The DOI matches its Crossref record; 44 of the 44 references it cites were found in a registry or an index; 1 of the 25 sources its claims cite were checked for support.
Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures
Open accessAbstract
Background Knowledge of the physiological effects of extended (24 hours or more) work shifts in postgraduate medical training is limited. We aimed to quantify work hours, sleep, and attentional failures among first-year residents (postgraduate year 1) during a traditional rotation schedule that included extended work shifts and during an intervention schedule that limited scheduled work hours to 16 or fewer consecutive hours. Methods Twenty interns were studied during two three-week rotations in intensive care units, each during both the traditional and the intervention schedule. Subjects completed daily sleep logs that were validated with regular weekly episodes (72 to 96 hours) of continuous polysomnography (r=0.94) and work logs that were validated by means of direct observation by study staff (r=0.98). Results Seventeen of 20 interns worked more than 80 hours per week during the traditional schedule (mean, 84.9; range, 74.2 to 92.1). All interns worked less than 80 hours per week during the intervention schedule (mean, 65.4; range, 57.6 to 76.3). On average, interns worked 19.5 hours per week less (P Conclusions Eliminating interns' extended work shifts in an intensive care unit significantly increased sleep and decreased attentional failures during night work hours.
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19 Own result · 7 No full text of the sources · 6 Own interpretation · 5 Own method · 3 Not checked yet · 2 Sources not found · 1 Couldn’t confirm · 1 No basis given · accuracy not yet measured
The cited sources that could be checked couldn’t confirm or dispute this claim.
In the paper
“The increased incidence of attentional failures during night work among interns during the traditional as compared with the intervention schedule may impede their ability to care for patients and their education.27 , 37”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > attentional failures
What the sources say
- Could not verifycites [27] sourceExperimental — accuracy not yet measured
The Results and Discussion passages (page not provided) concern sleep-dependent motor-skill learning, not interns’ night work. Searches for attentional failures, traditional versus intervention schedules, patient care, and interns’ education found no passage addressing the claim. (LLM, conf=0.75)
- Not checked — no full text of the sourcecites [37] source
hedgedconditional- Asserted: passes — The authors put it forward as true.
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- Could not verify
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The traditional schedule had three times as many shifts that were prefaced by fewer than 2 hours of sleep in the preceding 24 hours and more than twice as many attentional failures during night work as did the intervention schedule.”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > attentional failures
plaincorrelational- Asserted: passes — The authors put it forward as true.
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- Based: passes — The paper gives a reason why it holds.
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“Furthermore, during both the traditional and the intervention schedule, reported work hours often exceeded both the scheduled weekly hours and the number of consecutive work hours scheduled, owing to the interns' obligation to ensure the continued care of their patients after their own shift was over.”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > attentional failures
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“and 1.5 times the rate during the day (7 a.m. to 10 p.m.) (P=0.07).”
- Also stated in: § attentional failures · hedged
“a trend (P=0.07)toward a reduction in attentional failures during day and evening call (7 a.m. to 10 p.m.) was also apparent”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > attentional failures
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Also stated in: § attentional failures · hedged
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“slept more in the 24 hours preceding each working hour (P<0.001)”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > results
plaincorrelational- Asserted: passes — The authors put it forward as true.
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- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“All interns worked less than 80 hours per week during the intervention schedule (mean, 65.4; range, 57.6 to 76.3).”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > results
plain- Asserted: passes — The authors put it forward as true.
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- Load-bearing: passes — The paper’s conclusions depend on it.
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A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The percentage of work hours preceded by more than 8 hours of sleep in the prior 24 hours was 17 percent during the traditional schedule and 33 percent during the intervention schedule (P<0.001)”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > duration of work and sleep
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“with 21 percent of these work hours logged after more than 24 hours of continuous duty.”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > work hours
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
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A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Attentional failures occurred at more than double the rate during the night (from 11 p.m. to 7 a.m.) on the traditional schedule as compared with the intervention schedule (P=0.02)”
- Also stated in: § attentional failures · plain
“more than twice as many attentional failures during night work as did the intervention schedule.”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > attentional failures
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Also stated in: § attentional failures · plain
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“On average, interns worked 19.5 hours per week less (P<0.001)”
- Also stated in: § work hours · plain
“All 20 interns worked longer during the traditional schedule (mean, 84.9±4.7 hours per week; range, 74.2 to 92.1) than during the intervention schedule (mean, 65.4±5.4hours per week; range, 57.6 to 76.3; P<0.001)”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > results
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Also stated in: § work hours · plain
- It may state two separate claims as one. 17
- Probably not a substantial claim. 7
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“During the traditional schedule, 31 percent of work hours were preceded by 4 or fewer hours of sleep in the preceding 24 hours and 19 percent of work hours were preceded by 2 or fewer hours of sleep in the previous 24 hours, as compared with 13 percent and 6 percent, respectively, during the intervention schedule (P<0.001 for both comparisons)”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > duration of work and sleep
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“On average, interns slept for 1.76±1.04hours between 9 p.m. and 8 a.m. during the traditional schedule, significantly longer than they slept while working the corresponding hours during the intervention schedule (1.29±0.90hours per shift, P=0.02).”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > duration of work and sleep
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The weekly durations of sleep and work were significantly inversely correlated (r=¡0.57,P<0.001), with a predicted loss of 19.2 minutes of sleep per week for each additional hour of work per week (Fig. 3C).”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > duration of work and sleep
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The intervention schedule had no extended work shifts (Fig. 4B), and 96 percent of work hours occurred within the 16 hours scheduled, in contrast to the traditional schedule, in which only 58 percent of work hours occurred within the first 16 hours on duty.”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > work hours
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“During the traditional rotation, over half of work shifts (133 of 223, or 60 percent) were extended (more than 24 hours) and 84 percent of work hours (4255 of 5036) occurred during these shifts”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > work hours
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
In the paper
“he accreditation council for Graduate Medical Education (ACGME) has recently limited work hours for U.S. medical residents to less than 320 hours in a four-week period, with up to 32 additional hours for programs granted exceptions. 1”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > results
What the sources say
- Not matchedcites [1] Common program requirements (resident duty hours). Chicago: Accreditation Council for Graduate Medical Education, February 2003. (Accessed October 4, 2004, at http://www.acgme.org/DutyHours/dutyHoursCommonPR.pdf.)
