J Korean Med Assoc.  2016 Feb;59(2):82-84. 10.5124/jkma.2016.59.2.82.

Working conditions of interns/residents and patient safety: Painful training might not be authentic

Affiliations
  • 1School of Health Policy & Management, College of Health Science, Korea University, Seoul, Korea. ssk3@korea.ac.kr
  • 2Department of Public Health Sciences, Graduate School of Korea University, Seoul, Korea.

Abstract

The current working conditions of medical interns and residents in South Korea pose dangers to patient safety as well as to staff health. A national survey in 2014 showed that interns/residents worked an average of 93 hours per week. The prevalence of physical and verbal violence experienced by medical residents in the preceding 12 months was reported as 13.1% and 61.5%, respectively. Furthermore, sleep deprivation due to long working hours was strongly associated with a high risk of committing 'near miss errors'. An act to govern the working environment of interns/residents was established in 2015 and stipulates a maximum working hours of 88 hours per week. This is an important step toward improving patient safety and intern/resident health in South Korea.

Keyword

Patient safety; Intern; Resident; Working hour; Occupational health

MeSH Terms

Humans
Korea
Occupational Health
Patient Safety*
Prevalence
Sleep Deprivation
Violence

Figure

  • Figure 1 Association between sleep hours per day and near miss error over the past 3 months among medical interns/residents in South Korea (n=1,784). Adjusted for age, sex, income, marital status, region, medical specialty, training year, questionnaire type, and hospital type. CI, confidence interval.


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