Impact of sleep deficiency on surgical performance: a prospective assessment. | PSNet

Provide Feedback |

Submit a Case

Register

Study

Impact of sleep deficiency on surgical performance: a prospective assessment.

April 19, 2023

Quan SF, Landrigan CP, Barger LK, et al. J Clin Sleep Med. 2023;19(4):673-683.

View more articles from the same authors.

Fatigue and sleep deprivation among healthcare workers can increase the risk of errors. This prospective study including 60 attending surgeons from departments of surgery or obstetrics and gynecology at eight hospitals found that sleep deficiency was not associated with greater numbers of errors during procedures performed the next day. However, non-technical skill performance, situational awareness, and decision making were adversely associated with sleep deficiency.

PubMed citation

Related Resources From the Same Author(s)

Public opinion of resident physician work hours in 2022.

November 29, 2023

Families as partners in hospital error and adverse event surveillance.

March 8, 2017

National improvements in resident physician-reported patient safety after limiting first-year resident physicians' extended duration work shifts: a pooled analysis of prospective cohort studies.

May 25, 2022

Impact of work schedules of senior resident physicians on patient and resident physician safety: nationwide, prospective cohort study.

April 26, 2023

Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study.

November 16, 2022

Optimizing Pediatric Patient Safety in the Emergency Care Setting.

October 19, 2022

Changes in medical errors after implementation of a handoff program.

November 12, 2014

Extended work shifts and neurobehavioral performance in resident-physicians.

March 10, 2021

Effective implementation of work-hour limits and systemic improvements.

November 28, 2007

Effects on resident work hours, sleep duration and work experience in a Randomized Order Safety Trial Evaluating Resident-physician Schedules (ROSTERS).

June 26, 2019

Cumulative effect of flexible duty-hour policies on resident outcomes: long-term follow-up results from the FIRST trial.

July 15, 2020

Effect on patient safety of a resident physician schedule without 24-hour shifts.

July 15, 2020

Systematic review of the impact of physician work schedules on patient safety with meta-analyses of mortality risk.

August 16, 2023

When policy meets physiology: the challenge of reducing resident work hours.

June 28, 2006

Interns' compliance with Accreditation Council for Graduate Medical Education work-hour limits.

September 6, 2006

Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions.

August 4, 2021

Delay or avoidance of medical care because of COVID-19-related concerns--United States, June 2020.

October 7, 2020

Patient safety after implementation of a coproduced family centered communication programme: multicenter before and after intervention study.

December 19, 2018

The Critical Care Safety Study: the incidence and nature of adverse events and serious medical errors in intensive care.

August 24, 2005

Effect of reducing interns' weekly work hours on sleep and attentional failures.

March 27, 2005

Effect of reducing interns' work hours on serious medical errors in intensive care units.

March 27, 2005

Association of diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative.

May 18, 2022

Readiness of US general surgery residents for independent practice.

October 4, 2017

Physician and nurse well-being and preferred interventions to address burnout in hospital practice: factors associated with turnover, outcomes, and patient safety.

July 19, 2023

Does simulator-based clinical performance correlate with actual hospital behavior? The effect of extended work hours on patient care provided by medical interns.

November 3, 2010

Effect of genetic diagnosis on patients with previously undiagnosed disease.

November 7, 2018

Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical centers, April-June 2020.

September 23, 2020

Extended work duration and the risk of self-reported percutaneous injuries in interns.

September 6, 2006

Effects of the Accreditation Council for Graduate Medical Education duty hour limits on sleep, work hours, and safety.

August 13, 2008

Rates of medication errors among depressed and burnt out residents: prospective cohort study.

February 20, 2008

Recovery from medical errors: the critical care nursing safety net.

January 31, 2006

The safety of inpatient health care.

January 25, 2023

Impact of extended-duration shifts on medical errors, adverse events, and attentional failures.

December 13, 2006

Family safety reporting in hospitalized children with medical complexity.

July 20, 2022

Prevalence and characteristics of diagnostic error in pediatric critical care: a multicenter study.

June 14, 2023

A randomized trial of a multifactorial strategy to prevent serious fall injuries.

July 29, 2020

Association of postoperative readmissions with surgical quality using a Delphi consensus process to identify relevant diagnosis codes.

May 16, 2018

Prevalence of inappropriate antibiotic prescriptions among US ambulatory care visits, 2010–2011.

May 25, 2016

US public opinion regarding proposed limits on resident physician work hours.

