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Table 4 Resident Perceptions of Fatigue, Medical Errors, and Relation to Duty Hours

From: Perceptions of the 2011 ACGME duty hour requirements among residents in all core programs at a large academic medical center

Survey Question Respondents, No. (%)
I believe the current ACGME standards help reduce resident fatigue (n = 385)
 Strongly agree 61 (16)
 Agree 248 (64)
 Disagree 66 (17)
 Strongly disagree 10 (3)
I believe that I can consistently tell when fatigue is adversely affecting my clinical performance (n = 386)
 Strongly agree 52 (13)
 Agree 221 (57)
 Disagree 102 (26)
 Strongly disagree 11 (3)
I believe that my resident colleagues can consistently tell when fatigue is adversely affecting their clinical performance (n = 388)
 Strongly agree 22 (6)
 Agree 234 (60)
 Disagree 120 (31)
 Strongly disagree 12 (3)
I believe the ACGME duty hour rules decrease the frequency of residents performing clinical duties while fatigued (n = 387)
Strongly agree 38 (10)
Agree 250 (65)
Disagree 85 (22)
Strongly disagree 14 (4)
I believe the current ACGME standards ______ medical errors (n = 390)
 Markedly increase 15 (4)
 Increase 61 (16)
 Do not effect 171 (44)
 Decrease 126 (32)
 Markedly decrease 17 (4)
I believe the current ACGME standards __________ patient familiarity and continuity of care (n = 389)
 Markedly increase 7 (2)
 Increase 26 (7)
 Do not effect 116 (30)
 Decrease 192 (49)
 Markedly decrease 48 (12)
I believe that resident fatigue contributes to adverse events (n = 390)
 Strongly agree 112 (29)
 Agree 235 (60)
 Disagree 39 (10)
 Strongly disagree 4 (1)
I believe that patient handovers contribute to adverse events (n = 390)
 Strongly agree 113 (29)
 Agree 237 (61)
 Disagree 38 (10)
 Strongly disagree 2 (1)
Regarding the contribution of fatigue and handovers to adverse events, which of the following do you believe contribute more significantly to adverse events? (n = 389)
 Fatigue 105 (27)
 Handovers 158 (41)
 Both contribute equally 121 (31)
 Neither contribute 5 (1)
During my training, I have made an error in patient care at the conclusion of an extended shift (>24 h) (n = 387)
 Yes 80 (21)
 No 307 (79)
If so, did the error result in patient harm? (n = 100)
 Yes 10 (10)
 No 90 (90)
During my training, I have been involved in a motor vehicle collision or potentially life-threatening event while leaving the hospital after an extended shift (>24 h) (n = 387)
 Yes 16 (4)
 No 371 (96)
  1. Abbreviation: ACGME Accreditation Council for Graduate Medical Education