The impact of a single 24 h working day on cognitive and psychomotor performance in staff anaesthesiologists

Abstract

Anaesthesiologists' 24 h working day in the emergency department altered cognitive and psychomotor function in comparison with ordinary working days. Speed, reliability and mental endurance (measured by TTST) were significantly impaired in all four tests. Stability and reaction time (measured by total variability) were only slightly impaired. Paradoxically, attention and alertness (measured by total number of errors) were not adversely affected. In conclusion, anaesthesiologists' psychomotor performance was impaired during the single 24 h shift.

Kidney Transplantation Improves Cognitive and Psychomotor Functions in Adult Hemodialysis Patients

“…We selected these four tests from the CRD series because a strong correlation was found between the results on CRD-series tests and cognitive and psychomotor functions in previous studies with repeated-measures design [19,20,21,22]. The goal was to complete each test as quickly and with as few errors as possible.…”

“…The test procedure is noted online and guarantees unbiased documentation. In earlier studies, CRD-series was able to detect even the slightest cognitive and psychomotor changes [18,19,20,21,22,23]. …”

Perubahan fungsi kognitif dan psikomotor residen anestesiologi dan terapi intensif setelah 32 jam kerja

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“…Laporan kronologis mortalitas dan morbiditas Departemen Anestesiologi dari JanuariMaret 2014 terdapat 6 kasus, yang seluruhnya terjadi pada dini hari dan saat akan berakhirnya jam jaga IGD. 9,11 Peserta PPDS sebagai peserta didik dan pelaksana pelayanan anestesia di RSUPNCM, memulai waktu kerjanya dengan mengikuti laporan pagi yang dimulai pukul 07.00. Saat mendapat tugas jaga di IGD maka jam jaga dimulai pukul 15.00 hingga pukul 15 …”

Circadian melatonin profiles during single 24-h shifts in anesthetists

“…Disrupted sleep, which is the daily routine for physicians on-call, is associated with so-called sleep inertia, a transient impairment of performance and mood that endangers patients' safety [6]. Besides health impacts [7,8], adverse patient-related outcomes have been reported [9,10], making extended duration shifts a fundamental issue in public health [11]. Adaptation to altered sleep-wake cycles is aggravated by a number of competitive factors.…”