Novel data on the impact of duty hour restrictions on residency training were obtained.
In our experimental analysis, we consider the impact of duty-cycling, number of gateways, and data traffic load on the OFs' performance.
Only 1 article used a randomized controlled trial to examine the impact of duty hour restrictions (1%).
This study utilized a survey instrument to evaluate the impact of duty hours' implementation on residents' career satisfaction, emotions and attitudes.
Major findings of articles with respect to the impact of duty hour restrictions on patient safety, resident well-being, and education can be listed as follows (Table 2).
In this section, we also include papers that address the unique considerations for procedural disciplines [ 20], as well as the impact of duty hour changes on professionalism [ 21].
Overall study objectives were to evaluate the impact of duty hour restrictions on resident education (101, 75%), patient safety (79, 59%), and resident wellness (48, 36%).
The majority of these studies relied solely on survey results related to staff perceptions of the impact of duty hour reforms; only a few assessed measurable, objective organizational outcomes [ 4, 5, 10, 16].
The research on the organizational impact of duty hour reforms is limited, and the majority of the work stems from the reported experiences of individual hospitals in the United States.
In addition, although there are many areas of debate with respect to the impact of duty hour restrictions, this article focused on patient safety, resident wellness, and resident education.
Little research has assessed the organizational impact of duty hour reforms; however, the literature reviewed demonstrates that many organizations are using new technologies, new personnel, and revised and innovative shift structures to compensate for reduced resident coverage and to decrease the risk of limited continuity of care.
