The effect of work hours on adverse events and errors in health care.
The effect of work hours on adverse events and errors in health care.
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DOI：
10.1016/j.jsr.2010.02.002
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发表时间：
2010-04
影响因子：
4.1
通讯作者：
Clarke SP
中科院分区：
文献类型：
--
作者：
Olds DM;Clarke SP
我们研究了注册护士工作时间延长与不良事件和错误之间的关系，包括针刺伤，工伤，患者福尔斯跌倒受伤，医院感染和用药错误。使用双变量和多变量logistic回归，对11，516名注册护士进行了二次分析，检查了护士特征，工作时间，不良事件和错误。所有不良事件和错误变量均与平均每周工作40小时以上显著相关。用药错误和针刺伤与工作时间和自愿加班变量的关系最强，最一致。这项研究证实了先前的研究结果，即增加工作时间会增加医疗保健中不良事件和错误的可能性，并进一步发现与自愿加班的关系。立法的重点是强制加班;然而，这项研究表明，自愿加班也可能对护士和病人的安全产生负面影响。
We studied the relationship between registered nurses' extended work duration with adverse events and errors, including needlestick injuries, work-related injuries, patient falls with injury, nosocomial infections, and medication errors. Using bivariate and multivariate logistic regression, this secondary analysis of 11,516 registered nurses examined nurse characteristics, work hours, and adverse events and errors. All of the adverse event and error variables were significantly related to working more than 40 hours in the average week. Medication errors and needlestick injuries had the strongest and most consistent relationships with the work hour and voluntary overtime variables. This study confirms prior findings that increased work hours raise the likelihood of adverse events and errors in healthcare, and further found the same relationship with voluntary overtime. Legislation has focused on mandatory overtime; however, this study demonstrated that voluntary overtime could also negatively impact nurse and patient safety.