Surgeon fatigue: a prospective analysis of the incidence, risk, and intervals of predicted fatigue-related impairment in residents.

Frank McCormick; John Kadzielski; Christopher P. Landrigan; Brady Evans; James H. Herndon; Harry E. Rubash

Study

Surgeon fatigue: a prospective analysis of the incidence, risk, and intervals of predicted fatigue-related impairment in residents.

June 6, 2012

McCormick F, Kadzielski J, Landrigan CP, et al. Arch Surg. 2012;147(5):430-5.

View more articles from the same authors.

This study discovered that orthopedic residents were fatigued 48% of their waking hours and had impaired mental effectiveness 27% of that time. The authors discuss the pervasiveness of fatigue and the need for greater preventive strategies.

PubMed citation

Free full text

Related Resources From the Same Author(s)

Patient safety climate among orthopaedic surgery residents.

July 6, 2011

The business case for patient safety.

February 14, 2007

The safety of inpatient pediatrics: preventing medical errors and injuries among hospitalized children.

August 10, 2005

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

Preventing health care–associated harm in children.

May 14, 2014

Case 34-2010: a 65-year-old woman with an incorrect operation on the left hand.

November 17, 2010

Sleep science, schedules, and safety in hospitals: challenges and solutions for pediatric providers.

July 27, 2016

Building physician work hour regulations from first principles and best evidence.

September 17, 2008

How prevalent are hazardous attitudes among orthopaedic surgeons?

May 27, 2015

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

March 27, 2005

Patient safety in North America: beyond "operate through your initials" and "sign your site."

June 24, 2009

Effects of reducing or eliminating resident work shifts over 16 hours: a systematic review.

August 25, 2010

Meta-analyses of the effects of standardized handoff protocols on patient, provider, and organizational outcomes.

February 22, 2017

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

September 6, 2006

Parent–provider miscommunications in hospitalized children.

August 23, 2017

Parent-reported errors and adverse events in hospitalized children.

March 16, 2016

Medication reconciliation in the emergency department: opportunities for workflow redesign.

December 15, 2010

Communication and shared understanding between parents and resident-physicians at night.

July 13, 2016

Embedding quality and safety in otolaryngology–head and neck surgery education.

January 21, 2015

Medication errors related to computerized order entry for children.

November 22, 2006

Effects of a night-team system on resident sleep and work hours.

December 14, 2011

Preventable adverse events in infants hospitalized with bronchiolitis.

September 21, 2005

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

November 11, 2020

Preventable anesthesia-related adverse events at a large tertiary care center: a nine-year retrospective analysis.

December 5, 2018

Frequency and nature of communication and handoff failures in medical malpractice claims.

April 6, 2022

Comparative safety of endovascular aortic aneurysm repair over open repair using Patient Safety Indicators during adoption.

July 23, 2014

Effect of computer order entry on prevention of serious medication errors in hospitalized children.

March 19, 2008

Changes made to orders placed by overnight admitting residents on teaching rounds the next day.

January 26, 2022

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

June 6, 2018

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

April 26, 2023

Physician attitudes toward family-activated medical emergency teams for hospitalized children.

April 2, 2014

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' work hours on serious medical errors in intensive care units.

March 27, 2005

Video analysis of factors associated with response time to physiologic monitor alarms in a children's hospital.

April 19, 2017

Sharing the process of diagnostic decision making.

August 9, 2017

An embedded checklist in the Anesthesia Information Management System improves pre-anaesthetic induction setup: a randomised controlled trial in a simulation setting.

October 5, 2016

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

January 31, 2006

Measuring adverse events in hospitalized patients: an administrative method for measuring harm.

September 7, 2016

Nurse staffing, burnout, and health care-associated infection.

August 15, 2012

Teaching internal medicine residents quality improvement and patient safety: a lean thinking approach.

April 28, 2010

Variations by state in physician disciplinary actions by US medical licensure boards.

April 13, 2016

Beam me up Scotty! Impact of personal wireless communication devices in the emergency department.