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
- Not matched
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“considering the fact that caffeine use, compliance with the protocol, and individual differences in the need for sleep among subjects could not be controlled in this field study.”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > attentional failures
hedged- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Our findings may apply not only to residents working in critical care units but also to those on other rotations and specialties and to more senior residents, attending physicians, nurses, and others.”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > attentional failures
hedged- Asserted: passes — The authors put it forward as true.
- Checkable: fails — It may be too vague to check against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: fails — The paper may give no reason why it holds.
Probably not a substantial claim. It may be too vague to check against evidence. The paper’s conclusions may not depend on it. The paper may give no reason why it holds. It may state two separate claims as one.
In the paper
“It is noteworthy that interns took prophylactic naps before two thirds of the overnight shifts during the intervention schedule, thereby preemptively attenuating the deleterious effects on alertness and neurobehavioral performance of continuous wakefulness and blunting the circadian performance nadir.38”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > attentional failures
What the sources say
- Not matchedcites [38] Jewett ME. Models of circadian and homeostatic regulation of human performance and alertness. (Ph.D. thesis. Cambridge, Mass.: Harvard University, 1997.)
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
- Not matched
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“This sizable and unidentified proportion of the population may be particularly vulnerable to the effects of extended work shifts and chronic sleep restriction imposed during residency training, possibly unwittingly placing themselves and their patients at markedly increased risk for fatigue-related errors.”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > attentional failures
hedgedconditional- Asserted: passes — The authors put it forward as true.
- Checkable: unclear — It is unclear whether it could be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A claim is checked only against the cited paper’s full text, never its abstract, and none is available for its sources.
In the paper
“Slow eye movements are correlated with performance failures on the psychomotor vigilance task 21 and are reduced by treatments that counteract fatigue and thus improve neurobehavioral performance.[34][35][36]”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > attentional failures
What the sources say
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
In the paper
“The number of slow eye movements recorded during all waking polysomnographic epochs was determined by a single scorer according to established criteria in an unblinded fashion.21 Results were then validated in a blinded fashion by an independent scorer who compared them with the rates recorded from 9 p.m. to 3 p.m. in a subgroup (10 percent) of EOG recordings (r=0.94,P<0.001).”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > attentional-failure measurements
What the sources say
- Not checked — no full text of the sourcecites [21] Cajochen C, 1999, Am J Physiol source
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Our data on actual work hours reveal that the max-imal number of scheduled work hours must be much lower to allow for this inevitability.”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > attentional failures
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: fails — It may be too vague to check against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. It may be too vague to check against evidence.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Using a within-subjects design, we studied 20 interns during two three-week rotations in the medical intensive care unit (MICU) and coronary care unit (CCU) while they followed a traditional schedule with extended work shifts of 30 consecutive hours scheduled every other shift and an intervention schedule in which work shifts were a maximum of 16 consecutive hours scheduled.”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > coverage schedules
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
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It may state two separate claims as one.
A claim is checked only against the cited paper’s full text, never its abstract, and none is available for its sources.
In the paper
“The presence of slowrolling eye movements during wakefulness is indicative of profound fatigue in both occupational settings 29 and laboratory settings 21 and parallels subjective sleepiness, theta activity on electroencephalography, and impaired neurobehavioral performance 21,29”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > attentional failures
What the sources say
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“we believe it unlikely that simply decreasing the number of hours worked in a week without incorporating the underlying principles of sleep physiology would yield a similar increase in sleep or reduction in attentional”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > attentional failures
hedged- Asserted: passes — The authors put it forward as true.
- Checkable: fails — It may be too vague to check against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. It may be too vague to check against evidence.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Our study provides objectively validated data on work hours, sleep, and attentional failures among medical trainees in situ and quantifies the effects of eliminating extended work shifts on these measures.”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > attentional failures
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Eliminating interns' extended work shifts in an intensive care unit significantly increased sleep and decreased attentional failures during night work hours.”
- Also stated in: § attentional failures · plain
“The elimination of extended work shifts had a significant effect on the number of hours worked by interns, the duration of sleep, and the rate of attentional failures.”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > Abstract
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
- Also stated in: § attentional failures · plain
In the paper
“Since nearly a third of their work hours (31 percent) were thus preceded by 6 or fewer hours of sleep in the preceding 24 hours, they continued to carry a substantial sleep debt, accounting for the high residual rate of attentional failures on both schedules, even during the day.22”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > attentional failures
What the sources say
- Not checked — no full text of the sourcecites [22] source
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“Subjective reports indicated that, before the new regulations were implemented, some trainees worked up to 140 hours per week, [12][13][14][15][16] although the validity of such reports has been questioned.3,17”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > results
What the sources say
hedged- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
The paper relies on this without support.