July 28, 2010

Expert consensus on currently accepted measures of harm.

September 9, 2020

The effect of clinician feedback interventions on opioid prescribing.

April 27, 2022

Development, implementation, and dissemination of the I-PASS Handoff Curriculum: a multisite educational intervention to improve patient handoffs.

June 25, 2014

Effect of Patient and Family Centered I-PASS on adverse event rates in hospitalized children with complex chronic conditions.

March 8, 2023

Crowding in the Emergency Department: Challenges for the Care of Children.

March 15, 2023

Association between parent comfort with English and adverse events among hospitalized children.

November 11, 2020

Diagnostic concordance among pathologists interpreting breast biopsy specimens.

March 25, 2015

The Research on Adverse Drug Events and Reports (RADAR) project.

May 18, 2005

Identifying trigger concepts to screen emergency department visits for diagnostic errors.

December 16, 2020

Prevalence and causes of diagnostic errors in hospitalized patients under investigation for COVID-19.

April 12, 2023

Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices.

March 6, 2013

Preventing home medication administration errors.

March 14, 2022

The 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: patient experiences, human factors, sedation, consent and medicolegal issues.

November 12, 2014

5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: protocol, methods, and analysis of data.

September 24, 2014

Surviving Sepsis Campaign: international guidelines for management of sepsis and septic shock: 2016

March 3, 2017

In their own words: safety and quality perspectives from families of hospitalized children with medical complexity.

September 6, 2023

Association of patient and family reports of hospital safety climate with language proficiency in the US.

June 29, 2022

How timely is diagnosis of lung cancer? Cohort study of individuals with lung cancer presenting in ambulatory care in the United States.

January 11, 2023

Pharmacovigilance using clinical notes.

May 1, 2013

Retained surgical items: a problem yet to be solved.

October 31, 2012

Family safety reporting in medically complex children: parent, staff, and leader perspectives.

July 6, 2022

Promoting patient and nurse safety: testing a behavioural health intervention in a learning healthcare system: results of the DEMEANOR pragmatic, cluster, cross-over trial.

March 2, 2022

Decreasing handoff-related care failures in children's hospitals.

August 13, 2014

Radiation protection and dose monitoring in medical imaging: a journey from awareness, through accountability, ability and action … but where will we arrive?

December 4, 2013

Effects of sleep inertia on cognition.

January 25, 2006

Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention.

February 9, 2011

Clinical pathway adherence and missed diagnostic opportunities among children with musculoskeletal infections.

September 6, 2023

Using social and behavioural science to support COVID-19 pandemic response.

June 3, 2020

Trends and patterns in reporting of patient safety situations in transplantation.

February 10, 2016

A comprehensive obstetrics patient safety program improves safety climate and culture.

April 20, 2011

Effect of increased inpatient attending physician supervision on medical errors, patient safety, and resident education: a randomized clinical trial.

June 6, 2018

I-PASS Mentored Implementation Handoff Curriculum: implementation guide and resources.

March 10, 2019

Performance characteristics of a methodology to quantify adverse events over time in hospitalized patients.

September 8, 2010

A trigger tool to detect harm in pediatric inpatient settings.

June 3, 2015

Promoting a culture of safety as a patient safety strategy: a systematic review.

March 13, 2013

Critical care nurses’ physical and mental health, worksite wellness support, and medical errors.

July 14, 2021

Patient safety indicators during the initial COVID-19 pandemic surge in the United States.

March 27, 2024

Effects of the introduction of the WHO "Surgical Safety Checklist" on in-hospital mortality: a cohort study.

January 30, 2005

Reducing retained foreign objects in the operating room: a quality improvement initiative.

December 20, 2023

Does teamwork improve performance in the operating room? A multilevel evaluation.

March 3, 2010

An examination of medical malpractice claims involving physician trainees.

August 19, 2020

Global oximetry: an international anaesthesia quality improvement project.

October 21, 2009

Guidelines for opioid prescribing in children and adolescents after surgery: an expert panel opinion.

December 2, 2020

Sleep quality and fatigue among prehospital providers.

April 7, 2010

Variation in emergency medical services workplace safety culture.

November 10, 2010

Facilitation of surgical innovation: is it possible to speed the introduction of new technology while simultaneously improving patient safety?

April 24, 2019

Incidence and types of adverse events and negligent care in Utah and Colorado.

