Call-shift fatigue and use of countermeasures and avoidance strategies by certified registered nurse anesthetists: a national survey.

Ramona Domen; Cynthia D. Connelly; Dennis Spence

Study

Call-shift fatigue and use of countermeasures and avoidance strategies by certified registered nurse anesthetists: a national survey.

June 17, 2015

Domen R, Connelly CD, Spence D. AANA J. 2015;83(2):123-131.

View more articles from the same authors.

Certified registered nurse anesthetists (CRNAs) do not have formal restrictions on their work hours. This survey found that more than half of CRNAs worked extended duration (greater than 16 hour) shifts, and nearly one-third reported committing a medical error due to fatigue.

PubMed citation

Free full text

Related Resources From the Same Author(s)

Patient perception of fall risk and fall risk screening scores.

March 15, 2023

Moral distress, compassion fatigue, and perceptions about medication errors in certified critical care nurses.

October 26, 2011

The impact of nursing work environments on patient safety outcomes: the mediating role of burnout engagement.

June 14, 2006

Support methods for healthcare professionals who are second victims: an integrative review.

July 27, 2022

Effect of a hospital command centre on patient safety: an interrupted time series study.

April 26, 2023

Communicating with patients about diagnostic errors in breast cancer care: providers' attitudes, experiences, and advice

January 22, 2020

Interventions for reducing wrong-site surgery and invasive procedures.

November 14, 2012

Making Health Care Safer: A Critical Review of Modern Evidence Supporting Strategies to Improve Patient Safety.

March 6, 2013

Learning from the best.

June 9, 2010

Factors influencing patient safety during postoperative handover.

December 14, 2016

Use of personal electronic devices by nurse anesthetists and the effects on patient safety.

May 25, 2016

Signs and symptoms to determine if a patient presenting in primary care or hospital outpatient settings has COVID-19 disease.

July 29, 2020

Lack of patient knowledge regarding hospital medications.

January 6, 2010

Slow progress on meeting hospital safety standards: learning from the Leapfrog Group's efforts.

January 23, 2013

Minimizing medical mistakes: mother's mission to reduce hospital errors.

June 3, 2015

Psychological safety and error reporting within Veterans Health Administration hospitals.

March 4, 2015

Impact of workplace mistreatment on patient safety risk and nurse-assessed patient outcomes.

July 9, 2014

Debiasing health-related judgments and decision making: a systematic review.

August 9, 2017

Accuracy and safety of medication histories obtained at the time of intensive care unit admission of delirious or mechanically ventilated patients.

April 28, 2021

Getting the diagnosis wrong.

October 21, 2015

Drug shortages: a patient safety crisis.

September 7, 2011

Patient and family advisory councils. The Massachusetts experience.

January 6, 2016

Emotion and coping in the aftermath of medical error: a cross-country exploration.

March 4, 2015

Changes in language services use by US pediatricians.

August 7, 2013

Positive Working Relationships Matter for Better Nurse and Patient Outcomes.

December 1, 2010

Standardization as a mechanism to improve safety in health care.

March 6, 2005

The interrelationship of isolation precautions and adverse events in an acute care facility.

April 20, 2011

When doctors get it wrong: misdiagnoses are getting a closer look.

September 9, 2015

Pharmacy dispensing errors: claims study emphasizes need for systematic vigilance.

March 25, 2015

Attending to the emotional well-being of the health care workforce in a New York City health system during the COVID-19 pandemic.

August 26, 2020

Second victim: a traumatic experience.

June 16, 2021

Radiologists make more errors interpreting off-hours body CT studies during overnight assignments as compared with daytime assignments.

September 9, 2020

Attitudes of health sciences faculty members towards interprofessional teamwork and education.

September 5, 2007

For Colorado mom, story of daughter's hospital death is key to others' safety.

March 4, 2015

Frontline nurses' clinical judgment in recognizing, understanding, and responding to patient deterioration: a qualitative study.

April 5, 2023

Infection Prevention.

May 27, 2015

Continuous Improvement of Patient Safety: The Case for Change in the NHS.

November 25, 2015

Preventable closed claims in the AANA Foundation closed malpractice claims database.

February 12, 2020

How one hospital improved patient safety in 10 minutes a day.

November 14, 2018

AI in medicine needs to be carefully deployed to counter bias – and not entrench it.

June 21, 2023

Managing patient access and flow in the emergency department to improve patient safety.

December 15, 2010

Patient safety: the patient's role.