Knowledge of the physiological effects of extended (24 hours or more) work shifts in postgraduate medical training is limited.
“Knowledge of the physiological effects of extended (24 hours or more) work shifts in postgraduate medical training is limited.”
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
“A randomised controlled trial found that limiting first-year resident physicians to 16 consecutive work hours significantly improved resident alertness and patient safety.”
From National improvements in resident physician-reported patient safety after limiting first-year resident physicians’ extended duration work shifts: a pooled analysis of prospective cohort studies (2023) · cites this paper as [7]
Experimental — accuracy not yet measuredThe cited source says what the claim attributes to it.
In the citing paper
“Diaries were based on ones previously validated against the gold-standard for sleep assessment (polysomnography) in resident physicians55 and used in shift-workers56.”
From Irregular sleep/wake patterns are associated with poorer academic performance and delayed circadian and sleep/wake timing (2017) · cites this paper as [55]
In the citing paper
“Young children, being unmarried (19,26), working long hours (11,27,28), overweight and obesity (3-5), and measures of poor health (13,14,16,20,37,38,40) including acute and chronic respiratory conditions, pain, and anxiety increase the odds of short sleep and have a null or inverse association with long sleep.”
From Sleep Duration in the United States: A Cross-sectional Population-based Study (2009) · cites this paper as [11]
Citations
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Effect of Reducing Interns' Work Hours on Serious Medical Errors in Intensive Care Units
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Practice with Sleep Makes Perfect
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Fatigue among Clinicians and the Safety of Patients
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Self-citation
Research works printed but not linked: 7
- Mullins MD, 2003, N Engl J Med, 348, 665
- Czeisler CA, 2004, Sleep, 27, 371
- 10.1097/00000658-200304000-00001 · DOI
- Richardson GS, 1996, Sleep, 19, 718
- Cajochen C, 1999, Am J Physiol, 277, R640
- Jewett ME. Models of circadian and homeostatic regulation of human performance and alertness. (Ph.D. thesis. Cambridge, Mass.: Harvard University, 1997.)
- Van Dongen HPA, 2004, Sleep, 27, 423
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“In turn, short sleep duration and chronic sleep deprivation are sleep disruptions that have been linked to negative impacts on cognition, emotional and physical health (Lockley et al. 2004).”
BackgroundSelf-citationEffective Implementation of Work-Hour Limits and Systemic Improvements
Landrigan, C. P., Czeisler, C. A., Barger, L. K., Ayas, N., Rothschild, J. M., & Lockley, S. W. (2007) · The Joint Commission Journal on Quality and Patient Safety · doi:10.1016/s1553-7250(07)33110-3 · Cited by 55
Self-citationLiu, P. Y. (2019) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2019-00683 · Cited by 55
Brainard, G. C., Coyle, W. V., Ayers, M. A., Kemp, J. S., Warfield, B., Maida, J. C., Bowen, C. K., Bernecker, C. A., Lockley, S. W., & Hanifin, J. P. (2012) · Acta Astronautica · doi:10.1016/j.actaastro.2012.04.019 · Cited by 59
Self-citationAnderson, C. I., Gupta, R. N., Larson, J. R., Abubars, O. I., Kwiecien, A. J., Lake, A. D., Hozain, A. E., Tanious, A., O’Brien, T., & Basson, M. D. (2013) · JAMA Surgery · doi:10.1001/jamasurg.2013.2144 · Cited by 55
Drazen, J. M. (2004) · New England Journal of Medicine · doi:10.1056/nejme048276 · Cited by 54
Extended Work Shifts and Neurobehavioral Performance in Resident-Physicians
Rahman, S. A., Sullivan, J. P., Barger, L. K., Hilaire, M. A. S., O’Brien, C. S., Stone, K. L., Phillips, A. J. K., Klerman, E. B., Qadri, S., Wright, K. P., et al. (2021) · PEDIATRICS · doi:10.1542/peds.2020-009936 · Cited by 56
Self-citationThe Impact of Duty Hours on Resident Self Reports of Errors
Vidyarthi, A. R., Auerbach, A. D., Wachter, R. M., & Katz, P. (2007) · Journal of General Internal Medicine · doi:10.1007/s11606-006-0065-4 · Cited by 54
Cross-Sectional Survey of Workload and Burnout Among Japanese Physicians Working in Stroke Care
Nishimura, K., Nakamura, F., Takegami, M., Fukuhara, S., Nakagawara, J., Ogasawara, K., Ono, J., Shiokawa, Y., Miyachi, S., Nagata, I., et al. (2014) · Circulation Cardiovascular Quality and Outcomes · doi:10.1161/circoutcomes.113.000159 · Cited by 53
Food for thought: an exploratory study of how physicians experience poor workplace nutrition
Lemaire, J. B., Wallace, J. E., Dinsmore, K., & Roberts, D. (2011) · Nutrition Journal · doi:10.1186/1475-2891-10-18 · Cited by 55
Burnout and compassion fatigue: prevalence and associations among Israeli burn clinicians
Haik, J., Brown, S., Liran, A., Visentin, D. C., Sokolov, A., Zilinsky, I., & Kornhaber, R. A. (2017) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s133181 · Cited by 54
Sleep and recovery in physicians on night call: a longitudinal field study
Malmberg, B., Kecklund, G., Karlson, B., Persson, R., Flisberg, P., & Ørbaek, P. (2010) · BMC Health Services Research · doi:10.1186/1472-6963-10-239 · Cited by 52
“Studies of physicians have shown that night-call duty with long work hours, restricted sleep, stress, time pressure, and high demands may cause impaired performance and adverse effects on subjective health [ 1-4 ].”
