Infants at risk: when nurse fatigue jeopardizes quality care.
Infants at risk: when nurse fatigue jeopardizes quality care.
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面临风险的婴儿：当护士疲劳危及护理质量时。
DOI：
10.1016/j.adnc.2006.02.001
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发表时间：
2006
期刊：
影响因子：
--
通讯作者：
Rogers,AnnE
中科院分区：
文献类型：
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作者：
Dean,GraceE;Scott,LindaD;Rogers,AnnE
虽然大多数关于医疗差错的研究都是在成人住院病房进行的，但在儿科环境中进行的少数研究表明，新生儿重症监护病房（NICU）的差错发生频率高于其他住院病房。由于长时间工作、夜间工作和睡眠不足而造成的疲劳的影响往往被低估。本文回顾了疲劳和睡眠的基本信息，并包括从6名NICU护士提供的数据中提取的例子，这些护士参加了最近的一项研究，以突出疲劳和错误之间的关系。这些案例研究强化了这样一个概念，即NICU护士需要足够警惕，为他们的病人提供安全的护理，以及足够警惕，以发现和纠正他人所犯的错误。采用良好的睡眠习惯，尽量减少轮班和过度的工作时间，并使用战略性午睡可以减少疲劳的不利影响，这些影响可能会使患者，特别是最脆弱的患者，处于危险之中。
Although most research on medical error has been conducted on adult inpatient units, the few studies conducted in pediatric settings suggest that errors occur more frequently in neonatal intensive care units (NICUs) than in other inpatient units. The effects of fatigue, due to long work hours, working at night, and insufficient sleep, are often underestimated. This article reviews basic information about fatigue and sleep and includes examples drawn from data provided by 6 NICU nurses who participated in a recent study to highlight the relationship between fatigue and error. These case studies reinforce the concept that NICU nurses need to be alert enough to provide safe care for their patients, as well as alert enough to detect and correct the errors made by others. Employing good sleep habits, minimizing shift rotations and excessive work hours, and using strategic naps can reduce the adverse effects of fatigue that could potentially put patients, especially the most vulnerable ones, at risk.