A5061325271- Sleep and Work-Related Fatigue
- Sleep and related disorders
- Hospital Admissions and Outcomes
- Occupational Health and Performance
- Patient Safety and Medication Errors
- Healthcare professionals’ stress and burnout
- Circadian rhythm and melatonin
- Workplace Health and Well-being
- Occupational Health and Safety Research
- Healthcare Policy and Management
- Ergonomics and Musculoskeletal Disorders
- Healthcare Operations and Scheduling Optimization
- Pain Management and Opioid Use
- Injury Epidemiology and Prevention
- Electrical and Electromagnetic Research
- dental development and anomalies
- HIV/AIDS Research and Interventions
- Mobile Health and mHealth Applications
- Twentieth Century Scientific Developments
- Neuroscience of respiration and sleep
- School Health and Nursing Education
- Multidisciplinary Science and Engineering Research
- HIV-related health complications and treatments
- Suicide and Self-Harm Studies
- Orthodontics and Dentofacial Orthopedics
Brigham and Women's Hospital
2015-2025
Circadian (United States)
2015-2025
Drexel University
2024
Reading Hospital
2024
Canadian Sleep & Circadian Network
2022
California Pacific Medical Center
2020
Boston Children's Hospital
2020
University of Colorado Denver
2020
Northwestern University
2020
Children's Hospital Colorado
2020
<h3>Context</h3>Sleep disorders often remain undiagnosed. Untreated sleep among police officers may adversely affect their health and safety pose a risk to the public.<h3>Objective</h3>To quantify associations between disorder self-reported health, safety, performance outcomes in officers.<h3>Design, Setting, Participants</h3>Cross-sectional prospective cohort study of North American participating either an online or on-site screening (n=4957) monthly follow-up surveys (n=3545 representing...
The objective of the study was to determine if sleep disorder, depression or anxiety screening status associated with safety outcomes in a diverse population hospital workers. A sample shift workers at four hospitals participated prospective cohort study. Participants were screened for five disorders, and baseline, then completed monthly surveys next 6 months capture motor vehicle crashes, near-miss occupational exposures medical errors. We tested associations between adverse using incidence...
Study Objectives: Heart attacks and motor vehicle crashes are the leading causes of death in US fi refi ghters.Given that sleep disorders an independent risk factor for both these, we examined prevalence common a national sample ghters their association with adverse health safety outcomes.Methods: Firefi (n = 6,933) from 66 re departments were assessed using validated screening tools, as available.Firefi also surveyed about safety, documentation was collected reported crashes.Results: A...
To examine associations between shift work characteristics and schedules on burnout in police whether sleep duration sleepiness were associated with burnout.Police officers (n=3140) completed the Maslach Burnout Inventory (emotional exhaustion, depersonalisation, personal accomplishment) self-reported (irregular, rotating, fixed), (night, duration, frequency, hours), sleepiness.Irregular schedules, long shifts (≥11 mandatory overtime, short increased risk of overall police. Police working a...
The effects on patient safety of eliminating extended-duration work shifts for resident physicians remain controversial. We conducted a multicenter, cluster-randomized, crossover trial comparing two schedules pediatric during their intensive care unit (ICU) rotations: that included 24 hours or more (control schedules) and eliminated extended cycled through day night 16 less (intervention schedules). primary outcome was serious medical errors made by physicians, assessed surveillance,...
To determine whether long weekly work hours and shifts of extended duration (≥24 hours) are associated with adverse patient physician safety outcomes in more senior resident physicians (postgraduate year 2 above; PGY2+).Nationwide, prospective cohort study.United States, conducted over eight academic years (2002-07, 2014-17).4826 PGY2+ who completed 38 702 monthly web based reports their outcomes.Patient included medical errors, preventable events, fatal events. Resident health motor vehicle...
Abstract This study investigated whether sleep disorder risk and mental health outcomes in firefighters were associated with burnout, particularly emotional exhaustion, examined the mediating role of at work these relationships. A secondary aim was to investigate associations between habitual characteristics burnout. North American ( n = 6,307) completed Maslach Burnout Inventory (emotional depersonalisation, personal accomplishment), screened for disorders self‐reported current conditions...
OBJECTIVES: Extended-duration work rosters (EDWRs) with shifts of 24+ hours impair performance compared rapid cycling (RCWRs) that limit to 16 in postgraduate year (PGY) 1 resident-physicians. We examined the impact a RCWR on PGY 2 and 3 METHODS: Data from 294 resident-physicians were analyzed multicenter clinical trial 6 US PICUs. Resident-physicians worked 4-week EDWRs every third or fourth shift, an which most ≤16 consecutive hours. Participants completed daily sleep log 10-minute...