November 24, 2010

The effect of blue-enriched lighting on medical error rate in a university hospital ICU.

January 27, 2021

Risk factors for adverse drug events: a 10-year analysis.

June 8, 2005

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

August 16, 2023

Public opinion of resident physician work hours in 2022.

November 29, 2023

Pediatric medication errors in the postanesthesia care unit: analysis of MEDMARX data.

May 2, 2007

Quality of clinical aspects of call handling at Dutch out of hours centres: cross sectional national study.

October 1, 2008

Cost-benefit analysis of a medical emergency team in a children's hospital.

August 20, 2014

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

July 28, 2010

Temporal trends in rates of patient harm resulting from medical care.

December 1, 2010

Reasons provided by prescribers when overriding drug–drug interaction alerts.

November 28, 2007

Association between end-of-rotation resident transition in care and mortality among hospitalized patients.

December 14, 2016

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

August 13, 2014

Beyond FMEA: the structured what-if technique (SWIFT).

September 26, 2012

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

June 10, 2015

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

June 28, 2006

Unit-based care teams and the frequency and quality of physician–nurse communications.

May 11, 2011

Reliability of verbal handoff assessment and handoff quality before and after implementation of a resident handoff bundle.

June 22, 2016

"To err is human" but disclosure must be taught: a simulation-based assessment study.

February 28, 2018

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

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

August 9, 2017

Family-centered rounds on pediatric wards: a PRIS network survey of US and Canadian hospitalists.

July 14, 2010

Improving measurement in clinical handover.

August 19, 2009

Medical team training improves team performance: AOA critical issues.

October 18, 2017

A critical appraisal of AHRQ's "Diagnostic Errors" report.

May 10, 2023

Medical errors in orthopaedics. Results of an AAOS member survey.

March 18, 2009

How radiation oncologists would disclose errors: results of a survey of radiation oncologists and trainees.

June 13, 2012

Simulation study of rested versus sleep-deprived anesthesiologists.

January 9, 2005

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

December 13, 2006

The occurrence of wrong-site surgery self-reported by candidates for certification by the American Board of Orthopaedic Surgery.

March 29, 2012

Implementing a watcher program to improve timeliness of recognition of deterioration in hospitalized children.

June 30, 2021

Machine learning models outperform manual result review for the identification of wrong blood in tube errors in complete blood count results.

June 29, 2022

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

March 8, 2023

I-PASS handoff program: use of a campaign to effect transformational change.

August 15, 2018

I-PASS, a mnemonic to standardize verbal handoffs.

April 11, 2012

Community-, healthcare-, and hospital-acquired severe sepsis hospitalizations in the University HealthSystem Consortium.

September 2, 2015

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

December 11, 2013

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

April 27, 2005

Critical care checklists, the Keystone Project, and the Office for Human Research Protections: a case for streamlining the approval process in quality-improvement research.

January 28, 2009

Pending studies at hospital discharge: a pre-post analysis of an electronic medical record tool to improve communication at hospital discharge.

January 7, 2015

John M. Eisenberg Patient Safety Awards. System innovation: Veterans Health Administration National Center for Patient Safety.

March 6, 2005

Teaching medical error apologies: development of a multi-component intervention.

July 6, 2011

Challenges and opportunities from the Agency for Healthcare Research and Quality (AHRQ) research summit on improving diagnosis: a proceedings review.

June 14, 2017

A quality initiative: a system-wide reduction in serious medication events through targeted simulation training.

May 23, 2018

Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis.

October 20, 2010

A new, evidence-based estimate of patient harms associated with hospital care.

August 7, 2013

Reducing the incidence of retained surgical instrument fragments.

September 14, 2011

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

September 6, 2006

Developing standardized "receiver-driven" handoffs between referring providers and the emergency department: results of a multidisciplinary needs assessment.

December 5, 2018

Effective implementation of work-hour limits and systemic improvements.

