The DOI matches its Crossref record; 19 of the 19 references it cites were found in a registry or an index.
Extended Work Shifts and the Risk of Motor Vehicle Crashes among Interns
Open accessAbstract
BACKGROUND: Long work hours and work shifts of an extended duration (> or =24 hours) remain a hallmark of medical education in the United States. Yet their effect on health and safety has not been evaluated with the use of validated measures. METHODS: We conducted a prospective nationwide, Web-based survey in which 2737 residents in their first postgraduate year (interns) completed 17,003 monthly reports that provided detailed information about work hours, work shifts of an extended duration, documented motor vehicle crashes, near-miss incidents, and incidents involving involuntary sleeping. RESULTS: The odds ratios for reporting a motor vehicle crash and for reporting a near-miss incident after an extended work shift, as compared with a shift that was not of extended duration, were 2.3 (95 percent confidence interval, 1.6 to 3.3) and 5.9 (95 percent confidence interval, 5.4 to 6.3), respectively. In a prospective analysis, every extended work shift that was scheduled in a month increased the monthly risk of a motor vehicle crash by 9.1 percent (95 percent confidence interval, 3.4 to 14.7 percent) and increased the monthly risk of a crash during the commute from work by 16.2 percent (95 percent confidence interval, 7.8 to 24.7 percent). In months in which interns worked five or more extended shifts, the risk that they would fall asleep while driving or while stopped in traffic was significantly increased (odds ratios, 2.39 [95 percent confidence interval, 2.31 to 2.46] and 3.69 [95 percent confidence interval, 3.60 to 3.77], respectively). CONCLUSIONS: Extended-duration work shifts, which are currently sanctioned by the Accreditation Council for Graduate Medical Education, pose safety hazards for interns. These results have implications for medical residency programs, which routinely schedule physicians to work more than 24 consecutive hours.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“Sleep loss and night work are associated with reduced alertness and cognitive performance1 and represent a safety challenge for all 24/7 operations, including medicine.2–6”
From Sleep and Alertness in a Duty-Hour Flexibility Trial in Internal Medicine (2019) · cites this paper as [3]
Experimental — accuracy not yet measuredThe cited source says what the claim attributes to it.
In the citing paper
“Subsequent evaluations found that shifts of 24 or more hours were associated with increased odds of fatigue-related medical errors and preventable adverse events (PAEs),3 percutaneous injuries4 and motor vehicle crashes.5”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
Fundamentals of Biostatistics.
(1969) · Annals of Internal Medicine · doi:10.7326/0003-4819-70-4-873 · Cited by 4,573
Impact of sleep debt on metabolic and endocrine function
Spiegel, K., Leproult, R., & Van Cauter, E. (1999) · The Lancet · doi:10.1016/s0140-6736(99)01376-8 · Cited by 3,668
Van Dongen, H. P. A., Maislin, G., Mullington, J. M., & Dinges, D. F. (2003) · Sleep · doi:10.1093/sleep/26.2.117 · Cited by 3,173
Effect of Reducing Interns' Work Hours on Serious Medical Errors in Intensive Care Units
Landrigan, C. P., Rothschild, J. M., Cronin, J. W., Kaushal, R., Burdick, E., Katz, J. T., Lilly, C. M., Stone, P. H., Lockley, S. W., Bates, D. W., et al. (2004) · New England Journal of Medicine · doi:10.1056/nejmoa041406 · Cited by 1,760
Self-citationBelenky, G., Wesensten, N. J., Thorne, D. R., Thomas, M. L., Sing, H. C., Redmond, D. P., Russo, M. B., & Balkin, T. J. (2003) · Journal of Sleep Research · doi:10.1046/j.1365-2869.2003.00337.x · Cited by 1,436
Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures
Lockley, S. W., Cronin, J. W., Evans, E. E., Cade, B. E., Lee, C. J., Landrigan, C. P., Rothschild, J. M., Katz, J. T., Lilly, C. M., Stone, P. H., et al. (2004) · New England Journal of Medicine · doi:10.1056/nejmoa041404 · Cited by 913
Self-citationShould We Use a Case-Crossover Design?