March 27, 2005

Effects of the I-PASS nursing handoff bundle on communication quality and workflow.

August 9, 2017

Excess dosing of antiplatelet and antithrombin agents in the treatment of non–ST-segment elevation acute coronary syndromes.

January 11, 2006

Reduced postdischarge incidents after implementation of a hospital-to-home transition intervention for children with medical complexity.

October 4, 2023

Association of pediatric resident physician depression and burnout with harmful medical errors on inpatient services.

August 14, 2019

Safety culture in cardiac surgical teams: data from five programs and national surgical comparison.

September 23, 2015

Variation in printed handoff documents: results and recommendations from a multicenter needs assessment.

June 10, 2015

Racial, ethnic, and socioeconomic disparities in patient safety events for hospitalized children.

December 19, 2018

Using a pediatric trigger tool to estimate total harm burden hospital-acquired conditions represent.

July 11, 2018

Medication errors and adverse drug events in pediatric inpatients.

August 10, 2005

The impact of racism on child and adolescent health.

July 1, 2019

Simulating for quality: a centralized quality improvement and patient safety simulation curriculum for residents and fellows.

June 1, 2022

Eliminating central line-associated bloodstream infections: a national patient safety imperative.

January 15, 2014

Rates of medical errors and preventable adverse events among hospitalized children following implementation of a resident handoff bundle.

December 11, 2013

Intervention to reduce transmission of resistant bacteria in intensive care.

February 1, 2012

View More

Related Resources

WebM&M Cases

Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia.

August 30, 2023

WebM&M Cases

Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery.

June 28, 2023

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

June 28, 2023

Impact of medical education on patient safety: finding the signal through the noise.

February 8, 2023

National Safety Standards for Invasive Procedures (NatSSIPs2).

February 7, 2023

Assessment of perioperative outcomes among surgeons who operated the night before.

June 8, 2022

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

Communication failures contributing to patient injury in anaesthesia malpractice claims.

September 1, 2021

FDA Safety Communication: update--robotically-assisted surgical devices in mastectomy.

August 20, 2021

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

July 14, 2021

Cumulative effect of flexible duty-hour policies on resident outcomes: long-term follow-up results from the FIRST trial.

July 15, 2020

From box ticking to the black box: the evolution of operating room safety.

September 4, 2019

Influence of shift duration on cognitive performance of emergency physicians: a prospective cross-sectional study.

August 29, 2018

Evaluation of reasons why surgical residents exceeded 2011 duty hour requirements when offered flexibility.

June 20, 2018

Strategies for optimizing OR drug safety.

April 4, 2018

The surgical safety checklist and patient outcomes after surgery: a prospective observational cohort study, systematic review and meta-analysis.

March 7, 2018

Seen through the patients' eyes: surgical safety and checklists.

February 21, 2018

The 2017 ACGME common work hour standards: promoting physician learning and professional development in a safe, humane environment.

January 31, 2018

Fatigue risk management: the impact of anesthesiology residents' work schedules on job performance and a review of potential countermeasures.

December 13, 2017

Outcomes of concurrent operations: results from the American College of Surgeons' National Surgical Quality Improvement Program.

October 11, 2017

Understanding the multidimensional effects of resident duty hours restrictions: a thematic analysis of published viewpoints in surgery.

August 9, 2017

Interview

In Conversation With… Karl Bilimoria, MD, MS

August 1, 2017

Surgical residents' work hours and well-being in year 2 of the FIRST trial.

July 26, 2017

Surgeon, Heal Thyself: Optimising Surgical Performance by Managing Stress.

May 31, 2017

Latest Results From the "FIRST" Trial.

March 1, 2017

Ethical considerations in the development of the Flexibility in Duty Hour Requirements for Surgical Trainees trial.

October 26, 2016

Program director perceptions of surgical resident training and patient care under flexible duty hour requirements.

September 7, 2016

WebM&M Cases

Getting the (Right) Doctor, Right Away

August 21, 2016

Implementation of the surgical safety checklist in South Carolina hospitals is associated with improvement in perceived perioperative safety.

May 11, 2016

The impact of the 2011 Accreditation Council for Graduate Medical Education duty hour reform on quality and safety in trauma care.

April 13, 2016

View More

See More About The Topic

Health Care Providers

Fatigue and Sleep Deprivation

To sign up for updates or to access your subscriber preferences, please enter your email address below.

5600 Fishers Lane
Rockville, MD 20857
Telephone: (301) 427-1364