Patient safety: Fatigue among clinicians and the safety of patients
Patient safety: Fatigue among clinicians and the safety of patients
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DOI：
10.1056/nejmsa020846
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发表时间：
2002-10-17
影响因子：
158.5
通讯作者：
Howard, SK
中科院分区：
文献类型：
--
作者：
Gaba, DM;Howard, SK
临床医生，特别是实习医生，经常长时间工作，睡眠不足。临床医生疲劳对医疗质量的影响尚未得到充分研究，但睡眠剥夺可能会导致医疗错误。本文回顾了疲劳对表现的影响，以及目前的政策，规范居民的工作时间和选择新的法规管理居住转变。作者认为，改革是必要的，因为临床医生的长时间工作对医疗质量产生了不利影响。
Clinicians, especially physicians in training, often work long hours and get inadequate sleep. The implications of fatigue among clinicians for the quality of medical care have not been adequately studied, but sleep deprivation is likely to cause medical errors. This article reviews the effect of fatigue on performance, as well as current policies regulating residents' hours of work and options for new regulations governing residency shifts. The authors argue that reform is needed because the long work hours of clinicians adversely affect the quality of health care.