BackgroundSleep loss and accidents—Work hours, life style, and sleep pathology
Åkerstedt, T., Philip, P., Capelli, A., & Kecklund, G. (2011) · Progress in brain research · doi:10.1016/b978-0-444-53817-8.00011-6 · Cited by 53
“Also sleepiness was reduced and the number of “attention failures” (similar to “micro-sleeps”) as indicated by EEG/EOG, was greatly reduced during night work (Lockley et al., 2004).”
BackgroundMortality in Medicare Patients Undergoing Surgery in July in Teaching Hospitals
Englesbe, M. J., Fan, Z., Başer, O., & Birkmeyer, J. D. (2009) · Annals of Surgery · doi:10.1097/sla.0b013e3181a501bd · Cited by 51
A Narrative Review of High-Quality Literature on the Effects of Resident Duty Hours Reforms
Lin, H. C., Lin, E. C., Auditore, S., & Fanning, J. (2015) · Academic Medicine · doi:10.1097/acm.0000000000000937 · Cited by 52
Tscholl, D. W., Handschin, L., Neubauer, P., Weiss, M., Seifert, B., Spahn, D. R., & Nöthiger, C. B. (2018) · British Journal of Anaesthesia · doi:10.1016/j.bja.2018.04.024 · Cited by 52
Effects of active on-call hours on physicians’ turnover intentions and well-being
Heponiemi, T., Kouvonen, A. M., Vänskä, J., Halila, H., Sinervo, T. S., Mika Kivimaki, B., & Elovainio, M. J. (2008) · Scandinavian Journal of Work Environment & Health · doi:10.5271/sjweh.1278 · Cited by 51
“Eliminating interns’ extended workshifts and reducing the number of hours worked per week has been found to increase sleep, decrease attentional failures, and decrease serious medical errors (26, 29).”
BackgroundJunior doctors' shifts and sleep deprivation
Murray, A., Pounder, R. E., Mather, H. M., & Black, C. M. (2005) · BMJ · doi:10.1136/bmj.330.7505.1404 · Cited by 51
The Effect of Shift Structure on Performance
Brachet, T., David, G., & Drechsler, A. M. (2012) · American Economic Journal Applied Economics · doi:10.1257/app.4.2.219 · Cited by 46
“: ThE EffEcT Of shifT sTrUcTUrE On pErfOrMAncE For example, Lockley et al. (2004) found 13 out of 20 interns to experience a decrease in the number of slow eye movements during overnight work (from 11 pm to 7 am) in longer shifts compared with shorter shifts.”
Jorm, C. M., & O'Sullivan, G. (2012) · Anaesthesia and Intensive Care · doi:10.1177/0310057x1204000101 · Cited by 50
Wong, L. R., Flynn‐Evans, E. E., & Ruskin, K. J. (2017) · Anesthesia & Analgesia · doi:10.1213/ane.0000000000002548 · Cited by 54
The Case for Addressing Operator Fatigue
Duffy, J. F., Zitting, K., & Czeisler, C. A. (2015) · Reviews of Human Factors and Ergonomics · doi:10.1177/1557234x15573949 · Cited by 50
“A uthor M anuscript A uthor M anuscript A uthor M anuscript A uthor M anuscript episodes >15 seconds long) (Chee et al., 2008; Durmer & Dinges, 2005; Lim & Dinges, 2008), both of which can be classified as attentional failures (Barger et al., 2006; Lockley et al., 2004).”
BackgroundSelf-citationThe Use of Caffeinated Substances by Surgeons for Cognitive Enhancement.
Franke, A., Bagusat, C., McFarlane, C., Tassone-Steiger, T., Kneist, W., & Lieb, K. (2015) · Annals of Surgery · doi:10.1097/sla.0000000000000830 · Cited by 47
Reducing and Mitigating Human Error in Medicine
Morrow, D. G., North, R., & Wickens, C. (2005) · Reviews of Human Factors and Ergonomics · doi:10.1518/155723405783703019 · Cited by 60
Psychosocial Work Characteristics Predicting Daytime Sleepiness in Day and Shift Workers
Takahashi, M., Nakata, A., Haratani, T., Otsuka, Y., Kaida, K., & Fukasawa, K. (2006) · Chronobiology International · doi:10.1080/07420520601100963 · Cited by 48
“It is likely that workers’ sleepiness may play a contributory role in those occupational injuries (Åkerstedt et al., 2005; Folkard et al., 2005; Lockley et al., 2004; Nabi et al., 2006).”
BackgroundInfluentialSleep loss in resident physicians: the cause of medical errors?
KRAMER, M. L. (2010) · Frontiers in Neurology · doi:10.3389/fneur.2010.00128 · Cited by 48
Gordon, J. A., Alexander, E. K., Lockley, S. W., et al. (2010) · Academic Medicine · doi:10.1097/acm.0b013e3181f073f0 · Cited by 48
Self-citationEvans, M., Kelley, P., & Kelley, J. (2017) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2017.00188 · Cited by 55
“More generally, prior research shows that sleep deprivation damages physical and emotional well-being and impairs cognition and performance (Lockley et al., 2004; Blakemore and Choudhury, 2006).”
