Effect of Reducing Interns’ Work Hours on Serious Medical Errors in Intensive Care Units

Details

• Personal Author:
  Bates DW ; Burdick E ; Cronin JW ; Czeisler, Charles A. ; Katz JT ; Kaushal R ; Landrigan CP ; Lilly CM ; Lockley SW ; Rothschild JM ; Stone PH
• Description:
  Background: Although sleep deprivation has been shown to impair neurobehavioral performance, few studies have measured its effects on medical errors. Methods: We conducted a prospective, randomized study comparing the rates of serious medical errors made by interns while they were working according to a traditional schedule with extended (24 hours or more) work shifts every other shift (an "every third night" call schedule) and while they were working according to an intervention schedule that eliminated extended work shifts and reduced the number of hours worked per week. Incidents were identified by means of a multidisciplinary, four-pronged approach that included direct, continuous observation. Two physicians who were unaware of the interns' schedule assignments independently rated each incident. Results: During a total of 2203 patient-days involving 634 admissions, interns made 35.9 percent more serious medical errors during the traditional schedule than during the intervention schedule (136.0 vs. 100.1 per 1000 patient-days, P<0.001), including 56.6 percent more nonintercepted serious errors (P<0.001). The total rate of serious errors on the critical care units was 22.0 percent higher during the traditional schedule than during the intervention schedule (193.2 vs. 158.4 per 1000 patient-days, P<0.001). Interns made 20.8 percent more serious medication errors during the traditional schedule than during the intervention schedule (99.7 vs. 82.5 per 1000 patient-days, P=0.03). Interns also made 5.6 times as many serious diagnostic errors during the traditional schedule as during the intervention schedule (18.6 vs. 3.3 per 1000 patient-days, P<0.001). Conclusions: Interns made substantially more serious medical errors when they worked frequent shifts of 24 hours or more than when they worked shorter shifts. Eliminating extended work shifts and reducing the number of hours interns work per week can reduce serious medical errors in the intensive care unit. [Description provided by NIOSH]
• Subjects:
  Health Personnel Occupational Health Safety Shift Work Schedule Sleep Sleep Initiation And Maintenance Disorders
• Keywords:
  Health-care-personnel Medical-personnel Shift-work Shift-workers Sleep-deprivation Statistical-analysis Surveillance-programs
• ISSN:
  0028-4793
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Massachusetts ; OSHA Region 1
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  351
• Issue:
  18
• NIOSHTIC Number:
  nn:20025826
• Citation:
  N Engl J Med 2004 Oct; 351(18):1838-1848
• Contact Point Address:
  Dr. Czeisler at the Division of Sleep Medicine, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, 221 Longwood Ave., Boston, MA 02115
• Email:
  caczeisler@hms.harvard.edu
• Federal Fiscal Year:
  2005
• Performing Organization:
  Brigham and Women's Hospital
• Peer Reviewed:
  True
• Start Date:
  20010930
• Source Full Name:
  New England Journal of Medicine
• End Date:
  20060929
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:bdfd92e0d71891a90698acc62f14ae392164fdd048f527205f611a50d11baf3b0807d4ce07628964bedf2e1baa0fc046ef010a92f3c8d120fa70b0df85d8c0eb
• Download URL:
  https://stacks.cdc.gov/view/cdc/197042/cdc_197042_DS1.pdf
• File Type:
  [PDF - 105.62 KB ]