November 28, 2007

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

June 25, 2014

Quantifying and monitoring overdiagnosis in cancer screening: a systematic review of methods.

January 21, 2015

Association between mobile telephone interruptions and medication administration errors in a pediatric intensive care unit.

January 15, 2020

Association of a surgical task during training with team skill acquisition among surgical residents: the missing piece in multidisciplinary team training.

June 7, 2017

Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the operating room: report from the Pediatric Sedation Research Consortium.

October 18, 2006

Counterheroism, common knowledge, and ergonomics: concepts from aviation that could improve patient safety.

April 6, 2011

Medication dosing safety for pediatric patients: recognizing gaps, safety threats, and best practices in the emergency medical services setting. A position statement and resource document from NAEMSP.

August 26, 2020

Root cause analysis and actions for the prevention of medical errors: quality improvement and resident education.

May 17, 2017

Distractions and the anaesthetist: a qualitative study of context and direction of distraction.

May 22, 2013

Related Resources

Fire safety in the operating room.

October 1, 2023

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

August 31, 2022

Preventing violence in the health care setting.

June 9, 2021

Assessment of physician sleep and wellness, burnout, and clinically significant medical errors.

January 13, 2021

Hospital at night: an organizational design that provides safer care at night.

August 10, 2016

Associations between attending physician workload, teaching effectiveness, and patient safety.

February 3, 2016

Patient safety in the era of the 80-hour workweek.

May 14, 2014

Inpatient safety outcomes following the 2011 residency work-hour reform.

April 2, 2014

Failure events in transition of care for surgical patients.

March 5, 2014

Sleep deprivation and error in nurses who work the night shift.

February 19, 2014

Medication regimen complexity and hospital readmission for an adverse drug event.

January 15, 2014

Hospital board oversight of quality and patient safety: a narrative review and synthesis of recent empirical research.

January 8, 2014

The Orthopaedic Error Index: development and application of a novel national indicator for assessing the relative safety of hospital care using a cross-sectional approach.

December 18, 2013

The effect of hospital organizational characteristics on postoperative complications.

December 11, 2013

Do variations in hospital mortality patterns after weekend admission reflect reduced quality of care or different patient cohorts? A population-based study.

November 20, 2013

Whole-patient measure of safety: using administrative data to assess the probability of highly undesirable events during hospitalization.

November 20, 2013

Identifying potential predictors of a safe attending physician workload: a survey of hospitalists.

October 30, 2013

Safety during night shifts: a cross-sectional survey of junior doctors' preparation and practice.

October 23, 2013

The Safe Patient Flow Initiative: a collaborative quality improvement journey at Yale-New Haven Hospital.

October 9, 2013

Engaging patients in medication reconciliation via a patient portal following hospital discharge.

October 2, 2013

Antiretroviral medication prescribing errors are common with hospitalization of HIV-infected patients.

September 25, 2013

Sleep deprivation: a call for institutional rules.

September 25, 2013

A hazard of impatient medicine.

September 11, 2013

Residency schedule, burnout and patient care among first-year residents.

September 4, 2013

Teaching hospital five-year mortality trends in the wake of duty hour reforms.

August 7, 2013

Associations of patient safety outcomes with models of nursing care organization at unit level in hospitals.

June 26, 2013

Duty-hours monitoring revisited: self-report may not be adequate.

June 19, 2013

Fatal PCA adverse events continue to happen...better patient monitoring is essential to prevent harm.

June 19, 2013

PCA safety data review after clinical decision support and smart pump technology implementation.

June 12, 2013

Determining a patient's comfort in inquiring about healthcare providers' hand-washing behavior.

June 12, 2013

See More About The Topic

Hospitals

Risk Managers

General Internal Medicine

Hospital Medicine

Surgery

Surgeon fatigue: a prospective analysis of the incidence, risk, and intervals of predicted fatigue-related impairment in residents.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Surgeon fatigue: a prospective analysis of the incidence, risk, and intervals of predicted fatigue-related impairment in residents.

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