Differences in day and night shift clinical performance in anesthesiology.

Caroline G L Cao; Matthew B. Weinger; Jason M. Slagle; Chuan Zhou; Jennie Ou; Shakha Gillin; Bryant Sheh; William Mazzei

Study

Differences in day and night shift clinical performance in anesthesiology.

June 4, 2008

Cao CGL, Weinger MB, Slagle JM, et al. Hum Factors. 2008;50(2):276-90.

View more articles from the same authors.

This study discovered that task performance and mood were different on the night shift compared to daytime hours, a finding the authors attributed to fatigue. They advocate for restructuring of resident schedules to optimize rest in the setting of existing work hour restrictions.

PubMed citation

Available at

Related Resources From the Same Author(s)

A facilitated survey instrument captures significantly more anesthesia events than does traditional voluntary event reporting.

December 12, 2007

Understanding patient and clinician reported nonroutine events in ambulatory surgery.

March 22, 2023

Video capture of clinical care to enhance patient safety.

March 1, 2006

Time out! Rethinking surgical safety: more than just a checklist.

April 28, 2021

Human factors engineering in patient safety.

February 19, 2014

Simulation-based assessment of the management of critical events by board-certified anesthesiologists.

September 13, 2017

Distractions in the anesthesia work environment: impact on patient safety? Report of a meeting sponsored by the Anesthesia Patient Safety Foundation.

June 28, 2017

Sleep deprivation and clinical performance.

February 22, 2006

A systematic review of the effect of distraction on surgeon performance: directions for operating room policy and surgical training.

September 2, 2015

Use of a handheld computer application for voluntary medication event reporting by inpatient nurses and physicians.

April 23, 2008

Effectiveness of a computerized system for intravenous heparin administration: using information technology to improve patient care and patient safety.

May 11, 2005

Ergonomic and human factors affecting anesthetic vigilance and monitoring performance in the operating room environment.

December 14, 2005

The influence of stress responses on surgical performance and outcomes: literature review and the development of the surgical stress effects (SSE) framework.

October 31, 2018

Simulation study of rested versus sleep-deprived anesthesiologists.

January 9, 2005

Framing family conversation after early diagnosis of iatrogenic injury and incidental findings.

May 6, 2009

Medication safety amid technological change: usability evaluation to inform inpatient nurses' electronic health record system transition.

October 25, 2023

Measuring and comparing safety climate in intensive care units.

March 17, 2010

Reducing nosocomial transmission of COVID-19: implementation of a COVID-19 triage system.

October 28, 2020

Prolonged diagnostic intervals as marker of missed diagnostic opportunities in bladder and kidney cancer patients with alarm features: a longitudinal linked data study.

February 17, 2021

Intern to attending: assessing stress among physicians.

March 4, 2009

Understanding and preventing wrong-patient electronic orders: a randomized controlled trial.

July 18, 2012

Use of temporary names for newborns and associated risks.

July 29, 2015

Sustaining and spreading the reduction of adverse drug events in a multicenter collaborative.

January 30, 2005

Learning from litigation. The role of claims analysis in patient safety.

December 13, 2006

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

August 16, 2023

What do we know about financial returns on investments in patient safety? A literature review.

December 21, 2005

Evaluating serial strategies for preventing wrong-patient orders in the NICU.

June 28, 2017

A national survey assessing the number of records allowed open in electronic health records at hospitals and ambulatory sites.

May 10, 2017

Organisational culture: variation across hospitals and connection to patient safety climate.

January 5, 2011

Origins of and solutions for neonatal medication-dispensing errors.

January 27, 2010

Missed opportunities for diagnosis: lessons learned from diagnostic errors in primary care.

January 13, 2016

Health literacy and mortality among elderly persons.

August 8, 2007

Reducing inappropriate polypharmacy in primary care through pharmacy-led interventions.

January 22, 2020

Race as a social construct in psychiatry research and practice.

December 22, 2021

'Speaking up' about patient safety concerns and unprofessional behaviour among residents: validation of two scales.

August 26, 2015

Emergency department checklist: an innovation to improve safety in emergency care.

October 31, 2018

The impact of the 80-hour resident workweek on surgical residents and attending surgeons.

July 12, 2006

A qualitative content analysis of retained surgical items: learning from root cause analysis investigations.

