Cited by 227Sleep and Work-Related FatigueHospital Admissions and OutcomesHealthcare professionals’ stress and burnout

Sleep deprivation in resident physicians, work hour limitations, and related outcomes: a systematic review of the literature

Mansukhani, Meghna P., Kolla, Bhanu Prakash, Surani, Salim, Varon, Joseph, Ramar, Kannan·2012·Postgraduate Medicine

Abstract

Extended work hours, interrupted sleep, and shift work are integral parts of medical training among all specialties. The need for 24-hour patient care coverage and economic factors have resulted in prolonged work hours for resident physicians. This has traditionally been thought to enhance medical educational experience. These long and erratic work hours lead to acute and chronic sleep deprivation and poor sleep quality, resulting in numerous adverse consequences. Impairments may occur in several domains, including attention, cognition, motor skills, and mood. Resident performance, professionalism, safety, and well-being are affected by sleep deprivation, causing potentially adverse implications for patient care. Studies have shown adverse health consequences, motor vehicle accidents, increased alcohol and medication use, and serious medical errors to occur in association with both sleep deprivation and shift work. Resident work hour limitations have been mandated by the Accreditation Council for Graduate Medical Education in response to patient safety concerns. Studies evaluating the impact of these regulations on resident physicians have generated conflicting reports on patient outcomes, demonstrating only a modest increase in sleep duration for resident physicians, along with negative perceptions regarding their education. This literature review summarizes research on the effects of sleep deprivation and shift work, and examines current literature on the impact of recent work hour limitations on resident physicians and patient-related outcomes.

Integrity signals

Registry

Crossref · 10.3810/pgm.2012.07.2583

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72 of 72 references verified0 citation errors · 0 not checkable

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  • Shift work makes workers change their bed time frequently, which leads to sleeping problems like poor sleep quality, followed by disturbance of chronobiological rhythms.

    “Second, shift work makes the workers change their bed time frequently, 41 which leads to sleeping problems like poor sleep quality, followed by the disturbance of the chronobiological rhythms.42 43”

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Authors
Mansukhani, M. P., Kolla, B. P., Surani, S., Varon, J., & Ramar, K.
Affiliations
  • Mayo Clinic (US)
  • Texas A&M University (US)
Corresponding author
Surani, Salim
Venue
Postgraduate Medicine
Published
2012-07
Volume
124
Issue
4
Pages
241-249
ISSN
  • 0032-5481 (ISSN-L)
  • 1941-9260
OpenAlex
W1971025355
Cited by
227
References
73
Citations by year
2026: 6 · 2025: 10 · 2024: 14 · 2023: 15 · 2022: 11 · 2021: 20 · 2020: 74 · 2019: 14 · 2018: 10 · 2017: 12 · 2016: 9 · 2015: 15 · 2014: 13 · 2013: 4
FWCI
1.50
Type
journal article
Language
en
Open access
closed
Locations
  • Postgraduate Medicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
  • Health Sciences › Medicine › Emergency Medicine › Hospital Admissions and Outcomes
  • Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
Keywords
sleep deprivation, medical residents, shift work, residency training, patient safety, medical errors, sleep quality, resident well-being, Accreditation Council for Graduate Medical Education, patient outcomes
MeSH terms
Accreditation, Clinical Competence, Cognition, Fatigue, Humans, Internship and Residency, Quality of Life, Sleep Deprivation, United States, Work Schedule Tolerance, Workload, Medical Errors, Sleep Disorders, Circadian Rhythm

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