Maclure, M., & Mittleman, M. A. (2000) · Annual Review of Public Health · doi:10.1146/annurev.publhealth.21.1.193 · Cited by 761
Learning, Satisfaction, and Mistreatment During Medical Internship
Daugherty, S. R., Baldwin, D. C., & Rowley, B. D. (1998) · JAMA · doi:10.1001/jama.279.15.1194 · Cited by 313
Friedman, R. C., Bigger, J. T., & Kornfeld, D. S. (1971) · New England Journal of Medicine · doi:10.1056/nejm197107222850405 · Cited by 312
Rotating Shift Work Schedules That Disrupt Sleep Are Improved by Applying Circadian Principles
Czeisler, C. A., Moore‐Ede, M. C., & Coleman, R. M. (1982) · Science · doi:10.1126/science.7089576 · Cited by 265
Self-citation
Research works printed but not linked: 1
- 2000, Fed Regist, 65, 25541
Cited by
Sorted by citations
Sleep Health: Can We Define It? Does It Matter?
Buysse, D. J. (2014) · SLEEP · doi:10.5665/sleep.3298 · Cited by 2,768
Physician wellness: a missing quality indicator
Wallace, J. E., Lemaire, J. B., & Ghali, W. A. (2009) · The Lancet · doi:10.1016/s0140-6736(09)61424-0 · Cited by 1,608
Health consequences of shift work and insufficient sleep
Kecklund, G., & Axelsson, J. (2016) · BMJ · doi:10.1136/bmj.i5210 · Cited by 1,195
Rates of medication errors among depressed and burnt out residents: prospective cohort study
Fahrenkopf, A. M., Sectish, T. C., Barger, L. K., Sharek, P. J., Lewin, D., Chiang, V. W., Edwards, S., Wiedermann, B. L., & Landrigan, C. P. (2008) · BMJ · doi:10.1136/bmj.39469.763218.be · Cited by 1,175
Self-citationPanel, C. C., Watson, N. F., Badr, M. S., Belenky, G., Bliwise, D. L., Buxton, O. M., Buysse, D., Dinges, D. F., Gangwisch, J., Grandner, M. A., et al. (2015) · Sleep · doi:10.5665/sleep.4886 · Cited by 906
Vigilance, alertness, or sustained attention: physiological basis and measurement
Oken, B. S., Salinsky, M. C., & Elsas, S. M. (2006) · Clinical Neurophysiology · doi:10.1016/j.clinph.2006.01.017 · Cited by 887
The link between fatigue and safety
Williamson, A. M., Lombardi, D. A., Folkard, S., Stutts, J. C., Courtney, T. K., & CONNOR, J. L. (2010) · Accident Analysis & Prevention · doi:10.1016/j.aap.2009.11.011 · Cited by 824
The Effects of Coffee and Napping on Nighttime Highway Driving
Philip, P., Taillard, J., Moore, N. D., Delord, S., Valtat, C., Sagaspe, P., & Bioulac, B. H. (2006) · Annals of Internal Medicine · doi:10.7326/0003-4819-144-11-200606060-00004 · Cited by 652
Sleep loss and fatigue in shift work and shift work disorder
Åkerstedt, T., & Wright, K. P. (2009) · Sleep Medicine Clinics · doi:10.1016/j.jsmc.2009.03.001 · Cited by 639
Impacts of shift work on sleep and circadian rhythms
Boivin, D. B., & Boudreau, P. (2014) · Pathologie Biologie · doi:10.1016/j.patbio.2014.08.001 · Cited by 639
Watson, N. F., Badr, M. S., Belenky, G., Bliwise, D. L., Buxton, O. M., Buysse, D., Dinges, D. F., Gangwisch, J., Grandner, M. A., Kushida, C., et al. (2015) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.4950 · Cited by 568
Impact of Extended-Duration Shifts on Medical Errors, Adverse Events, and Attentional Failures
Barger, L. K., Ayas, N. T., Cade, B. E., Cronin, J. W., Rosner, B., Speizer, F. E., & Czeisler, C. A. (2006) · PLoS Medicine · doi:10.1371/journal.pmed.0030487 · Cited by 533
Self-citationResident Duty Hours: Enhancing Sleep, Supervision, and Safety
Ulmer, C. C., Wolman, D. M., & Johns, M. M. E. (2009) · Cited by 481
Shift work and the assessment and management of shift work disorder (SWD)
Wright, K. P., Bogan, R. K., & Wyatt, J. K. (2013) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2012.02.002 · Cited by 437
