ArticleJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2021
Guiding principles for determining work shift duration and addressing the effects of work shift duration on performance, safety, and health: guidance from the American Academy of Sleep Medicine and the Sleep Research Society.
Article in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 49 citations in OpenAlex.
- Occupation-Induced Fatigue and Impacts on Emergency First Responders: A Systematic Review.International journal of environmental research and public health · 2023Pooled it
- Adapting shift work schedules for sleep quality, sleep duration, and sleepiness in shift workers.The Cochrane database of systematic reviews · 2023Pooled it
- Shift work migraine disorder: evidence, mechanisms, and implications for diagnosis, prevention, and management.The journal of headache and pain · 2026Review
- [Work-related fatigue in anesthesia and intensive care medicine : Review article on a structural problem].Die Anaesthesiologie · 2026Review
- Injury prevention in fatigue-prone nursing environments: a comprehensive review of strategies centered on work design, human factors engineering, and safety culture.Frontiers in public health · 2026Review
- Trends and determinants of adverse working conditions among employed women in Australia: a 20-year analysis.BMC public health · 2025Article
- The associations of shift work exposure and chronotype with sleep problems among Hong Kong nurses: results from the HKNight cohort baseline.BMC nursing · 2025Article
- Roles of Psychiatry, Dietary, and Oncology Services in Occupational Medicine: A Comprehensive Review.Cureus · 2025Review
- A Systematic Review of Literature on the Association Among Sleep, Cortisol Level and Cardiovascular Health Within the Healthcare Shift Worker Population.Biomedicines · 2025Review
- Examining How Gender, Race/Ethnicity, and Clinical Roles Moderate the Association Between Sleep and Burnout.Journal of the American College of Emergency Physicians open · 2025Article
- Shift Work, Psychological Health Disorders, and Job Security Among Nurses: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2025Article
- Auricular acupressure combined with auricular acupoint massage enhances cognitive function in night shift nurses: a P300 wave analysis.Frontiers in human neuroscience · 2025Article
- Personal light treatment devices: a countermeasure to improve sleep, fatigue, and circadian misalignment in an operational setting.Sleep advances : a journal of the Sleep Research Society · 2025Article
- Bridging the gap: examining circadian biology and fatigue alongside work schedules.Npj biological timing and sleep · 2024Article
- Evaluation of the Association between Medication Use and Sleep Quality among Shift Workers versus Day Workers.Sleep science (Sao Paulo, Brazil) · 2024Article
- "Multivariate analysis of the impact of sleep and working hours on medical errors: a MICE approach".BMC public health · 2023Observational
- Article
- Are We Ready to Implement Circadian Hygiene Interventions and Programs?International journal of environmental research and public health · 2022Article
- Research priorities to reduce risks from work hours and fatigue in the healthcare and social assistance sector.American journal of industrial medicine · 2022Review
- Effect of Mental Task on Sex Differences in Muscle Fatigability: A Review.International journal of environmental research and public health · 2022Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
17 authors at 15 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
citationRisks associated with fatigue that accumulates during work shifts have historically been managed through working time arrangements that specify fixed maximum durations of work shifts and minimum durations of time off. By themselves, such arrangements are not sufficient to curb risks to performance, safety, and health caused by misalignment between work schedules and the biological regulation of waking alertness and sleep. Science-based approaches for determining shift duration and mitigating associated risks, while addressing operational needs, require: (1) a recognition of the factors contributing to fatigue and fatigue-related risks; (2) an understanding of evidence-based countermeasures that may reduce fatigue and/or fatigue-related risks; and (3) an informed approach to selecting workplace-specific strategies for managing work hours. We propose a series of guiding principles to assist stakeholders with designing a shift duration decision-making process that effectively balances the need to meet operational demands with the need to manage fatigue-related risks.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.