Observational studyBMC public health2023
"Multivariate analysis of the impact of sleep and working hours on medical errors: a MICE approach".
Observational study in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Circadian Biology and Phase Response: Fundamental Mechanisms and Clinical Applications.Clocks & sleep · 2026Review
- Influence and Longevity of a Microsurgery Course for Medical Students on Their Future Careers: A Retrospective Report of Up to 10 Years.Journal of reconstructive microsurgery · 2026Article
- The Recovery Deficit: A Simulation Model of Physician Performance Under Sleep Deprivation.Cureus · 2025Article
- Using EEG to Assess Cognitive Fatigue in Real Time: A Medical Simulation Study.Medical science educator · 2025Article
- The economic costs and consequences of (insufficient) sleep: a case study from Latin America.The European journal of health economics : HEPAC : health economics in prevention and care · 2025Article
- Benzodiazepine Misuse Among Health Care Workers: The Effect of Sleep Disorders on Work Performance.Journal of clinical medicine · 2025Article
- Circadian disruption of feeding-fasting rhythm and its consequences for metabolic, immune, cancer, and cognitive processes.Biomedical journal · 2025Review
- Factors influencing medical disputes among village doctors from seven provinces in China: a cross-sectional study.Human resources for health · 2025Article
- Bridging the gap: examining circadian biology and fatigue alongside work schedules.Npj biological timing and sleep · 2024Article
- Article
- Association of systemic immune biomarkers with metabolic dysfunction-associated steatotic liver disease: a cross-sectional study of NHANES 2007-2018.Frontiers in nutrition · 2024Article
Corrections and comments
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Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe main objective of this study was to describe the relationship between working conditions, sleep and psycho-affective variables and medical errors.
methodsThis was an observational, analytical and cross-sectional study in which 661 medical residents answered questionnaires about working conditions, sleep and psycho-affective variables. Actigraphic sleep parameters and peripheral temperature circadian rhythm were measured in a subgroup of 38 subjects. Bivariate and multivariate predictors of medical errors were assessed.
resultsMedical residents reported working 66.2 ± 21.9 weekly hours. The longest continuous shift was of 28.4 ± 10.9 h. They reported sleeping 6.1 ± 1.6 h per day, with a sleep debt of 94 ± 129 min in workdays. A high percentage of them reported symptoms related to psycho-affective disorders. The longest continuous shift duration (OR = 1.03 [95% CI, 1.00-1.05], p = 0.01), working more than six monthly on-call shifts (OR = 1.87 [95% CI, 1.16-3.02], p = 0.01) and sleeping less than six hours per working day (OR = 1.66 [95% CI, 1.10-2.51], p = 0.02) were independently associated with self-reported medical errors. The report of medical errors was associated with an increase in the percentage of diurnal sleep (2.2% [95% CI, 0.1-4.3] vs 14.5% [95% CI, 5.9-23.0]; p = 0.01) in the actigraphic recording.
conclusionsMedical residents have a high working hour load that affect their sleep opportunities, circadian rhythms and psycho-affective health, which are also related to the report of medical errors. These results highlight the importance of implementing multidimensional strategies to improve medical trainees' sleep and wellbeing, increasing in turn their own and patients' safety.
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