Cited by 211Patient Safety and Medication ErrorsHospital Admissions and OutcomesSleep and Work-Related Fatigue

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The effect of work hours on adverse events and errors in health care.

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Olds, Danielle M., Clarke, Sean P.·2010·Journal of Safety Research

DOI 10.1016/j.jsr.2010.02.002PMC PMC2910393

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Abstract

Introduction We studied the relationship between registered nurses' extended work duration with adverse events and errors, including needlestick injuries, work-related injuries, patient falls with injury, nosocomial infections, and medication errors.Method Using bivariate and multivariate logistic regression, this secondary analysis of 11,516 registered nurses examined nurse characteristics, work hours, and adverse events and errors.Results All of the adverse event and error variables were significantly related to working more than 40 hours in the average week. Medication errors and needlestick injuries had the strongest and most consistent relationships with the work hour and voluntary overtime variables.Discussion This study confirms prior findings that increased work hours raise the likelihood of adverse events and errors in healthcare, and further found the same relationship with voluntary overtime.Impact on industry Legislation has focused on mandatory overtime; however, this study demonstrated that voluntary overtime could also negatively impact nurse and patient safety.

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Authors: Olds, D. M., & Clarke, S. P.
Affiliations: University of Pennsylvania (US)
University Health Network (CA)
Corresponding author: Olds, Danielle M.
ORCID: Olds, Danielle M.
Clarke, Sean P.
Venue: Journal of Safety Research
Publisher: Elsevier BV
Published: 2010-04
Volume: 41
Issue: 2
Pages: 153-162
ISSN: 0022-4375 (ISSN-L)
DOI: 10.1016/j.jsr.2010.02.002
PMC: PMC2910393
OpenAlex: W1968026351
Cited by: 211
References: 31
Citations by year: 2026: 7 · 2025: 14 · 2024: 11 · 2023: 11 · 2022: 15 · 2021: 18 · 2020: 15 · 2019: 21 · 2018: 20 · 2017: 16 · 2016: 12 · 2015: 14 · 2014: 10 · 2013: 8 · 2012: 9
FWCI: 13.27
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Journal of Safety Research (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institutes of Health (5p30nr005043-10)
National Institute of Nursing Research (P30-NR-005043, R01NR004513, T32NR007104)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Patient Safety and Medication Errors
Health Sciences › Nursing › Leadership and Management › Hospital Admissions and Outcomes
Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
Keywords: adverse events, medical errors, needlestick injuries, occupational injuries, patient falls, nosocomial infections, medication errors, mandatory overtime, nurse safety, patient safety, registered nurses
MeSH terms: Accidental Falls, Accidents, Occupational, Adult, Cross Infection, Delivery of Health Care, Female, Humans, Male, Medication Errors, Middle Aged, Nurses, Pennsylvania, Surveys and Questionnaires, Risk Factors, Work Schedule Tolerance, Logistic Models, Workload, Needlestick Injuries, Medical Errors

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The effect of work hours on adverse events and errors in health care.

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