"睡眠和工作时间对医疗错误的影响的多变量分析:一种MICE方法"
Malena Lis Mul Fedele1, María Del Pilar López Gabeiras2, Guido Simonelli3,4,5
1Chronophysiology Lab, Institute for Biomedical Research (UCA-CONICET), Buenos Aires, Argentina.
BMC public health
|November 23, 2023
概括
医疗人员面临着长时间的工作和睡眠不足,增加了医疗错误的风险. 改善居民福祉对于患者安全至关重要.
科学领域:
- 医学教育 医学教育
- 职业健康 职业健康 职业健康
- 睡眠医学 睡眠医学
背景情况:
- 住院医生经常遇到苛刻的工作时间表.
- 高工作时间会对睡眠和心理健康产生负面影响.
- 这些因素是导致医疗错误的潜在因素.
研究的目的:
- 调查工作条件,睡眠模式和心理情感变量之间的关系.
- 为了确定医疗人员中医疗错误的预测因素.
- 了解工作环境对居民福祉和患者安全的影响.
主要方法:
- 一项观察性,分析性,横截面研究,涉及661名医疗住院人员.
- 通过有关工作条件,睡眠和精神情绪状况的问卷收集的数据.
- 在一个子组 (n=38) 中进行动图和昼夜节律监测,以评估睡眠参数.
主要成果:
- 最长的连续班次,频繁的值班班次和每天睡眠时间少于6小时与自我报告的医疗错误有关.
- 工作 >6个月值班班次增加了医疗错误的几率 (OR=1.87).
- 医疗错误与日间睡眠时间增加相关,在动图记录中.
结论:
- 高工作量和居民睡眠不足与医疗错误有关.
- 实施提高居民睡眠和幸福感的策略至关重要.
- 改善居民安全直接有助于提高患者安全.
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