Table 2.
The incidence of adverse safety outcomes before and after the 16-h 2011 ACGME work-hour limit.
| 2002–2007 | 2014–2017 | |||||||
|---|---|---|---|---|---|---|---|---|
| Months* | Outcomes | Rate per Person-Year | Months* | Outcomes | Rate per Person-Year | Incidence Rate Ratio | p-value | |
| Crashes | 28,428 | 565 | 0.238 | 47,241 | 736 | 0.187 | 0.78 | <0.001 |
| Police-Reported Crashes | 28,428 | 130 | 0.055 | 47,241 | 167 | 0.042 | 0.77 | 0.03 |
| Crashes on commute | 28,428 | 243 | 0.103 | 47,241 | 277 | 0.070 | 0.69 | <0.001 |
| Near-crashes | 28,428 | 7,999 | 3.377 | 47,241 | 7,813 | 1.985 | 0.59 | <0.001 |
| Occupational Exposures | 30,155 | 2,942 | 1.171 | 47,946 | 2,840 | 0.711 | 0.61 | <0.001 |
| Percutaneous Injuries |
30,155 | 884 | 0.352 | 47,946 | 682 | 0.173 | 0.49 | <0.001 |
| Attentional Failures | 30,848 | 92,557 | 36.005 | 49,418 | 123,070 | 29.885 | 0.83 | <0.001 |
*
Months where participants reported zero hours of patient care are excluded for assessment of outcomes occurring in the patient care setting (medical errors and occupational exposures). Crash and near-crash months are limited to participants who reported having a valid driver’s license and commuting to work. Attentional failures include all months of data. P-values were obtained from generalized log-linear regression models.