BackgroundAnderson, C., Ftouni, S., Ronda, J. M., Rajaratnam, S. M. W., Czeisler, C. A., & Lockley, S. W. (2017) · SLEEP · doi:10.1093/sleep/zsx195 · Cited by 48
Self-citationZheng, H., Patel, M., Hryniewicz, K. M., & Katz, S. D. (2006) · JAMA · doi:10.1001/jama.296.9.1049 · Cited by 46
Fialho, G. L., Cavichio, L. R., Póvoa, R., & PIMENTA, J. (2006) · American Journal of Hypertension · doi:10.1016/j.amjhyper.2006.03.007 · Cited by 47
Adverse Drug Events in Hospitalized Cardiac Patients
Fanikos, J. R., Cina, J. L., Baroletti, S. A., et al. (2007) · The American Journal of Cardiology · doi:10.1016/j.amjcard.2007.06.041 · Cited by 47
Differences in Day and Night Shift Clinical Performance in Anesthesiology
Cao, C. G. L., Weinger, M. B., Slagle, J. M., Zhou, C., Ou, J. P., Gillin, S., Sheh, B., & Mazzei, W. (2008) · Human Factors The Journal of the Human Factors and Ergonomics Society · doi:10.1518/001872008x288303 · Cited by 50
“Recent studies by Landrigan et al. (2004) and Lockley et al. (2004) of medical interns are notable, but such complex randomized, controlled trials are very resource intensive and may not generalize to more experienced clinicians or to other clinical disciplines.”
BackgroundMethodTransatlantic comparison of the competence of surgeons at the start of their professional career
Schijven, M. P., Reznick, R. K., ten Cate, O., Grantcharov, T., Regehr, G., Satterthwaite, L., Thijssen, A. S., & MacRae, H. (2010) · British journal of surgery · doi:10.1002/bjs.6858 · Cited by 47
Residents?? Perceptions of the Effects of Work Hour Limitations at a Large Teaching Hospital
Lin, G. A., Beck, D. C., & Garbutt, J. M. (2006) · Academic Medicine · doi:10.1097/00001888-200601000-00017 · Cited by 46
Nighttime delivery and risk of neonatal encephalopathy
Wu, Y. W., Pham, T. N., Danielsen, B. H., Towner, D., Smith, L. H., & Johnston, S. C. (2010) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2010.09.022 · Cited by 46
Study of quality of life among health workers and psychosocial factors influencing it
Ryali, V. S. R., Kumar, A., & Bhat, P. (2018) · Industrial Psychiatry Journal · doi:10.4103/ipj.ipj_41_18 · Cited by 51
“[19-21] Furthermore and consistent with this, approximately 40% of individuals who die by suicide had contacted their primary care physician within a month of their suicide, without eliciting the attention of, or proper action by, the treating physician.[22]”
BackgroundActive learning climate and employee errors: The moderating effects of personality traits
Naveh, E., Katz‐Navon, T., & Stern, Z. (2015) · Journal of Organizational Behavior · doi:10.1002/job.2000 · Cited by 48
Meltzer, L. J., Sánchez-Ortuño, M. M., Edinger, J. D., & Avis, K. T. (2015) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.4538 · Cited by 45
“28,54 55–57 Notable strengths of this study compared to previous research include the relatively large sample size, the inclusion of both mothers and fathers (n = 30 families), and the use of a control group.”
Effect of 16-Hour Duty Periods on Patient Care and Resident Education
McCoy, C. P., Halvorsen, A. J., Loftus, C. G., McDonald, F. S., & Oxentenko, A. S. (2011) · Mayo Clinic Proceedings · doi:10.4065/mcp.2010.0745 · Cited by 45
“Previous attempts to eliminate overnight call systems have required additional resident support to the team.(2,6) To follow the Institute of Medicine and ACGME recommendations, we sought to replace a traditional “overnight” or “24- plus 6-hour” call model with a template in which shifts were less than 16 hours, withou…”
BackgroundMedical Students' Perceptions of Resident Teaching
Brasher, A. E., Chowdhry, S., Hauge, L. S., & Prinz, R. A. (2005) · Annals of Surgery · doi:10.1097/01.sla.0000184192.74000.6a · Cited by 43
Impact of Timing of Birth and Resident Duty-Hour Restrictions on Outcomes for Small Preterm Infants
Bell, E. F., Hansen, N. I., Morriss, F. H., Stoll, B. J., Ambalavanan, N., Gould, J. B., Laptook, A. R., Walsh, M. C., Carlo, W. A., Shankaran, S., et al. (2010) · PEDIATRICS · doi:10.1542/peds.2010-0456 · Cited by 45
Alerting effects of light in healthy individuals: a systematic review and meta-analysis
Tao, Q., Mu, Y.-M., Huang, X., Zhu, S., Hu, Z., So, K., & Ren, C.-R. (2022) · Neural Regeneration Research · doi:10.4103/1673-5374.335141 · Cited by 42
“In clinical settings, several trials have reported that extended-duration shifts worked by interns were related to more medical errors and adverse events (Landrigan et al., 2004; Lockley et al., 2004; Barger et al., 2006).”
BackgroundChai, Y., Gehrman, P., Yu, M., Mao, T., Deng, Y., Rao, J., Shi, H., Quan, P., Xu, J., Zhang, X., et al. (2023) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.2214505120 · Cited by 42
“However, sleep loss due to extended work hours and/or leisure pursuits has become a common problem in modern society (1).”
