Libby Zion

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Did they mention her friends confirmed she was a drug user and that cocaine plyed more a role in her death then any resident?dn
Sent from my Verizon Wireless BlackBerry

-----Original Message-----
From: Robert Smith <rfsmithmd at comcast.net>

Date: Tue, 3 Mar 2009 12:26:06 
To: Trauma-List at Trauma. Org<trauma-list at trauma.org>
Subject: Libby Zion


Today apparently marks the 25th anniversary of the death of Libby  
Zion. There was an article in the NYTimes today about the subsequent  
changes in residents work weeks by: Barron H. Lerner, a professor of  
medicine and public health at Columbia University Medical Center, is  
the author of “When Illness Goes Public: Celebrity Patients and How We  
Look at Medicine." The Libby Zion case was included in his book. Her  
father was described as a "former lawyer and powerful journalist" who  
made his daughters death into a crusade to change the working hours of  
residents. Dr. Lerner cited the report by the Institute of Medicine  
requested by Congress in 2007 and released in December of 2008:  http://www..iom.edu/CMS/3809/48553/60449/60469.aspx 
.. The report defines factors that increase fatigue as " being up for  
16 hrs, disturbed sleep, shift work, and intensity of work"  and calls  
for reducing resident's hours to no more than 16 consecutive hours,  
with a mandatory 5 hr sleep break in a 30 hour shift. They note that  
some medical educators worry that doctors will not be able to learn  
about the progression of acute illnesses especially in the crucial  
first 24 - 36 hrs. It estimates the cost of implementing these changes  
would be at least $1.7 billion.

I was wondering what type of physicians would propose such  
recommendations so I thought the make up of the committee might be  
instructive.


COMMITTEE ON Optimizinggraduatemedicaltrainee(resident) hoursandwork  
schedulestoimprovepatientsafety
MICHAEL M.E. JOHNS (Chair), Chancellor, Emory University, Atlanta, GA;  
JAMES BAGIAN, Chief Patient Safety Officer, Director, VA National  
Center for Patient Safety, Department of Veterans Affairs, Ann Arbor,  
MI; JAYANTA BHATTACHARYA, Assistant Professor, Center for Primary Care  
and Outcomes Research, Stanford University, CA; MAUREEN BISOGNANO,  
Executive Vice President and Chief Operating Officer (COO), Institute  
for Healthcare Improvement, Cambridge, MA; PASCALECARAYON, Procter &  
Gamble Bascom Professor in Total Quality, Department of Industrial and  
Systems Engineering and Director, Center for Quality and Productivity  
Improvement, University of Wisconsin-Madison; JORDAN J. COHEN,  
Professor, Medicine and Public Health, George Washington University,  
Washington, D.C.; DAVID F. DINGES, Professor and Chief, Division of  
Sleep and Chronobiology, Department of Psychiatry, University of  
Pennsylvania School of Medicine, Philadelphia; JAVIER A. GONZALEZ DEL  
REY, Professor of Pediatrics and Director, Pediatric Residency  
Programs, Cincinnati Children’s Hospital Medical Center; PETER J.  
KOLESAR, Professor Emeritus and Research Director, Deming Center for  
Quality, Productivity and Competitiveness, Columbia University, NY;  
BRIAN W. LINDBERG, Executive Director, Consumer Coalition for Quality  
Health Care, Washington, D.C.; KENNETH M. LUDMERER, Professor of  
Medicine and Professor of History, Washington University, St. Louis,  
MO; DANIEL MUNOZ, Fellow, Division of Cardiology, Johns Hopkins  
University School of Medicine, Baltimore, MD; CHRISTOPHER S.  
PARSHURAM, Director, Center for Safety Research, Assistant Professor,  
Department of Critical Care Medicine, Hospital for Sick Children, and  
Departments of Pediatrics, Health Policy Management and Evaluation,  
University of Toronto, ON; ANN E. ROGERS,Associate Professor,  
University of Pennsylvania School of Nursing, Philadelphia; DENISE  
M.ROUSSEAU, H.J. Heinz II Professor of Organizational Behavior and  
Public Policy and Director, Project of Evidence-based Organizational  
Practices, Carnegie Mellon University, Pittsburgh, PA; EDUARDOSALAS,  
Pegasus Professor and University Trustee Chair, Department of  
Psychology and Institute for Simulation and Training, University of  
Central Florida, Orlando, FL; BRUCE SIEGEL, Director, Center for  
Health Care Quality, George Washington University School of Public  
Health and Health Services, Washington, D.C.

Rob Smith
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