Extended Shifts Increase Error Rate
A study published in PLoS Medicine found that long shifts worked by interns have an effect on reported medical errors and patient safety. The researchers conducted a web-based survey with 2,737 interns who completed 17,003 monthly reports. The association between the number of extended-duration shifts (defined as at least 24 h continuously at work) worked in the month and the reporting of significant medical errors, preventable adverse events, and attentional failures was assessed using a case-crossover analysis in which each intern acted as his/her own control. Fatigue-related preventable adverse events associated with the death of the patient increased by roughly 300% in interns working more than five extended-duration shifts per month; they were also more likely to fall asleep during lectures, rounds, and clinical activities, including surgery.
According to USA Today, Richard H. Bell Jr., assistant executive director of the American Board of Surgery, said as a counterpoint that long shifts are sometimes necessary to provide continuity of care.
December 12, 2006 Related topics: Quality, Safety, Errors