February 14, 2007

The benefits and burdens of working with patient safety organizations under the Patient Safety and Quality Improvement Act of 2005.

March 18, 2020

Work-arounds observed by fourth-year nursing students.

November 19, 2014

Developing a principle-based approach to safe medication practices.

November 11, 2015

To combat physician burnout and improve care, fix the electronic health record.

April 11, 2018

A 25-year-old teacher died after waiting hours at the ER. She's not the only one who saw delays.

March 11, 2020

The effect of bedrails on falls and injury: a systematic review of clinical studies.

June 11, 2008

Use of the Second Victim Experience and Support Tool (SVEST) to assess the impact of a departmental peer support program on anesthesia professionals' second victim experiences (SVEs) and perceptions of support two years after implementation.

November 8, 2023

Student-observed surgical safety practices across an urban regional health authority.

July 6, 2011

Implementing universal suicide risk screening in a pediatric hospital.

August 18, 2021

Navigating risks in breast cancer diagnosis and treatment.

October 28, 2015

From Safety-I to Safety-II: A White Paper.

August 5, 2015

Association of sleep and fatigue with decision regret among critical care nurses.

January 29, 2014

Medication safety program reduces adverse drug events in a community hospital.

June 22, 2005

Implementation of the safety huddle.

February 8, 2017

Competition and health plan performance: evidence from health maintenance organization insurance markets.

April 27, 2005

Enhancing Surgical Performance: A Primer in Non-technical Skills.

August 19, 2015

You can't understand something you hide: transparency as a path to improve patient safety.

July 8, 2015

Pediatric medication errors and reduction strategies in the perioperative period.

November 24, 2021

A national study links nurses' physical and mental health to medical errors and perceived worksite wellness.

March 21, 2018

When doctors share visit notes with patients: a study of patient and doctor perceptions of documentation errors, safety opportunities and the patient–doctor relationship.

June 15, 2016

Pediatric prehospital medication dosing errors: a mixed-methods study.

November 11, 2015

Addressing postdischarge adverse events: a neglected area.

January 30, 2008

Sleep, science, and policy change.

March 6, 2005

Comparing perspectives on organisational silence: an analysis of the Gosport inquiry.

May 17, 2023

Structural and organizational issues in patient safety: a comparison of health care to other high-hazard industries.

March 6, 2005

How nursing homes’ worst offenses are hidden from the public.

December 22, 2021

Racial differences in antibiotic prescribing by primary care pediatricians.

March 20, 2013

The Texas Health Presbyterian Hospital Ebola Crisis: A Perfect Storm of Human Errors, System Failures and Lack of Mindfulness.

February 10, 2016

2014 Guide to State Adverse Event Reporting Systems.

July 8, 2015

Intravenous admixture preparation considerations, Parts 9-A and 9-B: error prevention in intravenous admixture preparation.

July 21, 2021

ACOG Committee Opinion #730: fatigue and patient safety.

February 20, 2008

Understanding teamwork in rapidly deployed interprofessional teams in intensive and acute care: a systematic review of reviews.

September 28, 2022

Human Factors in Anaesthesia and Critical Care.

July 14, 2010

Organisational reporting and learning systems: innovating inside and outside of the box.

March 25, 2015

The development and psychometric evaluation of a safety climate measure for primary care.

January 19, 2011

Reducing medication errors for adults in hospital settings.

December 15, 2021

Hospital Experiences Using Electronic Health Records to Support Medication Reconciliation.

August 13, 2014

The contribution of staffing to medication administration errors: a text mining analysis of incident report data.

December 18, 2019

What 'just culture' doesn't understand about just punishment.

September 12, 2018

Is "first do no harm" a lost concept in medical education?

October 4, 2006

Learning from others: legal aspects of sharing patient safety data using provider consortia.

August 31, 2005

Design of an evidence-based "second victim" curriculum for nurse anesthetists.

June 1, 2016

Workplace violence against anesthesiologists: we are not immune to this patient safety threat.

September 18, 2019

Defining patient safety in hospice: principles to guide measurement and public reporting.

June 27, 2012

High reliability: excellent care every time.

April 20, 2016

Decreasing 30-day readmission rates.

November 16, 2011

Oral chemotherapy: a home safety educational framework for healthcare providers, patients, and caregivers.

February 19, 2020

The Anesthesia Patient Safety Foundation Stoelting Conference 2019: perioperative deterioration--early recognition, rapid intervention, and the end of failure-to-rescue.

