title: Sleep, mental health status, and medical errors among hospital nurses in Japan.
abstract: Medical error involving nurses is a critical issue since nurses' actions will have a direct and often significant effect on the prognosis of their patients. To investigate the significance of nurse health in Japan and its potential impact on patient services, a questionnaire-based survey amongst nurses working in hospitals was conducted, with the specific purpose of examining the relationship between shift work, mental health and self-reported medical errors. Multivariate analysis revealed significant associations between the shift work system, General Health Questionnaire (GHQ) scores and nurse errors: the odds ratios for shift system and GHQ were 2.1 and 1.1, respectively. It was confirmed that both sleep and mental health status among hospital nurses were relatively poor, and that shift work and poor mental health were significant factors contributing to medical errors.
authors.affiliation: Department Psychiatry, Shiga University of Medical Sciences, Otsu city, Shiga, Japan.
authors.forename: Mayumi
authors.initials: M
authors.lastname: Arimura
authors.forename: Makoto
authors.initials: M
authors.lastname: Imai
authors.forename: Masako
authors.initials: M
authors.lastname: Okawa
authors.forename: Toshimasa
authors.initials: T
authors.lastname: Fujimura
authors.forename: Naoto
authors.initials: N
authors.lastname: Yamada
mesh_terms: D000062:Accidents, Occupational; D000223:Adaptation, Psychological; D000328:Adult; D016001:Confidence Intervals; D003863:Depression / Q000209:etiology; D005260:Female; D019538:Health Care Surveys; D006304:Health Status; D006305:Health Status Indicators; D006801:Humans; D007564:Japan; D016015:Logistic Models; D008297:Male; D019300:Medical Errors / Q000517:prevention & control / Q000523:psychology* / Q000706:statistics & numerical data; D008603:Mental Health; D015999:Multivariate Analysis; D009741:Nursing Staff, Hospital / Q000523:psychology* / Q000706:statistics & numerical data; D016272:Occupational Health; D016017:Odds Ratio; D011379:Prognosis; D018570:Risk Assessment; D012890:Sleep; D012893:Sleep Wake Disorders / Q000150:complications / Q000523:psychology; D013315:Stress, Psychological; D011795:Surveys and Questionnaires; D013997:Time Factors; D014940:Work Schedule Tolerance / Q000523:psychology*