Effects of night-float and 24-h call on resident psychomotor performance

Yi, William S.; Hafiz, Shabnam; Sava, Jack

doi:10.1016/j.jss.2013.03.029

Cited by 25 publications

(12 citation statements)

References 15 publications

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“…Nine studies were favorable toward <24-hour shifts for at least one of the seven important outcomes, while findings from one study were categorized as unfavorable. The latter study by Yi et al assessed psychomotor performance on a laparoscopic simulator at the end of 12-hour and 24-hour shifts (33). Findings showed no differences by shift duration for four of five psychomotor performance measures.…”

Section: Resultsmentioning

confidence: 99%

Shorter Versus Longer Shift Durations to Mitigate Fatigue and Fatigue-Related Risks in Emergency Medical Services Personnel and Related Shift Workers: A Systematic Review

Patterson¹,

Runyon²,

Higgins³

et al. 2018

Prehospital Emergency Care

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Section: Resultsmentioning

confidence: 99%

Shorter Versus Longer Shift Durations to Mitigate Fatigue and Fatigue-Related Risks in Emergency Medical Services Personnel and Related Shift Workers: A Systematic Review

Patterson¹,

Runyon²,

Higgins³

et al. 2018

Prehospital Emergency Care

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“…[6][7][8] Other research has illustrated that work hour changes may not lead to greater sleep or to better clinical performance [9][10][11][12] and that factors other than clinical work hours may contribute to fatigue. 13 Many studies have also utilized brief global assessments of wellness to assess effects of work hour changes without quantifying specific sleep data, 14,15 though research has shown that global perceptions of function or well-being do not correspond to results on detailed sleep assessments. 16 In addition, less is understood about individual-level susceptibility of trainee physicians to either sleep impairment or its negative downstream effects.…”

Section: Introductionmentioning

confidence: 99%

So Tired: Predictive Utility of Baseline Sleep Screening in a Longitudinal Observational Survey Cohort of First-Year Residents

et al. 2018

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During PGY-1 training, residents experience worsening sleep duration, quality of sleep, and daytime sleepiness. Residents with baseline impaired sleep tend to remain impaired. Moreover, many residents with baseline normal sleep experience sleep deterioration over time. Sleep screening at residency orientation may identify some, but not all, residents who will experience sleep impairment during training.

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“…Among these studies, only three reported on measures of performance. One study showed shift duration had no impact on performance, a separate study showed the shorter shift was more favorable than the longer duration shift, and a third study showed favorability for the longer duration shift for one component of an index measure of performance . Our study provides valuable reference data for a popular measure of performance, the PVT.…”

Section: Discussionmentioning

confidence: 65%

Impact of shift duration on alertness among air‐medical emergency care clinician shift workers

Patterson

Weaver

Markosyan

et al. 2019

American J Industrial Med

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Background: Greater than half of Emergency Medical Services (EMS) shift workers report fatigue at work and most work long duration shifts. We sought to compare the alertness level of EMS shift workers by shift duration. Methods:We used a multi-site, 14-day prospective observational cohort study design of EMS clinician shift workers at four air-medical EMS organizations. The primary outcome was behavioral alertness as measured by psychomotor vigilance tests (PVT) at the start and end of shifts. We stratified shifts by duration (< 24 h and 24 h), night versus day, and examined the impact of intra-shift napping on PVT performance. Results:One hundred and twelve individuals participated. The distribution of shifts <24 h and 24 h with complete data were 54% and 46%, respectively. We detected no differences in PVT performance measures stratified by shift duration (P > 0.05). Performance for selected PVT measures (lapses and false starts) was worse on nightInstitution at which the work was performed: The University of Pittsburgh served as the coordinating center and one of four study sites. Other sites included: Mercy Flight based in Buffalo, NY; MedCenter Air based in Charlotte, NC; and MedFlight of Ohio based in Columbus, Ohio. SUPPORTING INFORMATIONAdditional supporting information may be found online in the Supporting Information section at the end of the article. How to cite this article: Patterson PD, Weaver MD, Markosyan MA, et al. Impact of shift duration on alertness among air-medical emergency care clinician shift workers.

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Effects of night-float and 24-h call on resident psychomotor performance

Cited by 25 publications

References 15 publications

Shorter Versus Longer Shift Durations to Mitigate Fatigue and Fatigue-Related Risks in Emergency Medical Services Personnel and Related Shift Workers: A Systematic Review

Shorter Versus Longer Shift Durations to Mitigate Fatigue and Fatigue-Related Risks in Emergency Medical Services Personnel and Related Shift Workers: A Systematic Review

So Tired: Predictive Utility of Baseline Sleep Screening in a Longitudinal Observational Survey Cohort of First-Year Residents

Impact of shift duration on alertness among air‐medical emergency care clinician shift workers

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