The shift length, fatigue, and safety conundrum in EMS

Prehospital Emergency Care

Volumn 16, Issue 4, 2012, Pages 572-576

  Patterson, P Daniel ^a   Weaver, Matthew D ^a   Hostler, David ^a   Guyette, Francis X ^a   Callaway, Clifton W ^a   Yealy, Donald M ^a  

^a UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; EMERGENCY HEALTH SERVICE; FATIGUE; HUMAN; ORGANIZATION AND MANAGEMENT; PATIENT SAFETY; PSYCHOLOGICAL ASPECT; RESCUE PERSONNEL; WORK SCHEDULE;

EMERGENCY MEDICAL SERVICES; EMERGENCY MEDICAL TECHNICIANS; FATIGUE; HUMANS; PATIENT SAFETY; WORK SCHEDULE TOLERANCE;

EID: 84865721844     PISSN: 10903127     EISSN: 15450066     Source Type: Journal    
DOI: 10.3109/10903127.2012.704491     Document Type: Note

References (47)

1. Caruso CC, Hitchcock EM, Dick RB, Russo JM, Schmit JM. Overtime and Extended Work Shifts: Recent Findings on Illnesses, Injuries, and Health Behaviors. Cincinnati, OH: National Institute for Occupational Safety and Health (NIOSH), 2004.
2. Jha AK, Duncan BW, Bates DW. Fatigue, sleepiness, and medical errors. In: Wachter RM, McDonald KM, Shojania KG, et al. Making Health Care Safer: A Critical Analysis of Patient Safety Practices. San Francisco: University of California at San Francisco (UCSF)-Stanford University Evidence-based Practice Center, 2001, pp 523-36.
3. Elliot DL, Kuehl KS. Effects of Sleep Deprivation on Fire Fighters and EMS Responders. Portland, OR: Oregon Health & Sciences University, 2007.
4. Patterson PD, Weaver MD, Frank R, et al. Association between sleep, fatigue, and safety outcomes in emergency medical services providers. Prehosp Emerg Care. 2012;16:86-97.
5. Ragone M. Are we ready for the future? Where EMS stands now & where it's prepared to go. JEMS. 2011;36(2):38-43.
6. Babyak MA. Understanding confounding and mediation. Evid Based Ment Health. 2009;12(3):68-71.
7. IARC Working Group on the Evaluation of Carcinogenic Risks to Humans, International Agency for Research on Cancer, World Health Organization. Painting, Firefighting, and Shiftwork. Lyon, France, and Geneva: International Agency for Research on Cancer; distributed by WHO Press, 2010.
8. Patterson PD, Suffoletto BP, Kupas DF, Weaver MD, Hostler D. Sleep quality and fatigue among prehospital providers. Pre-hosp Emerg Care. 2010;14:187-93.
9. Sofianopoulos S, Williams B, Archer F. Paramedics and the effects of shift work on sleep: a literature review. Emerg Med J. 2012;29:152-5.
10. van der Ploeg E, Kleber RJ. Acute and chronic job stressors among ambulance personnel: predictors of health symptoms. Occup Environ Med. 2003;60(suppl 1):i40-i46.
11. Takeyama H, Itani T, Tachi N, et al. Effects of a modified ambulance shift system on fatigue and physiological function among ambulance paramedics. J Occup Health. 2009;51:204-9.
12. Ricci JA, Chee E, Lorandeau AL, Berger J. Fatigue in the U.S. workforce: prevalence and implications for lost productive work time. J Occup Environ Med. 2007;49:1-10.
13. De Vries J, Michielsen HJ, Van Heck GL. Assessment of fatigue among working people: a comparison of six questionnaires. Oc-cup Environ Med. 2003;60(suppl 1):i10-i15.
14. Alberts M, Vercoulen J, Bleijenberg G. Assessment of fatigue-the practical utility of subjective feeling of fatigue in different research studies. In: Vingerhoets A (ed). Assessment of Fatigue in Behavioral Medicine. Reading, UK: Taylor & Francis Inc., 2001, pp 301-28.
15. Smets EM, Garssen B, Bonke B, De Haes JC. The Multidimensional Fatigue Inventory (MFI): psychometric qualities of an instrument to assess fatigue. J Psychosom Res. 1995;39: 315-25.
16. Lee KA, Hicks G, Nino-Murcia G. Validity and reliability of a scale to assess fatigue. Psychiatry Res. 1991;36:291-8.
17. Hann DM, Jacobsen PB, Azzarello LM. Measurement of fatigue in cancer patients: development and validation of the Fatigue Symptom Inventory. Qual Life Res. 1998;7:301-10.
18. Okuyama T, Akechi T, Kugaya A, et al. Development and validation of the Cancer Fatigue Scale: a brief, three-dimensional, self-rating scale for assessment of fatigue in cancer patients. J Pain Symptom Manage. 2000;19(1):5-14.
19. Matza LS, Phillips GA, Revicki DA, Murray L, Malley KG. Development and validation of a patient-report measure of fatigue associated with depression. J Affect Disord. 2011;134:294-303.
20. Akerstedt T. Psychological and psychophysiological effects of shift work. Scand J Work Environ Health. 1990;16(suppl 1):67-73.
