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Thompson D, Holzmueller C, Hunt D, Cafe C, Sexton B, Pronovost PJ. Jt Comm J Qual Patient Saf. 2005;31:476-479.
The authors describe a tool to support reliable communication at shift change and promote improved patient safety. The project was supported by the Agency for Healthcare Research and Quality (AHRQ).
Journal Article > Study
Rogers AE, Hwang WT, Scott LD, Aiken LH, Dinges DF. Health Aff (Millwood). 2004;23:202-212.
This AHRQ-funded study demonstrated that the risk of error increased in association with extended work shifts, overtime, or longer than 40-hour work weeks. Using logbooks from nearly 400 nurses sampled out of a larger group from the American Nurses Association, investigators determined that an alarmingly high percentage of nurses report working extended hours. For those shifts longer than 12.5 hours, the error rate increased notably. The authors advocate for continued attention to relationships between nursing work hours and patient safety, building on past research that linked staffing to poor patient outcomes.
Journal Article > Review
Caruso CC, Bushnell T, Eggerth D, et al. Am J Ind Med. 2006;49:930-942.
The authors reviewed literature and sought expert opinion to identify the reasons for and effects of long working hours, then identified research needed to pinpoint employee groups most at risk for negative consequences.
Journal Article > Study
Landrigan CP, Czeisler CA, Barger LK, et al. Jt Comm J Qual Patient Saf. 2007;33(suppl 1):19-29.
Efforts to comply with resident work-hour restrictions have placed a significant burden on hospitals and training programs, particularly in addressing the impact of these restrictions on patient safety. This AHRQ-supported study provides a framework to address the scheduling practices that aim to minimize sleep deprivation, optimize teamwork, and promote patient safety. The authors share a number of case examples and discuss policy implications around developing evidence-based scheduling and systematic culture change. This study's lead author, Dr. Christopher Landrigan, was featured in a past AHRQ WebM&M conversation that discussed the role of sleep deprivation in residency training and its effect on medical errors.
Journal Article > Commentary
Collins Sharp BA, Clancy CM. J Nurs Care Qual. 2008;23:97-100.
This AHRQ commentary describes research findings linking nurses' working environment (including organizational climate, staffing, overtime, and fatigue) to patient outcomes.