Diagnosing house officer fatigue

BMJ 2003; 327 doi: (Published 30 October 2003) Cite this as: BMJ 2003;327:1057
  1. George Dunea, attending physician
  1. Cook County Hospital, Chicago, USA

    In a reaction to much hyped extrapolations about excessive hospital accidents and deaths, the educators and administrators who (over)regulate clinical medicine have decided that the root of all trouble is resident fatigue.

    They might have been better off addressing the real structural defects of modern hospitals—too much paperwork and bureaucracy, unavailable patient records, nurses pushing paper instead of nursing, doctors' patients scattered over 12 floors, and …

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