The Impact of Shift Work on Sleep, Alertness and Performance in Healthcare Workers
Ganesan, S., Magee, M., Stone, J. E., Mulhall, M. D., Collins, A., Howard, M. E., Lockley, S. W., Rajaratnam, S. M. W., & Sletten, T. L. (2019) · Scientific Reports · doi:10.1038/s41598-019-40914-x · Cited by 429
Sleep and Circadian Rhythms in Humans
Czeisler, C. A., & Gooley, J. J. (2007) · Cold Spring Harbor Symposia on Quantitative Biology · doi:10.1101/sqb.2007.72.064 · Cited by 425
Self-citationNeurobehavioral Performance of Residents After Heavy Night Call vs After Alcohol Ingestion
Arnedt, J. T., Owens, J., Crouch, M., Stahl, J., & Carskadon, M. A. (2005) · JAMA · doi:10.1001/jama.294.9.1025 · Cited by 419
Extended Work Duration and the Risk of Self-reported Percutaneous Injuries in Interns
Ayas, N. T., Barger, L. K., Cade, B. E., Hashimoto, D. M., Rosner, B., Cronin, J. W., Speizer, F. E., & Czeisler, C. A. (2006) · JAMA · doi:10.1001/jama.296.9.1055 · Cited by 411
Self-citationShift work, sleep, and sleepiness – differences between shift schedules and systems
Sallinen, M., & Kecklund, G. (2010) · Scandinavian Journal of Work, Environment & Health · doi:10.5271/sjweh.2900 · Cited by 412
Sleep disorders, health, and safety in police officers
Rajaratnam, S. M. W., Barger, L. K., Lockley, S. W., Shea, S. A., Wang, W., Landrigan, C. P., O’Brien, C. S., Qadri, S., Sullivan, J. P., Cade, B. E., et al. (2011) · JAMA · doi:10.1001/jama.2011.1851 · Cited by 405
Self-citationWorkhours in relation to work stress, recovery and health
Härmä, M. (2006) · Scandinavian Journal of Work Environment & Health · doi:10.5271/sjweh.1055 · Cited by 387
Effects of Health Care Provider Work Hours and Sleep Deprivation on Safety and Performance
Lockley, S. W., Barger, L. K., Ayas, N., Rothschild, J. M., Czeisler, C. A., & Landrigan, C. P. (2007) · The Joint Commission Journal on Quality and Patient Safety · doi:10.1016/s1553-7250(07)33109-7 · Cited by 399
Self-citationShift and night work and long working hours – a systematic review of safety implications
Wagstaff, A. S., & Sigstad Lie, J.-A. (2011) · Scandinavian Journal of Work, Environment & Health · doi:10.5271/sjweh.3146 · Cited by 367
Leape, L. L., Shore, M. F., Dienstag, J. L., Mayer, R. J., Edgman‐Levitan, S., Meyer, G. S., & Healy, G. B. (2012) · Academic Medicine · doi:10.1097/acm.0b013e318258338d · Cited by 362
Valentin, A., Ferdinande, P., & ESICM Working Group on Quality Improvement (2011) · Intensive Care Medicine · doi:10.1007/s00134-011-2300-7 · Cited by 333
Patient Safety in the Cardiac Operating Room: Human Factors and Teamwork
Wahr, J. A., Prager, R. L., Abernathy, J. H., Martinez, E. A., Salas, E., Seifert, P. C., Groom, R. C., Spiess, B. D., Searles, B. E., Sundt, T. M., et al. (2013) · Circulation · doi:10.1161/cir.0b013e3182a38efa · Cited by 347
Effects of Work Hour Reduction on Residents’ Lives: A Systematic Review
Fletcher, K. E., Underwood, W., Davis, S. Q., Mangrulkar, R. S., McMahon, L. F., & Saint, S. (2005) · JAMA · doi:10.1001/jama.294.9.1088 · Cited by 328
Patient safety research: an overview of the global evidence
Jha, A. K., Prasopa-Plaizier, N., Larizgoitia, I., & Bates, D. W. (2010) · BMJ Quality & Safety · doi:10.1136/qshc.2008.029165 · Cited by 317
Shift Work and Shift Work Sleep Disorder
Wickwire, E. M., Geiger-Brown, J. M., Scharf, S. M., & Drake, C. L. (2016) · CHEST Journal · doi:10.1016/j.chest.2016.12.007 · Cited by 351
Transport and industrial safety, how are they affected by sleepiness and sleep restriction?