May 27, 2020

Patient safety and image transfer between referring hospitals and neuroscience centres: could we do better?

October 27, 2010

Patient safety in dermatology: a review of the literature.

February 17, 2010

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

October 11, 2017

Evaluation of the suitability of root cause analysis frameworks for the investigation of community-acquired pressure ulcers: a systematic review and documentary analysis.

April 29, 2015

A multicomponent fall prevention strategy reduces falls at an academic medical center.

September 6, 2017

Natural language processing and its implications for the future of medication safety: a narrative review of recent advances and challenges.

September 5, 2018

Medication errors and processes to reduce them in care homes in the United Kingdom: a scoping review.

March 23, 2022

The use of a CPOE log for the analysis of physicians' behavior when responding to drug-duplication reminders.

September 17, 2008

Cardiopulmonary arrest and mortality trends, and their association with rapid response system expansion.

August 13, 2014

Just what the doctor ordered: missed ordering of venous thromboembolism chemoprophylaxis is associated with increased VTE events in high-risk general surgery patients.

August 30, 2023

Hospital credentialing and privileging of surgeons: a potential safety blind spot.

April 15, 2015

Am I right when I am sure? Data consistency influences the relationship between diagnostic accuracy and certainty.

April 2, 2014

Error reduction in trauma care: lessons from an anonymized, national, multicenter mortality reporting system.

March 23, 2022

Speaking up about traditional and professionalism-related patient safety threats: a national survey of interns and residents.

May 10, 2017

The simulated ward: ideal for training clinical clerks in an era of patient safety.

May 9, 2012

Potentially inappropriate medication use and healthcare expenditures in the US community-dwelling elderly.

May 16, 2007

For whom the Bell Commission tolls: unintended effects of limiting residents' hours.

November 11, 2009

Who is responsible for the safe introduction of new surgical technology? An important legal precedent from the da Vinci Surgical System Trials.

May 10, 2017

Changing conversations: teaching safety and quality in residency training.

November 19, 2008

Assessing medical students' perceptions of patient safety: The Medical Student Safety Attitudes and Professionalism Survey.

January 29, 2014

Association of inappropriate outpatient pediatric antibiotic prescriptions with adverse drug events and health care expenditures.

June 8, 2022

Patient safety's missing link: using clinical expertise to recognize, respond to and reduce risks at a population level.

November 25, 2015

Racial/ethnic inequities in pregnancy-related morbidity and mortality.

March 10, 2021

Influence of a systems-based approach to prescribing errors in a pediatric resident clinic.

November 5, 2014

Nurses' perceptions of subspecialization in pediatric cardiac intensive care unit: quality and patient safety implications.

October 21, 2009

Harmful medication errors involving unfractionated and low-molecular-weight heparin in three patient safety reporting programs.

April 28, 2010

An innovative mobile approach for patient safety services: the case of a Taiwan health care provider.

August 22, 2007

Role of clinical context in residents' physical examination diagnostic accuracy.

April 13, 2011

Missing clinical and behavioral health data in a large electronic health record (EHR) system.

May 11, 2016

Structuring patient and family involvement in medical error event disclosure and analysis.

January 22, 2014

Knowledge-based information to improve the quality of patient care.

February 25, 2009

Risk factors in patient safety: minimally invasive surgery versus conventional surgery.

March 7, 2012

Time of day and the decision to prescribe antibiotics.

October 22, 2014

Opioid prescribing patterns and complications in the dermatology Medicare population.

March 7, 2018

The effectiveness of root cause analysis: what does the literature tell us?

June 25, 2008

Reporting of perioperative adverse events by pediatric anesthesiologists at a tertiary children's hospital: targeted interventions to increase the rate of reporting.

October 11, 2017

Incidence of speech recognition errors in the emergency department.

September 14, 2016

Risk of wrong-patient orders among multiple vs singleton births in the neonatal intensive care units of 2 integrated health care systems.

September 4, 2019

A model of disruptive surgeon behavior in the perioperative environment.

October 15, 2014

Implementation of bar-code medication administration to reduce patient harm.

February 20, 2019

Readmission rates after passage of the Hospital Readmissions Reduction Program: a pre–post analysis.

January 18, 2017

Day of discharge does not impact hospital readmission after major cardiac surgery.

November 7, 2018

Management of test results in family medicine offices.

