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Sleep, Health and SocietyFrom Aetiology to Public Health$
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Francesco P. Cappuccio, Michelle A. Miller, and Steven W. Lockley

Print publication date: 2010

Print ISBN-13: 9780199566594

Published to Oxford Scholarship Online: January 2011

DOI: 10.1093/acprof:oso/9780199566594.001.0001

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Effect of lack of sleep on medical errors

Effect of lack of sleep on medical errors

Chapter:
(p.382) Chapter 17 Effect of lack of sleep on medical errors
Source:
Sleep, Health and Society
Author(s):

C.P. Landrigan

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780199566594.003.0017

This chapter describes the silent worldwide epidemic of medical error, and outlines what is known about the manner in which human cognitive limits and system complexity contribute to problems in patient safety. It then discusses the manner in which sleep deprivation, circadian misalignment, and sleep inertia contribute to the genesis of error, and reviews the literature on the relationship between sleep deprivation, work hours, and healthcare provider performance. It presents the results of recent cohort studies directly measuring the effects of sleep deprivation on safety, along with the results of intervention studies designed to mitigate its effects. The chapter concludes with a brief discussion of current healthcare provider work hour policies in Europe and the United States, and the future healthcare policy implications of this emerging work.

Keywords:   sleep deprivation, healthcare provider, patient safety, medical error, healthcare policy

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