Philip, P., & Åkerstedt, T. (2006) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2006.04.002 · Cited by 292
Oxytocin: new perspectives on an old drug
Clark, S. L., Simpson, K. R., Knox, G., & Garite, T. J. (2008) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2008.06.010 · Cited by 285
Barger, L. K., Flynn-Evans, E. E., Kubey, A., Walsh, L., Ronda, J. M., Wang, W., Wright, K. P., & Czeisler, C. A. (2014) · The Lancet Neurology · doi:10.1016/s1474-4422(14)70122-x · Cited by 277
Self-citationOptimizing sleep to maximize performance: implications and recommendations for elite athletes
Simpson, N. S., Gibbs, E. L., & Matheson, G. O. (2016) · Scandinavian Journal of Medicine and Science in Sports · doi:10.1111/sms.12703 · Cited by 274
Modeling the impact of the components of long work hours on injuries and "accidents".
Folkard, S., & Lombardi, D. A. (2006) · American Journal of Industrial Medicine · doi:10.1002/ajim.20307 · Cited by 274
Sleep, Anesthesiology, and the Neurobiology of Arousal State Control
Lydic, R., & Baghdoyan, H. A. (2005) · Anesthesiology · doi:10.1097/00000542-200512000-00024 · Cited by 253
Risks of Complications by Attending Physicians After Performing Nighttime Procedures
Rothschild, J. M. (2009) · JAMA · doi:10.1001/jama.2009.1423 · Cited by 249
How Near-Misses Influence Decision Making Under Risk: A Missed Opportunity for Learning
Dillon, R. L., & Tinsley, C. H. (2008) · Management Science · doi:10.1287/mnsc.1080.0869 · Cited by 247
Depner, C. M., Cheng, P., Devine, J. K., Khosla, S., de Zambotti, M., Robillard, R., Vakulin, A., & Drummond, S. P. A. (2019) · SLEEP · doi:10.1093/sleep/zsz254 · Cited by 245
Foster, F., & Wulff, K. (2005) · Nature reviews. Neuroscience · doi:10.1038/nrn1670 · Cited by 255
The Relationship between Nurse Work Schedules, Sleep Duration, and Drowsy Driving
Scott, L. D., Hwang, W.-T., Rogers, A. E., Nysse, T., Dean, G. E., & Dinges, D. F. (2007) · Sleep · doi:10.1093/sleep/30.12.1801 · Cited by 242
Yaghmour, N. A., Brigham, T. P., Richter, T., Miller, R. S., Philibert, I., Baldwin, D. C., & Nasca, T. J. (2017) · Academic Medicine · doi:10.1097/acm.0000000000001736 · Cited by 243
Mental Health Consequences of Shift Work: An Updated Review
Brown, J., Martin, D., Nagaria, Z., Verceles, A. C., Jobe, S. L., & Wickwire, E. M. (2020) · Current Psychiatry Reports · doi:10.1007/s11920-020-1131-z · Cited by 235
Residents Report on Adverse Events and Their Causes
Jagsi, R., Kitch, B. T., Weinstein, D. F., Campbell, E. G., Hutter, M. M., & Weissman, J. S. (2005) · Archives of Internal Medicine · doi:10.1001/archinte.165.22.2607 · Cited by 234
Mansukhani, M. P., Kolla, B. P., Surani, S., Varon, J., & Ramar, K. (2012) · Postgraduate Medicine · doi:10.3810/pgm.2012.07.2583 · Cited by 227
Modelling fatigue and the use of fatigue models in work settings
Dawson, D., Ian Noy, Y., Härmä, M., Åkerstedt, T., & Belenky, G. (2011) · Accident Analysis & Prevention · doi:10.1016/j.aap.2009.12.030 · Cited by 217
High risk of near-crash driving events following night-shift work
