Regarding the article IOM recommendations could cost teaching hospitals over $1.6 billion, study says:
The IOM recommends: retaining an 80-hour workweek limit; limiting work shifts to 16 consecutive hours; requiring five hours of sleep for residents working extended shifts; giving residents one day off a week and five days off a month.
I was stunned to see that an accompanying editorial argued against rapid implementation of the IOM recommendations and called for more study on their impact on preventable adverse events and patient handoffs.
Has everyone forgotten that sleep deprivation causes impaired judgment and poor response timejust to name a few of the negative side effects? HHS Secretary Kathleen Sebelius recently reported that hospital-acquired infections account for up to $20 billion in wasted healthcare costs. Thats a lot more than $1.6 billion. And what about never events?