A Solution to After-Hours Fatigue and Surgical Backlog
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Updated: Nov 16, 2025

Collecting Sleep, Circadian, Fatigue, and Performance Data in Complex Operational Environments
Published on: August 8, 2019
Albert T Anastasio1, Preet Shailesh Patel2, Joseph Fernandez-Moure3
1Department of Orthopaedic Surgery, Duke University, Durham, NC, USA.
Abstract:
After-hours surgery represents a novel solution that can effectively combat surgical fatigue of care teams in addition to addressing the high volume of surgical backlog associated with the repercussions of the COVID-19 pandemic. This commentary seeks to rationalize how successful employment of a dedicated after-hours surgical team and protocol has tremendous potential for increased efficiency while maintaining good surgical outcomes in patients.
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