Lee, M. L., Howard, M. E., Horrey, W. J., Liang, Y., Anderson, C., Shreeve, M. S., O’Brien, C. S., & Czeisler, C. A. (2015) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1510383112 · Cited by 214
Self-citationSmith‐Coggins, R., Howard, S. K., Mac, D. T., Wang, C., Kwan, S. W., Rosekind, M. R., Sowb, Y. A., Balise, R. R., Levis, J. T., & Gaba, D. M. (2006) · Annals of Emergency Medicine · doi:10.1016/j.annemergmed.2006.02.005 · Cited by 215
Circadian and wakefulness-sleep modulation of cognition in humans
Wright, K. P., Lowry, C. A., & LeBourgeois, M. K. (2012) · Frontiers in Molecular Neuroscience · doi:10.3389/fnmol.2012.00050 · Cited by 209
Possible Broad Impacts of Long Work Hours
Caruso, C. C. (2006) · Industrial Health · doi:10.2486/indhealth.44.531 · Cited by 211
The Productivity of Working Hours
Pencavel, J. H. (2015) · Social Science Research Network · doi:10.1111/ecoj.12166 · Cited by 207
The Impact of Cognitive Stressors in the Emergency Department on Physician Implicit Racial Bias
Johnson, T. J., Hickey, R. W., Switzer, G. E., Miller, E. P., Winger, D. G., Nguyen, M. B., Saladino, R. A., & Hausmann, L. R. M. (2016) · Academic Emergency Medicine · doi:10.1111/acem.12901 · Cited by 210
Landrigan, C. P., Fahrenkopf, A. M., Lewin, D. S., Sharek, P. J., Barger, L. K., Eisner, M., Edwards, S., Chiang, V. W., Wiedermann, B. L., & Sectish, T. C. (2008) · PEDIATRICS · doi:10.1542/peds.2007-2306 · Cited by 191
Self-citationAge-related reduction in the maximal capacity for sleep - implications for insomnia
Klerman, E., & Dijk, D. (2008) · Current Biology · doi:10.1016/j.cub.2008.06.047 · Cited by 187
Countermeasures that work: A highway safety countermeasure guide for state highway safety offices
(2007) · PsycEXTRA Dataset · doi:10.1037/e424112008-001 · Cited by 187
Barger, L. K., Lockley, S. W., Rajaratnam, S. M. W., & Landrigan, C. P. (2009) · Current Neurology and Neuroscience Reports · doi:10.1007/s11910-009-0024-7 · Cited by 184
Self-citationImpact of long work hours on police officers and the communities they serve
Vila, B. (2006) · American Journal of Industrial Medicine · doi:10.1002/ajim.20333 · Cited by 179
Artazcoz, L., Cortès, I., Escribà‐Agüir, V., Ortolano, L. C., & Rodrigo Villegas, R. (2009) · Journal of Epidemiology & Community Health · doi:10.1136/jech.2008.082123 · Cited by 180
(2006) · doi:10.1002/ajim.20373 · Cited by 249
Morning Circadian Misalignment during Short Sleep Duration Impacts Insulin Sensitivity
Eckel, R. H., Depner, C. M., Perreault, L., Markwald, R. R., Smith, M. R., McHill, A. W., HIGGINS, J. A., Melanson, E. L., & Wright, K. P. (2015) · Current Biology · doi:10.1016/j.cub.2015.10.011 · Cited by 173
Weaver, M. D., Vetter, C., Rajaratnam, S. M. W., O’Brien, C. S., Qadri, S., Benca, R. M., Rogers, A. E., Leary, E. B., Walsh, J. K., Czeisler, C. A., et al. (2018) · Journal of Sleep Research · doi:10.1111/jsr.12722 · Cited by 180
Self-citationSleep and errors in a group of Australian hospital nurses at work and during the commute
Dorrian, J., Tolley, C., Lamond, N., van den Heuvel, C. J., Pincombe, J. I., Rogers, A. E., & Dawson, D. E. (2008) · Applied Ergonomics · doi:10.1016/j.apergo.2008.01.012 · Cited by 166