July 29, 2009

Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient order errors: a randomized clinical trial.

May 29, 2019

Medication governance: preventing errors and promoting patient safety.

March 15, 2017

Strategies to increase reporting of near misses and adverse events.

March 28, 2007

Flaws in clinical reasoning: a common cause of diagnostic error.

January 11, 2012

Learning from accident and error: avoiding the hazards of workload, stress, and routine interruptions in the emergency department.

January 11, 2012

Sleep deprivation: a call for institutional rules.

September 25, 2013

Clinical characteristics and short-term outcomes of acute kidney injury missed diagnosis in older patients with severe COVID-19 in intensive care unit.

May 19, 2021

Impact of Medicare's nonpayment program on hospital-acquired conditions.

January 11, 2017

Patients as partners in learning from unexpected events.

November 9, 2016

Computerized prescribing alerts and group academic detailing to reduce the use of potentially inappropriate medications in older people.

August 9, 2006

A multilevel analysis of U.S. hospital patient safety culture relationships with perceptions of voluntary event reporting.

November 30, 2016

Case study: identifying potential problems at the human/technical interface in complex clinical systems.

November 30, 2005

Making the business case for patient safety.

March 6, 2005

Finding the right balance: an evidence-informed guidance document to support the re-opening of Canadian nursing homes to family caregivers and visitors during the coronavirus disease 2019 pandemic.

October 28, 2020

A multihospital safety improvement effort and the dissemination of new knowledge.

March 6, 2005

Medical crisis checklists in the emergency department: a simulation-based multi-institutional randomised controlled trial.

March 17, 2021

Speaking across the drapes: communication strategies of anesthesiologists and obstetricians during a simulated maternal crisis.

June 6, 2012

Medical emergency team calls: the need to communicate a resuscitation plan.

January 17, 2007

Indication-based prescribing prevents wrong-patient medication errors in computerized provider order entry (CPOE).

March 13, 2013

Related Resources

Public opinion of resident physician work hours in 2022.

November 29, 2023

Developing surgical and anesthesia resident patient safety competencies through systems-based event analysis. Guide to curricular development and evaluation of longer-term resident perceptions.

October 18, 2023

Effects of work shift or shift length on radiation safety perception.

September 27, 2023

Factors associated with neuroradiologic diagnostic errors at a large tertiary-care academic medical center: a case-control study.

September 20, 2023

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

Overlapping surgery in arthroplasty - a systematic review and meta-analysis.

July 5, 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

The good, the bad, and the ugly: operative staff perspectives of surgeon coping with intraoperative errors.

June 14, 2023

Perioperative handoff enhancement opportunities through technology and artificial intelligence: a narrative review.

June 14, 2023

Transparency, public reporting, and a culture of change to quality and safety in cardiac surgery.

November 9, 2022

Prescribing decision making by medical residents on night shifts: a qualitative study.

November 9, 2022

Does seasonal variation in orthopaedic trauma volume correlate with adverse hospital events and burnout?

August 31, 2022

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

August 3, 2022

Temporal associations between EHR-derived workload, burnout, and errors: a prospective cohort study.

July 20, 2022

WebM&M Cases

Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks of Improper Medication Labeling in an Operating Room

April 27, 2022

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

April 6, 2022

Influence of perioperative handoffs on complications and outcomes.

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

Simulation-based assessment identifies longitudinal changes in cognitive skills in an anesthesiology residency training program.

September 22, 2021

Systematic review of intraoperative anesthesia handoffs and handoff tools.

July 21, 2021

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

July 14, 2021

Effects of night surgery on postoperative mortality and morbidity: a multicentre cohort study.

December 23, 2020

Operationalizing occupational fatigue in pharmacists: an exploratory factor analysis.

November 18, 2020

Complications associated with the anesthesia transport of pediatric patients: an analysis of the Wake Up Safe database.

October 14, 2020

Increased patient safety-related incidents following the transition into Daylight Savings Time.

September 9, 2020

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

September 9, 2020

Nurses' sleep, work hours, and patient care quality, and safety

January 22, 2020

See More About The Topic

Operating Room

Anesthesiology

Discontinuities, Gaps, and Hand-Off Problems

Fatigue and Sleep Deprivation

Surgical Complications

Differences in day and night shift clinical performance in anesthesiology.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Differences in day and night shift clinical performance in anesthesiology.

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