ReviewAccident; analysis and prevention2022
How effective are Fatigue Risk Management Systems (FRMS)? A review.
Review in Accident; analysis and prevention, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
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
27 citing papers in PubMed.
- Fatigue and Driving Safety in Early Parenthood: Developing Feasible Risk-Reduction Strategies Through Co-Design.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2026Article
- Predictive Safety in the Era of Artificial Intelligence: Promises, Limits, and the Case for an Enterprise Lifecycle Evidence Ecosystem.Drug safety · 2026Review
- Explainable Machine Learning for Concurrent Screening of Elevated Work-Related Fatigue Using Routine Working-Hour and Occupational Health Data Among Manufacturing Workers: A Cross-Sectional Model Development and Internal Validation Study.Healthcare (Basel, Switzerland) · 2026Article
- Workplace Wellbeing in Ontario's Public Sector: Employee and Employer Perspectives on Workplace Supports.International journal of environmental research and public health · 2026Article
- Understanding Nurses' Needs Regarding Tailored, Evidence-Based Sleep Education and Training.Journal of advanced nursing · 2026Article
- Supporting paramedic sleep and fatigue: a qualitative exploration of education considerations from the early-career paramedic perspective.BMC health services research · 2026Article
- Drilling down on roster design: comparing fly-in fly-out roster patterns in the West Australian mining industry.Annals of work exposures and health · 2026Article
- [Work-related fatigue in anesthesia and intensive care medicine : Review article on a structural problem].Die Anaesthesiologie · 2026Review
- Fatigue-related factors and perceived team functioning in United States Navy Surface Forces.Sleep advances : a journal of the Sleep Research Society · 2026Article
- The relationship between sleep and fatigue within community-residing older individuals aged 60 years or above in regional China.Frontiers in public health · 2026Article
- 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
- Occupational and Driving Challenges Within Sleep Medicine.Journal of sleep research · 2025Review
- Article
- A competency-based framework for preventing blood-borne pathogen occupational exposures in medical students: literature review and Delphi study.BMC medical education · 2025Review
- Healthcare staff fatigue: The unrecognised risk for patient safety.Future healthcare journal · 2025Article
- Layover start timing predicts layover sleep quantity and timing on long-range and ultra-long-range trips.Sleep advances : a journal of the Sleep Research Society · 2025Article
- Impact of innovative technologies on quality and safety in surgery.Journal of robotic surgery · 2024Review
- Editorial on Vital-Lopez et al. (2024).Sleep · 2024Article
- How much advance notice do workers need? A review and theoretical framework for determining advance notice periods for unpredictable work.Industrial health · 2024Review
- Pediatric nurses' fatigue descriptions in occupational injury reports: A descriptive qualitative study1.Work (Reading, Mass.) · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
objectiveFatigue Risk Management Systems (FRMS) are a data-driven set of management practices for identifying and managing fatigue-related safety risks. This approach also considers sleep and work time, and is based on ongoing risk assessment and monitoring. This narrative review addresses the effectiveness of FRMS, as well as barriers and enablers in the implementation of FRMS. Furthermore, this review draws on the literature to provide evidence-based policy guidance regarding FRMS implementation.
methodsSeven databases were drawn on to identify relevant peer-reviewed literature. Relevant grey literature was also reviewed based on the authors' experience in the area. In total, 2129 records were screened based on the search strategy, with 231 included in the final review.
resultsFew studies provide an evidence-base for the effectiveness of FRMS as a whole. However, FRMS components (e.g., bio-mathematical models, self-report measures, performance monitoring) have improved key safety and fatigue metrics. This suggests FRMS as a whole are likely to have positive safety outcomes. Key enablers of successful implementation of FRMS include organisational and worker commitment, workplace culture, and training.
conclusionsWhile FRMS are likely to be effective, in organisations where safety cultures are insufficiently mature and resources are less available, these systems may be challenging to implement successfully. We propose regulatory bodies consider a hybrid model of FRMS, where organisations could choose to align with tight hours of work (compliance) controls. Alternatively, where organisational flexibility is desired, a risk-based approach to fatigue management could be implemented.
Indexed as
Identifiers
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.