Barger, L. K., Rajaratnam, S. M. W., Wang, W., O’Brien, C. S., Sullivan, J. P., Qadri, S., Lockley, S. W., Czeisler, C. A., & for the Harvard Work Hours, H. A. S. G. (2015) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.4534 · Cited by 169
Self-citationEffects of the 2011 Duty Hour Reforms on Interns and Their Patients
Sen, S., Kranzler, H. R., Didwania, A. K., Schwartz, A. C., Amarnath, S. R., Kolars, J. C., Dalack, G. W., Nichols, B., & Guille, C. (2013) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2013.351 · Cited by 158
Long working hours, occupational health and the changing nature of work organization
Johnson, J. V., & Lipscomb, J. (2006) · American Journal of Industrial Medicine · doi:10.1002/ajim.20383 · Cited by 214
West, C. P., Tan, A. D., & Shanafelt, T. D. (2012) · Mayo Clinic Proceedings · doi:10.1016/j.mayocp.2012.07.021 · Cited by 165
Interns' Compliance With Accreditation Council for Graduate Medical Education Work-Hour Limits
Landrigan, C. P., Barger, L. K., Cade, B. E., Ayas, N., & Czeisler, C. A. (2006) · JAMA · doi:10.1001/jama.296.9.1063 · Cited by 150
Self-citationSanthi, N., Horowitz, T. S., Duffy, J. F., & Czeisler, C. A. (2007) · PLoS ONE · doi:10.1371/journal.pone.0001233 · Cited by 152
Self-citationSleepy Driver Near-Misses May Predict Accident Risks
Powell, N. B., Schechtman, K. B., Riley, R. W., Guilleminault, C., Chiang, R. P., & Weaver, E. M. (2007) · SLEEP · doi:10.1093/sleep/30.3.331 · Cited by 151
Reed, D. A., Fletcher, K. E., & Arora, V. M. (2010) · Annals of Internal Medicine · doi:10.7326/0003-4819-153-12-201012210-00010 · Cited by 149
Sleep and Cardiovascular Disease: An Overview
Malhotra, A., & Loscalzo, J. (2008) · Progress in Cardiovascular Diseases · doi:10.1016/j.pcad.2008.10.004 · Cited by 154
McCormick, F. M., Kadzielski, J. J., Landrigan, C. P., Evans, B. T., Herndon, J. H., & Rubash, H. E. (2012) · Archives of Surgery · doi:10.1001/archsurg.2012.84 · Cited by 149
Circadian misalignment affects sleep and medication use before and during spaceflight
Flynn-Evans, E. E., Barger, L. K., Kubey, A. A., Sullivan, J. P., & Czeisler, C. A. (2016) · npj Microgravity · doi:10.1038/npjmgrav.2015.19 · Cited by 148
Self-citationHuman Performance and Patient Safety
Rall, M., Gaba, D. M., Howard, S. K., & Dieckmann, P. (2010) · Elsevier eBooks · doi:10.1016/b978-0-443-06959-8.00006-6 · Cited by 149
Driving Fatigue in Professional Drivers: A Survey of Truck and Taxi Drivers
Meng, F., Li, S., Cao, L., Li, M. K., Peng, Q., Wang, C., & Zhang, W. (2014) · Traffic Injury Prevention · doi:10.1080/15389588.2014.973945 · Cited by 145
The Effects of On-Duty Napping on Intern Sleep Time and Fatigue
Arora, V. M., Dunphy, C., Chang, V. Y., Ahmad, F., Humphrey, H. J., & Meltzer, D. O. (2006) · Annals of Internal Medicine · doi:10.7326/0003-4819-144-11-200606060-00005 · Cited by 144
Automated acquisition of explainable knowledge from unannotated histopathology images
Yamamoto, Y., Tsuzuki, T., Akatsuka, J., Ueki, M., Morikawa, H., Numata, Y., Takahara, T., Tsuyuki, T., Tsutsumi, K., Nakazawa, R., et al. (2019) · Nature Communications · doi:10.1038/s41467-019-13647-8 · Cited by 150
