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Sleep quality during an overnight on-call program.

Laura Cannon1, Dina Ali2, Sara E Parli2

  • 1Pharmacy Practice Division, University of Texas at Austin College of Pharmacy, Austin, TX.

American Journal of Health-System Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists
|July 19, 2021
PubMed
Summary
This summary is machine-generated.

Pharmacy residents experienced significantly reduced sleep and poor sleep quality during overnight on-call shifts. This resulted in a substantial increase in daytime sleepiness, impacting resident well-being and potentially patient care.

Keywords:
duty hoursfatigueon-callpharmacyresidentssleep

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Area of Science:

  • Pharmacy Practice
  • Sleep Medicine
  • Occupational Health

Background:

  • Institutions utilize pharmacy residents to extend clinical services via overnight, in-house on-call programs.
  • Limited evidence exists on the impact of these on-call duties on resident sleep and sleepiness.

Purpose of the Study:

  • To investigate the relationship between overnight, in-house on-call shifts and pharmacy resident sleep, sleep quality, and sleepiness.

Main Methods:

  • A prospective observational cohort study involving postgraduate year 1 and 2 pharmacy residents.
  • Sleep and sleep quality assessed using wrist-worn devices over 10-15 on-call shifts per resident.
  • Sleepiness evaluated using the Epworth Sleepiness Scale (ESS) pre- and post-call.

Main Results:

  • 42.6% of shifts involved no sleep for residents.
  • Average sleep duration during on-call shifts was 1.22 hours (SD, 1.56).
  • Residents reported a 2.4-fold increase in sleepiness after on-call shifts.

Conclusions:

  • Pharmacy residents frequently experience insufficient and poor-quality sleep during overnight on-call duties.
  • Increased sleepiness post-call is a predictable outcome of these demanding schedules.
  • Residents handle an average of 10 clinical calls per overnight shift, contributing to sleep disruption.