The use of extended work shifts and overtime has escalated as hospitals cope with a shortage registered nurses (RNs). Little is known, however, about the prevalence these periods their effects on patient safety. Logbooks completed by 393 hospital staff revealed that participants usually worked longer than scheduled approximately 40 percent 5,317 they logged exceeded twelve hours. risks making an error were significantly increased when hours, overtime, or more forty hours per week.

To minimize the occurrence of adverse events among patients, critical care nurses must be alert to subtle changes in patients' conditions, perform accurate clinical assessments, and respond expediently. However, little is known about effects nurses' work hours on vigilance safety.To describe patterns nurses, determine if an association exists between errors worked by explore whether these have vigilance.Data were obtained from a random sample United States. Nurses eligible for study mailed...

Recent studies have shown that extended shifts worked by hospital staff nurses are associated with significantly higher risk of errors, yet little information is available about the ability to remain alert during nurses' commutes following completion an work shift. The purpose this study describe prevalence drowsy driving episodes and relationship between nurse hours, alertness on duty, working at night, sleep duration.Data were collected from 2 national random samples registered...

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...

To evaluate the burden of illness narcolepsy and assess health-related quality-of-life (HQL) effects oral modafinil, a wake-promoting therapy for excessive daytime sleepiness associated with narcolepsy.Subjects enrolled in nine-week, placebo-controlled, double-blind study were randomized to placebo, modafinil 200 mg, or 400 mg. After study, consenting subjects received 40-week open-label extension. A self-administered HQL questionnaire consisting 36-Item Short Form Health Survey (SF-36)...

Although sleep diaries are widely used in clinical and research settings, only a few studies have compared the subjective information recorded these to objective about recorded. The goal of this study was determine if diary could be obtain reliable data home sleep/wake patterns over 24-hour period. Fifty subjects (25 narcoleptic 25 matched control subjects) completed while undergoing ambulatory polysomnographic monitoring. percentage agreement between acceptable (kappa = .87). Sensitivity...

The frequency and severity of adverse events in Australian healthcare is under increasing scrutiny. A recent state government report identified 31 involving “death or serious [patient] harm” 452 “very high risk” incidents. Australia‐wide, a previous study 2,324 medical (AME) single year, with more than half considered preventable. Despite the recognized link between fatigue error other industries, to date, few studies errors have assessed professionals involved. Nurses work extended...

Objective: This study describes fatigue and stress among a random sample of full-time hospital staff nurses (n = 393) who provide care for aging family members, compares the results to with without children younger than 18 years living at home, examines differences in sleep duration, explores effects on work performance by giving status during 4-week period. Background: Little attention has been given giver well-being when individuals assume dual roles as professional givers. Methods:...

What's known on the subject? and What does study add? Percutaneous treatment for renal stone disease is associated with a risk of significant morbidity. Our large UK series provides contemporary data vascular complications admission to I ntensive C are U nit ( ICU ) after PCNL . When compared recent international databases, these support current evidence that better outcomes can be achieved in centres performing numbers procedures. These add debate centralisation specialist surgery....

To describe sleep, stress and compensatory behaviors in nurses midwives.The study included 41 midwives 21 working Australian hospitals between 2005 2009. Participation was voluntary. All participants recorded on a daily basis their work sleep hours, levels of exhaustion, caffeine intake use aids for month (1,736 days, 1,002 shifts).Participants reported moderate to high exhaustion 20-40% days; experienced disruption more than 50% struggled remain awake 27% suffered extreme drowsiness or near...

Objective: To determine if skipping breaks and meal periods increases the risk of errors. Background: Anecdotal data suggest that staff nurses frequently skip their and/or to provide patient care. Neither prevalence nor impact this practice on safety is known. Methods: Three hundred ninety-three completed logbooks for 28 days providing information about work hours, errors, episodes drowsiness actual sleep duty. Participants were asked they able take a break or sit down during shift, indicate...

Narcolepsy is considered a homogeneous clinical entity when excessive daytime sleepiness and cataplexy are present. Cataplexy polymorphic symptom that can be very mild thus subjectively defined. The Multiple Sleep Latency Test (MSLT) widely used as diagnostic test for narcolepsy. A short mean sleep latency multiple onset REM periods (SOREMPs) typically observed in narcoleptic patients. discovery of tight association narcolepsy with HLA class II antigens offers unique opportunity to explore...

Studies indicate that extended shifts worked by hospital staff nurses are associated with higher risk of errors. Long work hours coupled insufficient sleep and fatigue even riskier. Although other industries have developed programs to reduce fatigue-related errors injury, countermeasures program for (FCMPN) lacking.The objective this study was evaluate the feasibility an FCMPN improving duration quality while reducing daytime sleepiness patient care Selected variables, drowsy driving, were...

Purpose/Objectives: To distinguish relationships among subjective and objective characteristics of sleep, mood, quality life (QOL) in patients receiving treatment for lung cancer.

To determine if the combination of scheduled sleep periods and stimulant medications were more effective than alone in controlling excessive daytime sleepiness experienced by narcoleptic patients.Twenty-nine treated subjects randomly assigned to one three treatment groups: 1) two 15-minute naps per day; 2) a regular schedule for nocturnal sleep; or 3) bedtimes. Measures symptom severity unscheduled obtained at baseline end two-week period, using Narcolepsy Symptom Status Questionnaire (NSSQ)...

This study attempted to evaluate the validity of self-reports memory deficits in narcoleptics by comparing scores these patients with matched control subjects on standardized tests function. After completing a short interview designed elicit qualitative information about difficulties, 30 narcoleptic and completed Wechsler Memory Scale (WMS), Rey-Auditory Verbal Learning Test, Rey Complex Figure Strub Black's List Letters, Symbol Digits Modalities Test (SDMT). In addition, Profile Mood States...

Registered nurses have a vital role in discovering and correcting medical error.To describe the type frequency of errors detected by American critical care nurses, to ascertain who made discovered study participants.Daily logbooks were used collect information about random sample 502 during 28-day period.Although majority corrected involved medications (163/367), procedural common (n = 115). Charting transcription less frequently discovered. The participants attributed wide variety staff...

Objective: The purpose of this study was to describe the structural, organizational, and environmental factors associated with implementation a fatigue countermeasures program for nurses (FCMPN). Background: industrial sector has developed management programs improve safety employees customers. However, have not been nurses. Methods: oral descriptions 46 staff 8 nurse managers participating in an FCMPN were audiotaped, transcribed, analyzed. Results: Staff identified awareness, restfulness,...