Damadi, A., Davis, A. T., Saxe, A., & Apelgren, K. N. (2007) · Journal of surgical education · doi:10.1016/j.jsurg.2007.07.008 · Cited by 141
Czeisler, C. A., Walsh, J. K., Wesnes, K. A., Roth, T. G., & Arora, S. (2009) · Mayo Clinic Proceedings · doi:10.1016/s0025-6196(11)60666-6 · Cited by 141
Self-citationHealth promoting practices and personal lifestyle behaviors of Brazilian health professionals
Hidalgo, K., Mielke, G. I., Parra, D. C., Lobelo, F., Simões, E. J., Gomes, G. A., Florindo, A. A., Bracco, M. M., de Moura, L., Brownson, R. C., et al. (2016) · BMC Public Health · doi:10.1186/s12889-016-3778-2 · Cited by 142
Clinical aspects of human circadian rhythms
Klerman, E. B. (2005) · Journal of Biological Rhythms · doi:10.1177/0748730405278353 · Cited by 139
Ftouni, S., Sletten, T. L., Howard, M. E., Anderson, C., Lenné, M. G., Lockley, S. W., & Rajaratnam, S. M. W. (2012) · Journal of Sleep Research · doi:10.1111/j.1365-2869.2012.01038.x · Cited by 137
Work patterns and fatigue-related risk among junior doctors
Gander, P. H., Purnell, H., Garden, A. L., & Woodward, A. J. (2007) · Occupational and Environmental Medicine · doi:10.1136/oem.2006.030916 · Cited by 144
Robb, G., Sultana, S., Ameratunga, S. N., & Jackson, R. (2008) · Injury Prevention · doi:10.1136/ip.2007.016766 · Cited by 135
Melatonin, Sleep, and Shift Work Adaptation
Burch, J. B., Yost, M. G., Johnson, W., & Allen, E. (2005) · Journal of Occupational and Environmental Medicine · doi:10.1097/01.jom.0000177336.21147.9f · Cited by 135
Effects of circadian misalignment on cognition in chronic shift workers
Chellappa, S. L., Morris, C. J., & Scheer, F. A. J. L. (2019) · Scientific Reports · doi:10.1038/s41598-018-36762-w · Cited by 143
Schwartz, J. R. L., & Roth, T. G. (2006) · Drugs · doi:10.2165/00003495-200666180-00007 · Cited by 133
Boudreau, P., Dumont, G. A., & Boivin, D. B. (2013) · PLoS ONE · doi:10.1371/journal.pone.0070813 · Cited by 128
Cost Implications of Reduced Work Hours and Workloads for Resident Physicians
Nuckols, T. K., Bhattacharya, J., Wolman, D. M., Ulmer, C. C., & Escarce, J. J. (2009) · New England Journal of Medicine · doi:10.1056/nejmsa0810251 · Cited by 131
Work–family conflict, cardiometabolic risk, and sleep duration in nursing employees.
Berkman, L. F., Liu, S. Y., Hammer, L. B., Moen, P., Klein, L. C., Kelly, E. L., Fay, M. E., Davis, K. D., Durham, M., Karuntzos, G. T., et al. (2015) · Journal of Occupational Health Psychology · doi:10.1037/a0039143 · Cited by 140
Sleepiness, near-misses and driving accidents among a representative population of French drivers
Sagaspe, P., Taillard, J., Bayon, V., Lagarde, E., Moore, N. D., Boussuge, J., Chaumet, G., Bioulac, B. H., & Philip, P. (2010) · Journal of Sleep Research · doi:10.1111/j.1365-2869.2009.00818.x · Cited by 131
Killgore, W. D. S., Rupp, T. L., Grugle, N. L., Reichardt, R. M., Lipizzi, E. L., & Balkin, T. J. (2008) · Journal of Sleep Research · doi:10.1111/j.1365-2869.2008.00654.x · Cited by 131
The 10-year risk of verified motor vehicle crashes in relation to physiologic sleepiness.
