Extended Work Duration and the Risk of Self-Reported Percutaneous Injuries in Interns

  title={Extended Work Duration and the Risk of Self-Reported Percutaneous Injuries in Interns},
  author={Najib T. Ayas and Laura K. Barger and Brian E. Cade and Dean M. Hashimoto and Bernard A. Rosner and John W. Cronin and Frank E. Speizer and Charles A. Czeisler},
  journal={Obstetrics \& Gynecology},
CONTEXT In their first year of postgraduate training, interns commonly work shifts that are longer than 24 hours. Extended-duration work shifts are associated with increased risks of automobile crash, particularly during a commute from work. Interns may be at risk for other occupation-related injuries. OBJECTIVE To assess the relationship between extended work duration and rates of percutaneous injuries in a diverse population of interns in the United States. DESIGN, SETTING, AND… 

The association between resident physician work hour regulations and physician safety and health.

Making Residency Work Hour Rules Work

It is recommended that the Centers for Medicare & Medicaid Services (CMS) and the Joint Commission work with the Accreditation Council for Graduate Medical Education (ACGME) to ensure effective enforcement of new work hour standards.

The Effects of the 80-hour Workweek on Occupational Hazards

Although the last set of reduced-hour regulations have been in place for more than three years, there does not seem to be a safety advantage associated with them regarding a reduction in PCI or eyesplash accidents, and this may be due to other confounding factors.

Restricting resident work hours: The good, the bad, and the ugly

There is fairly limited evidence available, and a more in-depth understanding of this complex topic is required to design a residency experience that will provide the next generation of physicians the best compromise between education, experience, and quality patient care.

A case-crossover study of sleep and work hours and the risk of road traffic accidents.

Extended work hours and prolonged wakefulness increase the risk of road accidents and suggest that awareness should be raised among drivers.

Evaluation of medical intern work hours in Senegal

Medical intern work hours is a good subject of discussion, in such an under developed country like Senegal, which has seen an average of 55,7 hours with up to eighty hours extremes.

Effects of the Accreditation Council for Graduate Medical Education Duty Hour Limits on Sleep, Work Hours, and Safety

Although fewer residents were burned out, rates of medication errors, resident depression, and resident injuries and educational ratings did not improve after implementation of the duty hour standards.



Extended work shifts and the risk of motor vehicle crashes among interns.

Extended-duration work shifts, which are currently sanctioned by the Accreditation Council for Graduate Medical Education, pose safety hazards for interns and have implications for medical residency programs, which routinely schedule physicians to work more than 24 consecutive hours.

Effect of reducing interns' work hours on serious medical errors in intensive care units.

Eliminating extended work shifts and reducing the number of hours interns work per week can reduce serious medical errors in the intensive care unit.

Effect of reducing interns' weekly work hours on sleep and attentional failures.

Eliminating interns' extended work shifts in an intensive care unit significantly increased sleep and decreased attentional failures during night work hours.

Sleep deprivation and fatigue in residency training: results of a national survey of first- and second-year residents.

Reduced sleep hours were significantly related to a number of work-related, learning, and personal health variables and Capping residents' work hours is unlikely to fully address the sleep deficits and resulting impairments reported by residents.

Neurobehavioral performance of residents after heavy night call vs after alcohol ingestion.

Post-call performance impairment during a heavy call rotation is comparable with impairment associated with a 0.04 to 0.05 g% blood alcohol concentration during a light call rotation, as measured by sustained attention, vigilance, and simulated driving tasks.


Analysis of the clock time of the 745 reported blood-borne pathogen exposures showed they occurred more frequently during the day than night, which means that doctors in training are at a 1.50 higher risk of sustaining a blood-bourne pathogen exposure when working nights than when working days.

Should we use a case-crossover design?

This review of published case-crossover studies is designed to help the reader prepare a better research proposal by understanding triggers and deterrents, target person times, alternative study bases, crossover cohorts, induction times, effect and hazard periods, exposure windows, the exposure opportunity fallacy, a general likelihood formula, and control crossover analysis.

Circadian Incidence of Labor Onset Hour in Preterrn Birth and Chorioarnnionitis

The presence of the normal nocturnal labor-activating mechanism in both growth-retarded term deliveries and a defined subset of preterm deliveries is suggested and chorioamnionitis appears to be associated with a prominent, unidentified alternative laborActivating mechanism that is maximal in the evening.

The cumulative cost of additional wakefulness: dose-response effects on neurobehavioral functions and sleep physiology from chronic sleep restriction and total sleep deprivation.

It appears that even relatively moderate sleep restriction can seriously impair waking neurobehavioral functions in healthy adults, and sleep debt is perhaps best understood as resulting in additional wakefulness that has a neurobiological "cost" which accumulates over time.

Sleepiness on the job: continuously measured EEG changes in train drivers.