Effects of Sleep Loss and Night Work on Patient Safety

产品说明：（申请人提供）Landrigan博士是哈佛医学院的儿科讲师和波士顿儿童医院的医学助理。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和公共卫生硕士学位。他目前每年监督一般儿科服务3-4个月。其余的时间，他从事住院护理质量的卫生服务研究。他的主要兴趣领域是医疗差错和家庭工作人员的工作条件。他是AHRQ资助的一项研究“延长工作时间对ICU患者安全的影响”的项目负责人。" 博士Landrigan的近期目标是发展睡眠剥夺和夜间睡眠的影响方面的专业知识。 致力于患者安全。他有健康服务研究和用药错误研究的背景，但需要在睡眠生理学，患者安全和人为因素工程方面进行进一步培训，以最佳地了解睡眠剥夺与错误的相互作用。他将参加睡眠和昼夜生理学方面的正式课程，将继续在布里格姆妇女医院的患者安全中心接受患者安全培训，并将接受人因工程方面的高级培训。他将接受查尔斯博士的密集指导。Czeisler和Donald A.戈德曼分别是睡眠剥夺和卫生服务研究的国家领导人。他的长期职业目标是：1）成为睡眠剥夺，人为因素和医疗差错研究的国家领导者; 2）实施和评估改善工作条件和患者安全的战略。Landrigan博士的研究计划是研究实习生的工作时间表和睡眠剥夺对病人安全的影响。Landrigan博士将使用全面的前瞻性错误检测方法，沿着最先进的睡眠测量技术，量化一天中的时间，值班时间和睡眠惯性在医疗错误中的作用。这项研究将大大增加 通过识别这些因素中的每一个的相对贡献来理解睡眠和患者安全，这对于制定适当的疲劳和错误对策将是重要的。这项研究的结果可能有显着的影响，传统的呼叫时间表的医疗实习生和组织医院护理在夜间。

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.