Narrow Results Clear All
Search results for ""
Journal Article > Commentary
ACOG Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2018;131:e78-e81.
This commentary discusses how sleep deprivation affects patient safety and provides recommendations to address health care worker fatigue. Strategies include training to help clinicians recognize fatigue-related cognitive and performance decline, adjusting schedules to minimize work demands, and designing standard practices to reduce the potential for fatigue-related error.
Journal Article > Review
Clark SL. Am J Obstet Gynecol. 2009;201:136.e1-e4.
This article reviews the physiological effects of sleep deprivation and describes how it affects labor and delivery practice.
Journal Article > Study
Rothschild JM, Keohane CA, Rogers S, et al. JAMA. 2009;302:1565-1572.
Limitations on housestaff duty hours were implemented with the intent of protecting patients by reducing errors made by fatigued residents. Indeed, prior studies have shown that sleep-deprived residents are more prone to committing errors and inadvertently sustaining needlestick injuries. However, comparatively little attention has been paid to the effect of fatigue on attending physicians. Conducted at a single academic medical center, this study evaluated the relationship between sleep deprivation (defined as having operated the night before the scheduled procedure) and complication rates for a range of surgical, obstetric, and gynecologic procedures. There was no overall link between fatigue and complications, but the complication rate was increased for surgeons who had the opportunity to sleep less than 6 hours. Other studies have found that fatigue is influenced by many factors other than hours worked, and therefore further reductions in shift length (as called for in a recent Institute of Medicine report) may not significantly improve patient safety.
Journal Article > Study
Bittle MD, Knapp H, Polomano RC, Giordano NA, Brown J, Stringer M. Jt Comm J Qual Patient Saf. 2019;45:337-347.
This report of a quality improvement study of infant drop risk found that mothers who fall asleep holding infants are more likely to drop them. Nursing observations and formal assessments of mothers' sleepiness prevented infant drops from occurring. The authors recommend frequent observation and direct assessment of maternal sleepiness for postpartum wards.