“…Measures suggested for mitigating fatigue and the risk of sleepiness in the workplace include adequate staffing, correct shift scheduling, work environment design, employee fatigue training, sleep disorder screening and management, and sleepiness and fatigue monitoring. Experience has shown that the screening of sleeping disorders and intervention to determine poor sleep quality can be incorporated into current health surveillance activities without a significant increase in medical costs or lost of medical time, and result in a substantial improvement in the quality of health care [ 94 , 130 ]. A number of health promotion programs targeted at sleepiness and fatigue prevention have been implemented [ 131 , 132 , 133 , 134 , 135 ] and proved to be effective; other programs, however, have had negative results [ 136 , 137 ].…”