Sleep tracking by consumers is becoming increasingly prevalent; yet, few studies have evaluated the accuracy of such devices. We sought to evaluate three devices (Oura Ring Gen3, Fitbit Sense 2, and Apple Watch Series 8) compared gold standard sleep assessment (polysomnography (PSG)). Thirty-five participants (aged 20-50 years) without a disorder were enrolled in single-night inpatient study, during which they wore Oura Ring, Fitbit, Watch, monitored with PSG. For detecting vs. wake,...
Background The Accreditation Council for Graduate Medical Education (ACGME) enacted a policy in 2011 that restricted first-year resident physicians the USA to work no more than 16 consecutive hours. This was rescinded 2017. Methods We conducted nationwide prospective cohort study of 5 academic years (2002–2007) before and 3 (2014–2017) after implementation hours ACGME work-hour limit. Our analyses compare trends physician-reported medical errors between two cohorts evaluate impact this...
We compared resident physician work hours and sleep in a multicenter clustered-randomized crossover clinical trial that randomized physicians to an Extended Duration Work Roster (EDWR) with extended-duration (≥24 hr) shifts or Rapidly Cycling (RCWR), which scheduled shift lengths were limited 16 fewer consecutive hours.Three hundred two enrolled completed 370 1 month pediatric intensive care unit rotations six US academic medical centers. Sleep was objectively estimated wrist-worn...
To examine sleep-promoting and wake-promoting drug use in police officers associations between their health (excessive sleepiness, stress burnout), performance (fatigue-related errors) safety (near-crashes) outcomes, both alone combination with night-shift work.Cross-sectional survey.Police from North America completed the survey either online or via paper/pencil at a station.4957 participated, 3693 (91.9%, participation rate) 1264 onsite (cooperation rate 63.1%).Sleep-promoting use,...
Objective: The objective of this study is to compare three methods administering a sleep health program (SHP) in fire departments. Methods: An SHP, comprising education and screening for common disorders, was implemented eight departments using approaches: expert-led, train-the-trainer, online. Participation rates, knowledge assessments, surveys, focus group interviews were analyzed assess the reach effectiveness methodologies. Results: Expert-led SHP had highest participation rate, greatest...
Objectives We evaluated an online Sleep Health and Wellness (SHAW) programme paired with dayzz, a personalised sleep training deployed via smartphone application (dayzz app) that promotes healthy treatment for disorders, among employees at large healthcare organisation. Design Open-label, randomised, parallel-group controlled trial. Setting A employer in the USA. Participants 1355 daytime workers. Intervention were randomised to intervention (n=794) or control (n=561) on consent....
To investigate the opinions of laypeople regarding aesthetic outcome treating patients with developmental absence both maxillary lateral incisors using either orthodontic space closure (OSC) or opening and prosthetic replacement (PR).Cross sectional, web-based survey.A panel five orthodontists restorative dentists examined post-treatment intra-oral images 21 upper incisors. A consensus view was obtained about 10 most attractive (5 OSC; 5 PR). The selected were used in a survey involving...
HIV infection is associated with higher than expected cardiovascular event rates and lowered platelet counts. These conditions are an elevation of mean volume (MPV). The present study compared MPV in HIV-infected uninfected women identified factors influencing values women.A total 234 134 HIV-uninfected participants from the Women's Interagency Study (WIHS) had obtained. were older, more likely to have diabetes triglyceride levels women.The count was lower vs. [249 cells/μL (95% confidence...
Occupational burnout is common among healthcare providers. Approximately half of physicians and nurses report symptoms burnout, including emotional exhaustion, depersonalization, perceived lack accomplishment. Faculty wellness surveys at our institution found that the most commonly reported driver was sleep-related impairment. We sought to develop a Sleep Health Wellness (SHAW) program test its effectiveness on reducing symptoms. This interim analysis reports association between sleep...
Sleep deficiency is a hidden cost of our 24-7 society, with 70% adults in the US admitting that they routinely obtain insufficient sleep. Further, it estimated 50-70 million have sleep disorder. Undiagnosed and untreated disorders are associated diminished health for individual increased costs employer. Research has shown adverse impacts on employees employers can be mitigated through education disorder screening treatment programs. Smartphone applications (app) increasingly commonplace...
Clinicians managing older patients with chronic pain play an important role. This paper explores the attitudes of primary care clinicians (PCPs) toward nonmalignant management and their experiences using a clinical decision support system. Our investigation followed qualitative approach based on grounded theory. Twenty-one PCPs participated in focus groups interviews. analysis elicited six themes: as part growing old; concerns about medications; waiting times for clinic; value ancillary...