November 11, 2020

In chronic condition: experiences of patients with complex health care needs, in eight countries, 2008.

November 26, 2008

Defining the Role of Social Sciences in Patient Safety.

December 16, 2015

Bridging the gap between work-as-imagined and work-as-done.

July 26, 2017

Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. Revised Report.

June 29, 2016

Use of an expedited review tool to screen for prior diagnostic error in emergency department patients.

September 28, 2015

Interventions to improve hand hygiene compliance in patient care.

September 1, 2017

Building a safety culture.

December 21, 2005

Assessment of patient medication adherence, medical record accuracy, and medication blood concentrations for prescription and over-the-counter medications.

November 28, 2018

Care management implementation and patient safety.

September 27, 2006

Inside a closed-loop medication strategy: medication management targets stages in which errors occur, step by step.

March 6, 2005

Related Resources

Examining the relationship between nurse fatigue, alertness, and medication errors.

April 3, 2024

Association between sleep health and rates of self-reported medical errors in intern physicians: an ancillary analysis of the Intern Health Study.

February 28, 2024

Longer work experience and age associated with safety attitudes in operating room nurses: an online cross-sectional study.

February 7, 2024

WebM&M Cases

Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia.

August 30, 2023

Fatigue amongst anaesthesiology and intensive care trainees in Europe: a matter of concern.

August 2, 2023

The burden of peri-operative work at night as perceived by anaesthesiologists: an international survey.

June 28, 2023

Impact of fatigue on anaesthesia providers: a scoping review.

June 14, 2023

Three missed critical nursing care processes on labor and delivery units during the COVID-19 pandemic.

May 31, 2023

Nurse staffing and inpatient mortality in the English National Health Service: a retrospective longitudinal study.

May 3, 2023

In situ simulation-based team training and its significance for transfer of learning to clinical practice--a qualitative focus group interview study of anaesthesia personnel.

April 19, 2023

Healthcare professionals' perception of safety culture and the Operating Room (OR) Black Box technology before clinical implementation: a cross-sectional survey.

March 22, 2023

Fatigue in nurses and medication administration errors: a scoping review.

March 8, 2023

Critical care clinicians' experiences of patient safety during the COVID-19 pandemic.

November 30, 2022

A multicenter collaborative effort to reduce preventable patient harm due to retained surgical items.

November 30, 2022

Potentially inappropriate medication administration is associated with adverse postoperative outcomes in older surgical patients: a retrospective cohort study.

September 14, 2022

Incidence and characteristics of errors detected by a short team briefing in pediatric anesthesia.

August 24, 2022

Association of anesthesiologist staffing ratio with surgical patient morbidity and mortality.

August 3, 2022

Systems-level factors affecting registered nurses during care of women in labor experiencing clinical deterioration.

April 20, 2022

What are we missing? The quality of intraoperative handover before and after introduction of a checklist.

April 6, 2022

Five-year audit of adherence to an anaesthesia pre-induction checklist.

March 30, 2022

Increased adherence to perioperative safety guidelines associated with improved patient safety outcomes: a stepped-wedge, cluster-randomised multicentre trial.

February 9, 2022

"Some version, most of the time": the surgical safety checklist, patient safety, and the everyday experience of practice variation.

January 19, 2022

Surgical teams' attitudes about surgical safety and the surgical safety checklist at 10 years: a multinational survey.

November 17, 2021

The nature of reported safety events related to care coordination in the operating room setting in a tertiary academic center.

November 17, 2021

The effects of three consecutive 12-hour shifts on cognition, sleepiness, and domains of nursing performance in day and night shift nurses: a quasi-experimental study.

October 20, 2021

Training Program for Nurses on Shift Work and Long Work Hours.

October 10, 2021

Leading causes of anesthesia-related liability claims in ambulatory surgery centers.

October 6, 2021

ACGME 2011 duty hours restrictions and their effects on surgical residency training and patients outcomes: a systematic review.

July 14, 2021

An observational study of postoperative handoff standardization failures.

June 23, 2021

Relationships between comprehensive characteristics of nurse work schedules and adverse patient outcomes: a systematic literature review.

March 24, 2021

See More About The Topic

Fatigue and Sleep Deprivation

Call-shift fatigue and use of countermeasures and avoidance strategies by certified registered nurse anesthetists: a national survey.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Call-shift fatigue and use of countermeasures and avoidance strategies by certified registered nurse anesthetists: a national survey.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site