Effects of Sleep Loss and Night Work on Patient Safety

睡眠不足和夜间工作对患者安全的影响

• 批准号: 6559859
• 负责人: Christopher Paul Landrigan
• 金额: $ 12.56万
• 依托单位: BOSTON CHILDREN'S HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-09-30 至 2007-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6559859
• 关键词: behavioral /social science research tag; clinical research; health care personnel performance; health care quality; human subject; patient safety /medical error; physicians; sleep deprivation

DESCRIPTION: (provided by applicant) Dr. Landrigan is an Instructor of Pediatrics at Harvard Medical School and an Assistant in Medicine at Children's Hospital, Boston. Following a pediatric residency, he completed fellowship training in health services research and a Master's in Public Health. He currently supervises a general pediatric service for 3-4 months per year. The remainder of the time, he pursues health services research in the quality of inpatient care. His principal areas of interest are medical error and housestaff working conditions. He is a project leader on an AHRQ-funded study, "Effects of Extended Work Hours on ICU Patient Safety." Dr. Landrigan's immediate goal is to develop expertise in the impact of sleep deprivation and night work on patient safety. He has a background in health services research and the study of medication errors, but requires further training in sleep physiology, patient safety, and human factors engineering to optimally understand the interaction of sleep deprivation with error. He will take formal courses in sleep and circadian physiology, will continue training in patient safety at the Center for Patient Safety at the Brigham and Women's Hospital, and will pursue advanced training in human factors engineering. He will receive intensive mentoring by Drs. Charles A. Czeisler and Donald A. Goldmann, national leaders in sleep deprivation and health services research, respectively. His long-term career goals are 1) to become a national leader in the study of sleep deprivation, human factors, and medical error; and 2) to implement and evaluate strategies to improve working conditions and patient safety. Dr. Landrigan's research proposal is to study the manner in which interns' work schedules and sleep deprivation impact patient safety. Using a comprehensive, prospective error detection approach along with state-of-the-art technologies for the measurement of sleep, Dr. Landrigan will quantify the roles of time of day, time on duty, and sleep inertia in medical error. This study will substantially add to the understanding of sleep and patient safety by identifying the relative contributions of each of these factors, which will be important for the development of appropriate fatigue and error countermeasures. The results of this research may have significant implications for the traditional call schedules of medical trainees and the organization of hospital care at night.

描述：（由申请人提供）Landrigan博士是哈佛医学院儿科讲师和波士顿儿童医院医学助理。在儿科住院医师之后，他完成了卫生服务研究的奖学金培训，并获得了公共卫生硕士学位。目前，他每年有3-4个月的时间负责普通儿科服务。剩下的时间，他从事住院病人护理质量方面的卫生服务研究。他的主要研究领域是医疗事故和家政人员的工作条件。他是ahrq资助的研究项目“延长工作时间对ICU患者安全的影响”的项目负责人。