BackgroundEffects of sleep hours and fatigue on performance in laparoscopic surgery simulators
Olasky, J., Chellali, A., Sankaranarayanan, G., Zhang, L., Miller, A., De, S., Jones, D. B., Schwaitzberg, S. D., Schneider, B. E., & Cao, C. G. L. (2014) · Surgical Endoscopy · doi:10.1007/s00464-014-3503-0 · Cited by 43
“[2] Resident work hour restrictions were developed based on concerns regarding cognitive errors due to sleep deprivation in medical residents.[3] When these restrictions were implemented, the effect of”
BackgroundFactors Associated with Mental Health Status of Medical Residents: A Model-Guided Study
Anagnostopoulos, F., Demerouti, E., Sykioti, P., Niakas, D. A., & Zis, P. (2015) · Journal of Clinical Psychology in Medical Settings · doi:10.1007/s10880-014-9415-2 · Cited by 50
“…organization, interpersonal relationships, as well as intimidation and harassment from members of the healthcare team, and difficulties with work–home balance (Aminazadeh et al., 2012; Cohen & Patten, 2005; IsHak et al., 2009; Lockley et al., 2004; McCray, Cronholm, Bogner, Gallo, & Neill, 2008).”
BackgroundAdmission Time and Outcomes of Patients in A Medical Intensive Care Unit
Sheu, C., Tsai, J., Hung, J., Yang, C., Hung, H., Chong, I., Huang, M., & Hwang, J. (2007) · The Kaohsiung Journal of Medical Sciences · doi:10.1016/s0257-5655(07)70003-2 · Cited by 42
Introduction of a 14-Hour Work Shift Model for Housestaff in the Medical ICU
Afessa, B., Kennedy, C. C., Klarich, K. W., Aksamit, T. R., Kolars, J. C., & Hubmayr, R. D. (2005) · CHEST Journal · doi:10.1378/chest.128.6.3910 · Cited by 43
Barger, L. K., Sullivan, J. P., Blackwell, T., O’Brien, C. S., St. Hilaire, M. A., Rahman, S. A., Phillips, A. J. K., Qadri, S., Wright, K. P., Segar, J. L., et al. (2019) · Sleep · doi:10.1093/sleep/zsz110 · Cited by 43
“Work hours decreased from 85 to 65 per week under the RCWR, sleep duration increased almost 1 hr per night, and electro-oculographically documented nighttime attentional failures decreased by 50% [3].”
BackgroundSelf-citationSharpe, R., Koval, V., Ronco, J. J., Dodek, P., Wong, H., Shepherd, J., FitzGerald, J. M., & Ayas, N. (2010) · Critical Care Medicine · doi:10.1097/ccm.0b013e3181cd122a · Cited by 42
“Our findings are also consistent with a large observational study demonstrating increased rates of fatigue-related errors and adverse events reported by interns as the number of on-call shifts worked in a month increase (15), and a single-center, randomized, controlled trial showing that elimination of extended-durati…”
ResultThe Impact of Housestaff Fatigue on Occupational and Patient Safety
Mountain, S., Quon, B. S., Dodek, P., Sharpe, R., & Ayas, N. (2007) · Lung · doi:10.1007/s00408-007-9010-5 · Cited by 41
Disabling low back pain associated with night shift duration: sleep problems as a potentiator
Takahashi, M., Matsudaira, K., & Shimazu, A. (2015) · American Journal of Industrial Medicine · doi:10.1002/ajim.22493 · Cited by 41
“There is a debate regarding the cost and benefit of extended night shifts [Smith et al., 1998; Lockley et al., 2004; Ferguson et al., 2012].”
BackgroundBrunot, V., Landreau, L., Corne, P., Platon, L., Besnard, N., Buzançais, A., Daubin, D., Serre, J. E., Molinari, N., & Klouche, K. (2016) · PLoS ONE · doi:10.1371/journal.pone.0168548 · Cited by 41
User perceptions of avatar-based patient monitoring: a mixed qualitative and quantitative study
Tscholl, D. W., Weiss, M., Handschin, L., Spahn, D. R., & Nöthiger, C. B. (2018) · BMC Anesthesiology · doi:10.1186/s12871-018-0650-1 · Cited by 39
Does Sleep Deprivation Impair Orthopaedic Surgeons’ Cognitive and Psychomotor Performance?
O’Brien, M. J., O’Toole, R. V., Zadnik, M., Lydecker, A. D., Nascone, J. W., Sciadini, M. F., Pollak, A. N., Turen, C. H., & Eglseder, W. A. (2012) · Journal of Bone and Joint Surgery · doi:10.2106/jbjs.k.00958 · Cited by 41
The Effect of Work Hour Restrictions on the Education of Orthopaedic Surgery Residents
Peabody, T. D. (2006) · Clinical Orthopaedics and Related Research · doi:10.1097/01.blo.0000224037.54345.77 · Cited by 40
Sitticharoon, C., Srisuma, S., Kanavitoon, S., & Summachiwakij, S. (2014) · AJP Advances in Physiology Education · doi:10.1152/advan.00162.2012 · Cited by 40
Lilly, C. M., Cucchi, E. W., Marshall, N., & Katz, A. W. (2019) · CHEST Journal · doi:10.1016/j.chest.2019.04.103 · Cited by 43
Self-citationPape, H., & Pfeifer, R. (2009) · Patient Safety in Surgery · doi:10.1186/1754-9493-3-3 · Cited by 41
“Studies performed in the ICU support the results mentioned above and demonstrate a lower rate of serious medical errors and decreased attentional failures due to elimination of extended work shifts [41,42].”