21. Machi MS, Staum M, Callaway CW, et al. The relationship between shift work, sleep, and cognition in career emergency physicians. Acad Emerg Med. 2012;19:85-91.
22. Rollinson DC, Rathlev NK, Moss M, et al. The effects of consecutive night shifts on neuropsychological performance of interns in the emergency department: a pilot study. Ann Emerg Med. 2003;41:400-6.
23. West CP, Tan AD, Habermann TM, Sloan JA, Shanafelt TD. Association of resident fatigue and distress with perceived medical errors. JAMA. 2009;302:1294-300.
24. Monaco K, Williams E. Assessing the determinants of safety in the trucking industry. J Transport Stat. 2000;3(1):1-11.
25. Centers for Disease Control and Prevention (CDC). Unhealthy sleep-related behaviors-12 states, 2009. MMWR Morb Mortal Wkly Rep. 2011;60:233-8.
26. Centers for Disease Control (CDC). Perceived insufficient rest or sleep among adults-United States, 2008. MMWR Morb Mortal Wkly Rep. 2009;58:1175-9.
27. Fernandez AR, Crawford JM, Wilkins JR, et al. The influence of shift length and sleepiness on error-related events in EMS [abstract 72]. Prehosp Emerg Care. 2012;16:169.
28. Braude D, Goldsmith T, Weiss SJ. Assessing air medical crew real-time readiness to perform critical tasks. Prehosp Emerg Care. 2011;15:254-60.
29. Brown W, Dickison P, Misselbeck W, Levine R. Longitudinal Emergency Medical Technician Attribute and Demographic Study (LEADS): an interim report. Prehosp Emerg Care. 2002;6:433-9.
30. Patterson PD, Probst JC, Leith KH, Corwin SJ, Powell MP. Recruitment and retention of EMTs: a qualitative study. J Allied Health. 2005;34:153-62.
31. Knox M. Emergency shortage: low pay, stressful work keep would-be paramedics away. Concord, NC: Independent Tribune. October 8, 2006.
32. Patterson PD, Moore CG, Sanddal ND, Wingrove G, LaCroix B. Characterizing job satisfaction and intent to leave among nationally registered emergency medical technicians: an analysis of the 2005 LEADS survey. J Allied Health. 2009;38: e84-91.
33. Chng CL, Eaddy S. Sensation seeking as it relates to burnout among emergency medical personnel: a Texas study. Prehosp Disaster Med. 1999;14:240-4.
34. Smith L, Folkard S, Tucker P, MacDonald I. Work shift duration: a review comparing eight hour and 12 hour shift systems. Occup Environ Med. 1998;55:217-29.
35. Ficca G, Axelsson J, Mollicone DJ, Muto V, Vitiello MV. Naps, cognition and performance. Sleep Med Rev. 2010;14: 249-58.
36. Sallinen M, Harma M, Akerstedt T, Rosa R, Lillqvist O. Promoting alertness with a short nap during a night shift. J Sleep Res. 1998;7:240-7.
37. Petrie KJ, Powell D, Broadbent E. Fatigue self-management strategies and reported fatigue in international pilots. Ergonomics. 2004;47:461-8.
38. Garbarino S, Mascialino B, Penco MA, et al. Professional shift-work drivers who adopt prophylactic naps can reduce the risk of car accidents during night work. Sleep. 2004;27: 1295-303.
39. Smith-Coggins R, Howard SK, Mac DT, et al. Improving alertness and performance in emergency department physicians and nurses: the use of planned naps. Ann Emerg Med. 2006;48:596-604.
40. Takahashi M, Arito H, Fukuda H. Nurses' workload associated with 16-h night shifts. II: effects of a nap taken during the shifts. Psychiatry Clin Neurosci. 1999;53:223-5.
41. Bonnefond A, Muzet A, Winter-Dill AS, Bailloeuil C, Bitouze F, Bonneau A. Innovative working schedule: introducing one short nap during the night shift. Ergonomics. 2001;44: 937-45.
42. Frakes MA, Kelly JG. Shift length and on-duty rest patterns in rotor-wing air medical programs. Air Med J. 2004;23:34-9.
43. Takeyama H, Kubo T, Itani T. The nighttime nap strategies for improving night shift work in the workplace. Ind Health. 2005;43(1):24-29.
44. Tassi P, Muzet A. Sleep inertia. Sleep Med Rev. 2000;4: 341-53.
45. Purnell MT, Feyer AM, Herbison GP. The impact of a nap opportunity during the night shift on the performance and alertness of 12-h shift workers. J Sleep Res. 2002;11:219-27.
46. Brooks A, Lack L. A brief afternoon nap following nocturnal sleep restriction: which nap duration is most recuperative? Sleep. 2006;29:831-40.
47. Hobbs A, Avers KB, Hiles JJ. Fatigue Risk Management in Aviation Maintenance: Current Best Practices and Potential Future Countermeasures. Washington, DC: U.S. Department of Transportation, Federal Aviation Administration, Office of Aerospace Medicine, 2011.