From Flight Time Limitations to Fatigue Risk Management Systems – A Way Toward Resilience

Cabon, Philippe; Deharvengt, Stéphane; Berechet, Ion; Grau, J.; Maille, Nicolas; Mollard, Régis

doi:10.1201/9781317065265-6

Cited by 6 publications

(7 citation statements)

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“…Traditionally, fatigue risk has been managed through prescriptive limits on maximum duty durations and minimum rest durations within and between duty periods. This 'one-size-fits-all', single-layer defensive strategy is adequate for some type of operations, but it does not take into account all known causes of fatigue that can lead to impaired performance 19,20) .…”

Section: Introductionmentioning

confidence: 99%

Fatigue risk management for cabin crew: the importance of company support and sufficient rest for work-life balance—a qualitative study

2020

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Knowledge about cabin crew fatigue associated with ultra-long range (ULR) flights is still limited. Current ULR scheduling for cabin crew is therefore predominantly based on flight crew data. Cabin crews' views on fatigue, and their strategies for mitigating it, have seldom been sought. To better understand the causes and consequences of cabin crew fatigue, semi-structured focus group discussions were held. Thematic analysis was undertaken with data from 25 cabin crew. Participants indicated that the consequences of fatigue are twofold, affecting 1) cabin crew health and wellbeing and 2) safety (cabin, passenger and personal) and cabin service. While the primary causes of fatigue were sleep loss and circadian disruption, participants also identified other key factors including: insufficient rest, high workload, the work environment, a lack of company support, and insufficient fatigue management training. They highlighted the importance of sufficient rest, not only for obtaining adequate recovery sleep but also for achieving a work-life balance. They also highlighted the need for company support, effective communication, and management's engagement with cabin crew in general. We recommend that priority is given to fatigue management training for cabin crew, which may also enhance perceived company support and assist with achieving a better work-life balance.

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Section: Introductionmentioning

confidence: 99%

Fatigue risk management for cabin crew: the importance of company support and sufficient rest for work-life balance—a qualitative study

2020

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“…Cagno et al[88] developed a method for the assessment of risks that may compromise the resilience of critical public services, such as gas and power supply, in the aftermath of disasters. Cabon et al[89] assessed the risks of flight crews´ fatigue, using insights from RE to identify the contributing factors and risk control measures. Anderson et al[90] presented a classification of socio-technical risks that jeopardize resilience in the use of new technologies in healthcare.…”

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confidence: 99%

A systematic literature review of resilience engineering: Research areas and a research agenda proposal

Righi

Saurin

Wachs

2015

Reliability Engineering & System Safety

276

158

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“…Fatigue Risk Management System (FRMS) is a paradigm shift from prescriptive work time arrangements and it involves fatigue risk identification, fatigue risk assessment, fatigue mitigation as well as proactive fatigue monitoring on a continual basis. In other safety critical domains such as aviation sector, performance based fatigue risk management has shown promising results in countering shift work induced fatigue, while maintaining and even enhancing operational capabilities and productivity (Cabon et al, 2006).…”

Section: Awareness About the Working Conditions Of The Resident Medical Officers In The Unitedmentioning

confidence: 99%

Impact of fatigue on situation awareness of healthcare professionals

Dara¹

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This study explores the impact of fatigue on Situation Awareness (SA) both before and after the incorporation of a Fatigue Risk Management System (FRMS). It explores the relationship between fatigue and SA and the impact of FRMS on both fatigue and SA.Literature review showed that fatigue impacts workplace safety and health and public safety and health. In healthcare sector, the consequences of shift work induced fatigue in healthcare professionals can adversely impact patient safety. Workplace Safety and Health (Risk Management) Regulations in Singapore mandate the assessment and management of all identified risks and occupational safety and health best practices suggest performance based customised Fatigue Risk Management System (FRMS) as the best option. However healthcare sector continues to manage shift work related fatigue risk through prescriptive hours of service guidelines. Impact of fatigue on cognitive functions such as memory, attention and decision making have been extensively studied but the impact of fatigue on SA, which is an upstream indicator of cognitive presence is not clearly defined.This study was conducted in Surgical Intensive Care Unit (SICU) nurses in a tertiary care hospital in Singapore over 4 main phases: Preliminary studies, Pre FRMS, FRMS and Post FRMS. In the preliminary studies and Pre FRMS phase, fatigue and SA of nurses working in rotating shifts were analysed through roster analysis, fatigue survey, fatigue and sleepiness measures, actigraphy, vigilance testing and SA estimation. A healthcare model for FRMS was developed and implemented in SICU. FRMS included modifications to the SICU work roster to optimise the work and rest schedules, education of nurses on fatigue self-management during work as well as during the rest period, working with the SICU management for provision of alertness measures and

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From Flight Time Limitations to Fatigue Risk Management Systems – A Way Toward Resilience

Cited by 6 publications

References 0 publications

Fatigue risk management for cabin crew: the importance of company support and sufficient rest for work-life balance—a qualitative study

Fatigue risk management for cabin crew: the importance of company support and sufficient rest for work-life balance—a qualitative study

A systematic literature review of resilience engineering: Research areas and a research agenda proposal

Impact of fatigue on situation awareness of healthcare professionals

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