ResultWorking night shifts affects surgeons' biological rhythm
Amirian, I., Andersen, L. T., Rosenberg, J., & Gögenür, I. (2015) · The American Journal of Surgery · doi:10.1016/j.amjsurg.2014.09.035 · Cited by 38
McIntyre, H. F., Winfield, S., Te, H. S., & Crook, D. (2010) · Clinical Medicine · doi:10.7861/clinmedicine.10-2-134 · Cited by 39
Amin, M. M., Graber, M., Ahmad, K., Manta, D., Hossain, S., Belisova, Z., Cheney, W., Gold, M. S., & Gold, A. R. (2012) · Academic Medicine · doi:10.1097/acm.0b013e3182676b37 · Cited by 39
No stress after 24‐hour on‐call shifts?
Harbeck, B., Suefke, S., Haas, C. S., Lehnert, H., Kropp, P. A., & Moenig, H. (2015) · Journal of Occupational Health · doi:10.1539/joh.14-0276-oa · Cited by 38
Nuckols, T. K., & Escarce, J. J. (2005) · Journal of General Internal Medicine · doi:10.1111/j.1525-1497.2005.0133.x · Cited by 39
How Surgical Residents Spend Their Training Time
Chung, R. S. K. (2007) · Archives of Surgery · doi:10.1001/archsurg.142.3.249 · Cited by 39
Examining the link between burnout and medical error: A checklist approach
Tsiga, E., Panagopoulou, E. P., & Montgomery, A. (2017) · Burnout Research · doi:10.1016/j.burn.2017.02.002 · Cited by 45
“They also indicate that the relationhip is also present in other specialties such as internal medicine Lockley et al., 2004) and pediatrics (Ross et al., 2000).”
BackgroundProlonged Hospital Stay and the Resident Duty Hour Rules of 2003
Silber, J. H., Rosenbaum, P. R., Rosen, A. K., Romano, P. S., Itani, K. M. F., Cen, L., Mi, L., Halenar, M. J., Even‐Shoshan, O., & Volpp, K. G. M. (2009) · Medical Care · doi:10.1097/mlr.0b013e3181adcbff · Cited by 37
Lee, D. Y., Myers, E. A., Rehmani, S. S., Wexelman, B. A., Ross, R. E., Belsley, S. S., McGinty, J. J., & Bhora, F. Y. (2012) · Journal of the American College of Surgeons · doi:10.1016/j.jamcollsurg.2012.08.005 · Cited by 37
Temporal Dynamics of Ocular Indicators of Sleepiness across Sleep Restriction
Ftouni, S., Rahman, S. A., Crowley, K. E., Anderson, C., Rajaratnam, S. M. W., & Lockley, S. W. (2013) · Journal of Biological Rhythms · doi:10.1177/0748730413512257 · Cited by 37
“…oculography, electroencephalography, performance, constant routine, circadian rhythms Eye and eyelid movements have proven useful in quantifying levels of sleepiness that can reflect performance or attentional impairment (Cajochen et al., 1999; Lockley et al., 2004; Torsvall and Åkerstedt, 1987).”
BackgroundSelf-citationQi, J., Li, B.-Z., Zhang, Y., Pan, B., Gao, Y., Zhan, H., Liu, Y., Shao, Y., & Zhang, X. (2021) · Sleep Medicine · doi:10.1016/j.sleep.2021.05.037 · Cited by 36
Regen, F., Dorn, H., & Danker‐Hopfe, H. (2013) · Sleep Medicine · doi:10.1016/j.sleep.2013.02.003 · Cited by 37
“Excessive daytime sleepiness is associated with an elevated risk for motor vehicle accidents and work-related incidents, poorer health, and impaired social and occupational functioning [3–6].”
BackgroundRegulation of Medical Student Work Hours: A National Survey of Deans
Friedman, E. S., Karani, R., & Fallar, R. (2010) · Academic Medicine · doi:10.1097/acm.0b013e3181ff9725 · Cited by 37
Teaching internal medicine residents in the new era
Harrison, R., & Allen, E. (2006) · Journal of General Internal Medicine · doi:10.1111/j.1525-1497.2006.00425.x · Cited by 38
Swide, C. E., & Kirsch, J. R. (2007) · Current Opinion in Anaesthesiology · doi:10.1097/aco.0b013e3282f0efd4 · Cited by 36
Hopmans, C. J., den Hoed, P. T., van der Laan, L., van der Harst, E., van der Elst, M., Mannaerts, G. H. H., Dawson, I., Timman, R., Wijnhoven, B. P. L., & IJzermans, J. N. M. (2015) · Surgery · doi:10.1016/j.surg.2014.09.025 · Cited by 36
de Arriba-Pérez, F., Rodríguez, M. C., & Santos-Gago, J. M. (2017) · Journal of Ambient Intelligence and Humanized Computing · doi:10.1007/s12652-017-0477-5 · Cited by 37
“Other researchers have identified a positive correlation between sleep quality and academic performance (Curcio et al. 2006), between alterations of sleep rhythms and levels of care when working with high levels of concentration, like the study of a subject (Lockley et al. 2004; Johnston 2005), etc.”
