ArticleJournal of occupational health2022
Working hours, on-call shifts, and risk of occupational injuries among hospital physicians: A case-crossover study.
Article in Journal of occupational health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 13 citations in OpenAlex.
- Working time traffic light recommendations: development, use, and implementation in the Finnish social and healthcare.Industrial health · 2026Article
- Working Hour Characteristics and Risk of Occupational Accidents - A Case-crossover Study of the Retail Sector.Safety and health at work · 2026Article
- Surgical paradox: physiological activation and improved mood state during surgical work in pediatric surgeons.Journal of occupational health · 2026Article
- Article
- A narrative review of occupational scheduling that impacts fatigue and recovery relevant to veterinarian well-being.The Canadian veterinary journal = La revue veterinaire canadienne · 2023Review
- Prevalence and determinants of occupational injuries among emergency medical technicians in Northern Ghana.PloS one · 2023Article
- Scientific challenges of studying shift schedule design.Scandinavian journal of work, environment & health · 2022Article
- Working hours, on-call shifts, and risk of occupational injuries among hospital physicians: A case-crossover study.Journal of occupational health · 2022Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 3 countries.
Funding
Abstract
objectiveTo investigate the association of hospital physicians' working hours and on-call shifts with the risk of occupational injuries.
methodsIn this nested cohort study of 556 Finnish hospital physicians, we linked electronic records from working-hour and on-call duty payroll data to occupational injury data obtained from the Finnish Workers' Compensation Center for the period 2005-2019. We used a case-crossover design with matched intervals for a 7-day 'case window' immediately prior to occupational injury and a 'control window' 7 days prior to the beginning of the case window, and analyzed their associations using conditional logistic regression models.
resultsWe noted 556 occupational injuries, 281 at the workplace and 275 while commuting. Having three to four long (>12 h) work shifts on the preceding 7 days was associated with a higher probability of an occupational injury (odds ratio [OR] 2.14, 95% confidence interval [CI] 1.11, 4.09), and the OR for three to four on-call shifts was 3.54 (95%CI 2.11, 5.92) in comparison to having none of these work shift types. A higher number of several consecutive working days was associated with a higher probability of injury in a dose-response manner. Moreover, increasing weekly working hours was associated with an increased likelihood of injury (OR 1.03, 95%CI 1.01, 1.04), whereas the number of normal (≤12 h) work shifts reduced this likelihood (OR 0.79, 95%CI 0.64, 0.98).
conclusionsOur findings suggest that accumulated working-hour load, as opposed to single, very long (>24 h) work shifts, may increase the risk of occupational injury among hospital physicians.
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