Reliability and Validity of Survey Instruments to Measure Work-Related Fatigue in the Emergency Medical Services Setting: A Systematic Review

Patterson, P. Daniel; Weaver, Matthew D.; Fabio, Anthony; Teasley, Ellen M; Renn, Megan L; Curtis, Brett; Matthews, Margaret E.; Kroemer, Andrew J; Xun, Xiaoshuang; Bizhanova, Zhadyra; Weiss, Patricia M; Sequeira, Denisse J; Coppler, Patrick J; Lang, Eddy; Higgins, Johanne

doi:10.1080/10903127.2017.1376134

Cited by 31 publications

(31 citation statements)

References 75 publications

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“…The median, minimum, and maximum inter-rater agreement (Kappa) between screeners for our seven systematic reviews were 0.66, 0.49, and 0.88, respectively (14)(15)(16)(17)(18)(19)(20). The percentage of agreement between the screeners and Principal Investigator was strongly correlated and ranged from 90% to 100% (14)(15)(16)(17)(18)(19)(20). The median, minimum, and maximum number of records retained for the seven systematic reviews was 13, 1, and 100, respectively.…”

Section: Resultsmentioning

confidence: 87%

“…We describe the methods and procedures common to seven systematic reviews (14)(15)(16)(17)(18)(19)(20). We describe the process of decision-making associated with fundamental steps where bias may impact results.…”

Section: Discussionmentioning

confidence: 99%

“…National Institute of Justice (NIJ) publications were also searched (http://www.nij.gov/ publications/Pages/welcome.aspx). Each systematic review search incorporated multiple terms covering concepts outlined in the papers that report on the systematic review's findings (14)(15)(16)(17)(18)(19)(20). All searches combined standardized terms drawn from controlled vocabularies (such as Medical Subject Headings for PubMed's MEDLINE database), author-selected keywords, and text words.…”

Section: Search Methods For Studiesmentioning

confidence: 99%

“…The bibliographies of articles retained for full-text review were searched for additional relevant literature. To view the search strategy for each systematic review, access the Online Supplement Appendix A document referenced in separate publications (14)(15)(16)(17)(18)(19)(20).…”

Section: Search Methods For Studiesmentioning

confidence: 99%

“…The type(s) of interventions targeted varied by research question. For our first research question (CRD42016040097), the search strategy focused on articles reporting use of fatigue or sleepiness survey instruments to assess/diagnose fatigue in the EMS workplace or a workplace environment of related shift worker groups (14). The search parameters for our second question (CRD42016040099) targeted comparisons of fatigue or fatigue-related outcomes by different shift durations (e.g., 12-hour vs. 24-hour shifts) (15).…”

Section: Types Of Interventionsmentioning

confidence: 99%

See 4 more Smart Citations

Systematic Review Methodology for the Fatigue in Emergency Medical Services Project

Patterson¹,

Higgins²,

Weiss³

et al. 2018

Prehospital Emergency Care

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Section: Resultsmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Section: Search Methods For Studiesmentioning

confidence: 99%

Section: Search Methods For Studiesmentioning

confidence: 99%

Section: Types Of Interventionsmentioning

confidence: 99%

See 3 more Smart Citations

Systematic Review Methodology for the Fatigue in Emergency Medical Services Project

Patterson¹,

Higgins²,

Weiss³

et al. 2018

Prehospital Emergency Care

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Working hours, sleep, and fatigue in the public safety sector: A scoping review of the research