BackgroundEffects of Sleep Deprivation on Surgeons Dexterity
Banfi, T., Coletto, E., D’Ascanio, P., Dario, P., Menciassi, A., Faraguna, U., & Ciuti, G. (2019) · Frontiers in Neurology · doi:10.3389/fneur.2019.00595 · Cited by 38
“In the medical context, interns working more than 80 h per week have a significantly higher number of attentional deficits during overnight shifts (11).”
BackgroundChua, E. C.-P., Sullivan, J. P., Duffy, J. F., Klerman, E. B., Lockley, S. W., Kristal, B. S., Czeisler, C. A., & Gooley, J. J. (2019) · Scientific Reports · doi:10.1038/s41598-019-48280-4 · Cited by 36
Self-citationKaneita, Y., & Ohida, T. (2011) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.1322 · Cited by 35
Work schedule differences in sleep problems of nursing home caregivers
Takahashi, M., Iwakiri, K., Sotoyama, M., Higuchi, S., 木口昌子, Hirata, M., Hisanaga, N., Kitahara, T., Taoda, K., & Nishiyama, K. (2008) · Applied Ergonomics · doi:10.1016/j.apergo.2008.01.003 · Cited by 36
Heart rate variability changes in physicians working on night call
Malmberg, B., Persson, R., Flisberg, P., & Ørbæk, P. (2010) · International Archives of Occupational and Environmental Health · doi:10.1007/s00420-010-0593-4 · Cited by 35
Weaver, M. D., Landrigan, C. P., Sullivan, J. P., O'Brien, C. S., Qadri, S., Viyaran, N., Czeisler, C. A., & Barger, L. K. (2023) · BMJ Quality & Safety · doi:10.1136/bmjqs-2021-014375 · Cited by 35
Self-citationPediatric Epilepsy and Parental Sleep Quality
Shaki, D., Goldbart, A. D., Daniel, S., Fraser, D., & Shorer, Z. (2011) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.1318 · Cited by 35
Calidad de sueño y somnolencia diurna excesiva en estudiantes universitarios de diferentes dominios
Maya, S. D. L. P., Lubert, C. D., Londoño, D. M. M., Chaurra, J. T., & Osorio, L. S. N. (2018) · Hacia la Promoción de la Salud · doi:10.17151/hpsal.2019.24.1.8 · Cited by 35
“En esos estudios se reporta que la privación del sueño desencadena una disminución de la capacidad de atención visual y ejecutiva, la velocidad y capacidad de codificación y reacción, la memoria de trabajo y la memoria visual, la fluidez verbal, las funciones ejecutivas, el pensamiento creativo, el rendimiento cogniti…”
BackgroundMorrow, G., Burford, B. C., Carter, M., & Illing, J. C. (2014) · BMJ Open · doi:10.1136/bmjopen-2013-004222 · Cited by 39
Multidimensional Effects of the 80-Hour Work Week at the University of Michigan Medical School
White, C. B., Haftel, H. M., Purkiss, J. A., Schigelone, A. R. S., & Hammoud, M. M. (2006) · Academic Medicine · doi:10.1097/00001888-200601000-00016 · Cited by 34
The Gordon Wilson Lecture: work hours, sleep and patient safety in residency training.
Czeisler, C. A. (2006) · Europe PMC (PubMed Central) · Cited by 33
Self-citationPsychophysical workload in the operating room: primary surgeon versus assistant
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Self-citation
Metadata
- Authors
- 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., Aeschbach, D., & Czeisler, C. A.
- Affiliations
- Brigham and Women's Hospital (US)
- ORCID
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 2004-10-28
- Volume
- 351
- Issue
- 18
- Pages
- 1829-1837
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- OpenAlex
- W2166406376
- Cited by
- 913
- References
- 41
- Citations by year
- 2026: 20 · 2025: 32 · 2024: 24 · 2023: 24 · 2022: 26 · 2021: 31 · 2020: 19 · 2019: 46 · 2018: 36 · 2017: 33 · 2016: 37 · 2015: 41 · 2014: 57 · 2013: 49 · 2012: 54
- FWCI
- 87.88
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- New England Journal of Medicine (publishedVersion)
- PubMed (publishedVersion)
- Surrey Research Insight Open Access (The University of Surrey) (submittedVersion)
- Funders
- National Aeronautics and Space Administration (NCC958)
- Brigham and Women's Hospital (M01 RR02635, T32 HL079010)
- National Space Biomedical Research Institute (NCC 9‐58)
- Wellcome Trust
- Agency for Healthcare Research and Quality (F32 HS14130, K08 HS13333, R01 HS 12032, RO1 HS12032)
- National Heart, Lung, and Blood Institute (T32 HL079010)
- National Center for Research Resources (M01RR002635)
- National Institute for Occupational Safety and Health (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
- sleep duration, attentional failures, graduate medical education, intensive care unit, sleep deprivation, resident fatigue
- MeSH terms
- Adult, Attention, Female, Humans, Intensive Care Units, Internal Medicine, Internship and Residency, Male, Personnel Staffing and Scheduling, Sleep, Sleep Deprivation, Work Schedule Tolerance, Workload, Polysomnography
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.
A language model drew the claims from the paper on 2026-10-11, under version 3 of the claim definition (model deepseek-v4.1-flash, prompt extract-v3).
A second model labelled each claim on 2026-10-11 (model jev-1.13-20260917, definition revision gold-guideline-v0.2).
Cited sources are checked with a language model’s help (gpt-6-sol).
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.
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