The working hours of hospital staff nurses and patient safety.
The use of extended work shifts and overtime has escalated as hospitals cope with a shortage of registered nurses (RNs). Little is known, however, about the prevalence of these extended work periods and their effects on patient safety. Logbooks completed by 393 hospital staff nurses revealed that participants usually worked longer than scheduled and that approximately 40 percent of the 5,317 work shifts they logged exceeded twelve hours. The risks of making an error were significantly increased when work shifts were longer than twelve hours, when nurses worked overtime, or when they worked more than forty hours per week.
School of Nursing, Center for Sleep and Respiratory Neurobiology, School of Medicine, University of Pennsylvania, Philadelphia, USA. aerogers@nursing.upenn.edu
Ann E
AE
Rogers
Wei-Ting
WT
Hwang
Linda D
LD
Scott
Linda H
LH
Aiken
David F
DF
Dinges
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D019300:Medical Errors / Q000517:prevention & control*; D008875:Middle Aged; D009741:Nursing Staff, Hospital / Q000458:organization & administration*; D010561:Personnel Staffing and Scheduling; D017751:Safety Management / Q000458:organization & administration*; D016526:Workload