Drake, C., Roehrs, T., Breslau, N., Johnson, E. O., Jefferson, C., Scofield, H., & Roth, T. (2010) · Sleep · doi:10.1093/sleep/33.6.745 · Cited by 125
Arora, V. M. (2008) · JAMA · doi:10.1001/jama.300.10.1146 · Cited by 123
Development and preliminary psychometric properties of a well-being index for medical students
Dyrbye, L. N., Szydlo, D. W., Downing, S. M., Sloan, J. A., & Shanafelt, T. D. (2010) · BMC Medical Education · doi:10.1186/1472-6920-10-8 · Cited by 128
Sleep Deprivation, Physician Performance, and Patient Safety
Olson, E. J., Drage, L. A., & Auger, R. R. (2009) · CHEST Journal · doi:10.1378/chest.08-1952 · Cited by 119
Fisman, D. N., Harris, A. D., Rubin, M. A., Sorock, G. S., & Mittleman, M. A. (2007) · Infection Control and Hospital Epidemiology · doi:10.1086/510569 · Cited by 118
Altered sleep/wake patterns and mental performance
Åkerstedt, T. (2006) · Physiology & Behavior · doi:10.1016/j.physbeh.2006.09.007 · Cited by 126
Asleep at the Wheel—The Road to Addressing Drowsy Driving
Higgins, J. S., Michael, J., Austin, R. A., Åkerstedt, T., Dongen, H. P. A. V., Watson, N. F., Czeisler, C. A., Pack, A. I., & Rosekind, M. R. (2017) · SLEEP · doi:10.1093/sleep/zsx001 · Cited by 116
Self-citationAssociation between work productivity and sleep health: A cross-sectional study in Japan
Ishibashi, Y., & Shimura, A. (2020) · Sleep Health · doi:10.1016/j.sleh.2020.02.016 · Cited by 113
Association between long working hours and sleep problems in white‐collar workers
Nakashima, M., Morikawa, Y., Sakurai, M., Nakamura, K., Miura, K., Ishizaki, M., Kido, T., Naruse, Y., Suwazono, Y., & Nakagawa, H. (2010) · Journal of Sleep Research · doi:10.1111/j.1365-2869.2010.00852.x · Cited by 117
Metadata
- Authors
- Barger, L. K., Cade, B. E., Ayas, N. T., Cronin, J. W., Rosner, B., Speizer, F. E., & Czeisler, C. A.
- Affiliations
- Brigham and Women's Hospital (US)
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 2005-01-13
- Volume
- 352
- Issue
- 2
- Pages
- 125-134
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- OpenAlex
- W2112447342
- Cited by
- 928
- References
- 19
- Citations by year
- 2026: 17 · 2025: 26 · 2024: 20 · 2023: 32 · 2022: 36 · 2021: 39 · 2020: 41 · 2019: 42 · 2018: 31 · 2017: 39 · 2016: 45 · 2015: 36 · 2014: 56 · 2013: 42 · 2012: 45
- FWCI
- 88.98
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- New England Journal of Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Aeronautics and Space Administration (NCC958)
- Brigham and Women's Hospital (T32 HL079010)
- National Space Biomedical Research Institute (NCC 9‐58)
- British Columbia Lung Association
- Agency for Healthcare Research and Quality (F32 HS14130, R01 HS 12032, RO1 HS12032)
- Canadian Institutes of Health Research
- National Heart, Lung, and Blood Institute (T32 HL079010)
- National Institute for Occupational Safety and Health (1 R01 OH07567)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Health Sciences › Nursing › Leadership and Management › Hospital Admissions and Outcomes
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Keywords
- traffic accidents, medical interns, medical residents, near misses, working hours, graduate medical education, occupational safety, sleepiness while driving
- MeSH terms
- Accidents, Traffic, Automobile Driving, Fatigue, Humans, Internship and Residency, Personnel Staffing and Scheduling, Prospective Studies, Surveys and Questionnaires, Risk, Sleep, Sleep Deprivation, United States, Work Schedule Tolerance, Odds Ratio, Workload
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
