Updating the “Risk Index”: A systematic review and meta-analysis of occupational injuries and work schedule characteristics

@article{Fischer2017UpdatingT,
  title={Updating the “Risk Index”: A systematic review and meta-analysis of occupational injuries and work schedule characteristics},
  author={Dorothee Fischer and David A. Lombardi and Simon Folkard and Joanna L. Willetts and David C. Christiani},
  journal={Chronobiology International},
  year={2017},
  volume={34},
  pages={1423 - 1438}
}
ABSTRACT Fatigue is a major risk factor for occupational ‘accidents’ and injuries, and involves dimensions of physical, mental, and muscular fatigue. These dimensions are largely influenced by temporal aspects of work schedules. The “Risk Index” combines four fatigue-related components of work schedules to estimate occupational ‘accident’ and injury risk based on empirical trends: shift type (morning, afternoon/evening, night), length and consecutive number, and on-shift rest breaks. Since its… 
Safety incidents associated with extended working hours. A systematic review and meta-analysis
TLDR
A systematic review to assess potential consequences of extended working hours on accidents, near-accidents, safety incidents and injuries by considering the overall certainty of evidence found an association between working >12 hours/day and weekly working hours >55 hours was associated with an increased risk of incidents.
Protocol for a systematic review and meta-analysis on the associations between shift work and sickness absence
Background Shift work, i.e., non-standard work hours, has been associated with both short- and long-term sickness absence. However, findings are inconsistent and inconclusive. Thus far, no
Prevalence of Shift Work Disorder: A Systematic Review and Meta-Analysis
TLDR
The prevalence of SWD was high across the included studies and was partly explained by diagnostic criteria and sample size, and there is a need for validation and standardization of assessment methodology as well as agreement in terms of sample restrictions.
Characteristics of working hours and the risk of occupational injuries among hospital employees: a case-crossover study
TLDR
The results indicate an increased occupational injury risk during the evening shifts and during work days following night shifts, with the risk increasing according to the number of evening but not night shifts.
Shift work and long work hours and their association with chronic health conditions: A systematic review of systematic reviews with meta-analyses
TLDR
Moderate grade evidence suggest that shift work and long work hours increase the risk of breast cancer and stroke, but the evidence is unclear on other chronic conditions.
Guiding Principles For Determining Work Shift Duration And Addressing The Effects Of Work Shift Duration On Performance, Safety, And Health.
TLDR
This work proposes a series of guiding principles to assist stakeholders with designing a shift duration decision-making process that effectively balances the need to meet operational demands with theneed to manage fatigue-related risks.
Non-Pharmacological Interventions to Improve Chronic Disease Risk Factors and Sleep in Shift Workers: A Systematic Review and Meta-Analysis
TLDR
Interventions may improve chronic disease risk factors and sleep in shift workers; however, this could only be objectively assessed for a limited number of risk factor endpoints.
...
...

References

SHOWING 1-10 OF 53 REFERENCES
Toward a “Risk Index” to Assess Work Schedules
This article describes our preliminary attempt to develop a Risk Index to estimate the risk of human error on different work schedules based on trends in the relative risk of accidents and injuries,
The effect of rest breaks on time to injury - a study on work-related ladder-fall injuries in the United States.
TLDR
The results showed that longer total rest break time allowed for a significantly prolonged time spent on task without an injury, suggesting that rest break design could be used as a tool to enhance fatigue management and workplace safety.
The Impact of Rest Breaks on Temporal Trends in Injury Risk
TLDR
It is suggested that the current trends reflect the effects of working in a relatively unconstrained task environment, and that causes other than fatigue may underlie the trends observed in both the previous and current studies.
Trends in the risk of accidents and injuries and their implications for models of fatigue and performance.
TLDR
It is suggested that the relationship between risk and fatigue may be non-linear, that models may have overestimated the recovery during short sleeps, and that day sleeps between night shifts may be less recuperative than normally timed night sleeps of the same length.
Modeling the impact of the components of long work hours on injuries and "accidents".
TLDR
It is concluded that placing a limit on the risk associated with a particular work schedule is likely more effective than setting daily, weekly or monthly work hour regulations in keeping workplace safety within acceptable limits.
Extended Work Duration and the Risk of Self-Reported Percutaneous Injuries in Interns
TLDR
Extended work duration and night work were associated with an increased risk of percutaneous injuries in this study population of physicians during their first year of clinical training.
The link between fatigue and safety.
Shift work trends and risk of work injury among Canadian workers.
TLDR
Rotating and night shift workers appear to have a higher risk of work injury, particularly among women, and Regulatory agencies and employers need to identify and mitigate factors that give rise to increased work injury among these types of shift workers.
Adolescent occupational injuries and workplace risks: an analysis of Oregon workers' compensation data 1990-1997.
Temporal Factors and the Prevalence of Transient Exposures at the Time of an Occupational Traumatic Hand Injury
TLDR
The results suggest that acute hand injuries occur earlier in the workday and safety programs should place increased vigilance on these times.
...
...