
- Pediatric hospitalists: report of a leadership conferencePatricia S Lye
Department of Pediatrics, Children s Research Institute, Medical College of Wisconsin, Milwaukee, Wisconsin 53226, USA
Pediatrics 117:1122-30. 2006..To summarize a meeting of academic pediatric hospitalists and to describe the current state of the field...
- Complications in infants hospitalized for bronchiolitis or respiratory syncytial virus pneumoniaDouglas F Willson
PICU and the Division of Pediatric Critical Care, University of Virginia Children's Medical Center, Charlottesville, Virginia, USA
J Pediatr 143:S142-9. 2003..Former premature infants and infants with congenital abnormalities are at significantly greater risk for complications. Broader use of RSV prevention should be considered for these higher-risk infants...
- Impact of a hospitalist system on length of stay and cost for children with common conditionsRajendu Srivastava
Department of Pediatrics, University of Utah Health Sciences Center, 100 N Medical Dr, Primary Children s Medical Center, Salt Lake City, UT 84113, USA
Pediatrics 120:267-74. 2007..This study examined mechanisms of efficiency in a managed care hospitalist system on length of stay and total costs for common pediatric conditions...
- Effect of computer order entry on prevention of serious medication errors in hospitalized childrenKathleen E Walsh
Department of Pediatrics, University of Massachusetts Medical School UMass Memorial Medical Center, Worcester, Massachusetts 01655, USA
Pediatrics 121:e421-7. 2008..Our objective was to evaluate comprehensively the effect of computerized physician order entry on the rate of inpatient pediatric medication errors...
- Assessing procedural skills training in pediatric residency programsMichael G Gaies
Department of Pediatrics and Communicable Diseases, Division of Pediatric Cardiology, C S Mott Children s Hospital, Ann Arbor, MI 48109 0204, USA
Pediatrics 120:715-22. 2007..The objective of this study was to assess the opinions of pediatric program directors regarding procedural skills training of pediatric residents...