Allison

Tiesman

Wong

et al. 2022

American J Industrial Med

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Background The public safety sector includes law enforcement officers (LEO), corrections officers (CO), firefighter service (FF), wildland firefighting (WFF), and emergency medical services (EMS), as defined in the National Occupational Research Agenda (NORA) of the National Institute for Occupational Safety and Health (NIOSH). Across these occupations, shiftwork, long‐duration shifts, and excessive overtime are common. Our objective was to identify research gaps related to working hours, sleep, and fatigue among these workers. Methods We used a scoping review study design that included searches of MEDLINE, Embase, CAB Abstracts, Global Health, PsychInfo, CINAHL, Scopus, Academic Search Complete, Agricultural and Environmental Science Collection, ProQuest Central, Cochrane Library, Safety Lit, Homeland Security Digital Library, and Sociological Abstracts using a range of occupational search terms and terms related to working hours, sleep, and fatigue. Results Out of 3415 articles returned from our database search, 202 met all inclusion criteria. Six common outcomes related to working hours, sleep, and fatigue emerged: sleep, fatigue, work performance, injury, psychosocial stress, and chronic disease. Nearly two‐thirds (59%, n = 120) of the studies were observational, of which 64% (n = 77) were cross sectional and 9% were (n = 11) longitudinal; 14% (n = 30) of the studies were reviews; and 19% (n = 39) were experimental or quasi‐experimental studies. Only 25 of the 202 articles described mitigation strategies or interventions. FFs, LEOs, EMS, and WFFs were the most studied, followed by COs. Conclusions In general, more longitudinal and experimental studies are needed to enrich the knowledge base on the consequences of long working hours, poor sleep, and fatigue in the public safety sector. Few experimental studies have tested novel approaches to fatigue mitigation in diverse sectors of public safety. This gap in research limits the decisions that may be made by employers to address fatigue as a threat to public‐safety worker health and safety.

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What Influences the Way Radiologists Express Themselves in Their Reports? A Quantitative Assessment Using Natural Language Processing

Crombé

Seux²,

Bratan

et al. 2022

J Digit Imaging

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Although using standardized reports is encouraged, most emergency radiological reports in France remain in free-text format that can be mined with natural language processing for epidemiological purposes, activity monitoring or data collection. These reports are obtained under various on-call conditions by radiologists with various backgrounds. Our aim was to investigate what influences the radiologists’ written expressions. To do so, this retrospective multicentric study included 30,227 emergency radiological reports of computed tomography scans and magnetic resonance imaging involving exactly one body region, only with pathological findings, interpreted from 2019–09-01 to 2020–02-28 by 165 radiologists. After text pre-processing, one-word tokenization and use of dictionaries for stop words, polarity, sentiment and uncertainty, 11 variables depicting the structure and content of words and sentences in the reports were extracted and summarized to 3 principal components capturing 93.7% of the dataset variance. In multivariate analysis, the 1 st principal component summarized the length and lexical diversity of the reports and was significantly influenced by the weekday, time slot, workload, number of examinations previously interpreted by the radiologist during the on-call period, type of examination, emergency level and radiologists’ gender ( P value range: < 0.0001–0.0029). The 2 nd principal component summarized negative formulations, polarity and sentence length and was correlated with the number of examination previously interpreted by the radiologist, type of examination, emergency level, imaging modality and radiologists’ experience ( P value range: < 0.0001–0.0032). The last principal component summarized questioning, uncertainty and polarity and was correlated with the type of examination and emergency level (all P values < 0.0001). Thus, the length, structure and content of emergency radiological reports were significantly influenced by organizational, radiologist- and examination-related characteristics, highlighting the subjectivity and variability in the way radiologists express themselves during their clinical activity. These findings advocate for more homogeneous practices in radiological reporting and stress the need to consider these influential features when developing models based on natural language processing. Supplementary Information The online version contains supplementary material available at 10.1007/s10278-022-00619-6.

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Reliability and Validity of Survey Instruments to Measure Work-Related Fatigue in the Emergency Medical Services Setting: A Systematic Review

Abstract: In this systematic review, limited evidence of the reliability and validity of 14 different survey instruments to assess the fatigue and/or sleepiness status of EMS personnel and related shift worker groups was identified.

Cited by 31 publications

References 75 publications

Systematic Review Methodology for the Fatigue in Emergency Medical Services Project

Systematic Review Methodology for the Fatigue in Emergency Medical Services Project

Working hours, sleep, and fatigue in the public safety sector: A scoping review of the research

What Influences the Way Radiologists Express Themselves in Their Reports? A Quantitative Assessment Using Natural Language Processing

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