Nursing

Website spotlight: Linking medical errors, nurses’ 12-hour shifts

Staff Development Weekly: Insight on Evidence-Based Practice in Education, October 29, 2010

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It's well known that caregiver fatigue is a huge cause of errors, whether the caregiver involved is a new resident coming off a marathon week or an overworked nurse pulling back-to-back shifts.

A few months ago, the Accreditation Council for Graduate Medical Education placed new restrictions on the hours residents can work and the supervision they receive. This follows years of research into new physicians' training and the effect long hours and tiredness play in performance and contribute to poor quality care. A 2004 study found that first-year residents working all night were responsible for more than half of preventable adverse events.

Nurses don't have the same extraordinarily-long work requirements as residents—and they clearly perform very different tasks—but like residents, they work long shifts and suffer from fatigue. Studies have linked nurse fatigue with medical errors, poor quality care, stress, and burnout.

Editor's note: To read the rest of this free article, visit the Reading Room, which is part of www.StrategiesForNurseManagers.com.



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