ArticleScientific reports2024
Association of sleep quality with duty hours, mental health, and medical errors among Japanese postgraduate residents: a cross-sectional study.
Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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14 citing papers in PubMed, 15 citations in OpenAlex.
- On-call work schedules, sleep knowledge, and sleep quality in medical trainees: results from a UK pilot study.Journal of thoracic disease · 2026Article
- Latent profile analysis of depressive symptoms and its associations with problematic social media use and demographic characteristics among Chinese college students.BMC psychology · 2026Article
- Shift work, sociodemographic factors, and sleep quality among nurses working in rotating and day shifts: a cross-sectional analysis.Frontiers in psychiatry · 2026Article
- Prevalence and correlates of perceived stress and psychological health among residents receiving standardized training: a multicenter cross-sectional survey study in China.BMC public health · 2025Article
- Relationship between shift scheduling, sleep knowledge and sleep quality in medical trainees: protocol for a global cross-sectional survey.Journal of thoracic disease · 2025Article
- Benzodiazepine Misuse Among Health Care Workers: The Effect of Sleep Disorders on Work Performance.Journal of clinical medicine · 2025Article
- Association between residents' work hours and patient care ownership: a nationwide cross-sectional study in Japan.BMC medical education · 2025Article
- Five Strategies for Efficient and Effective Training of Japanese Resident Physicians Under the Japanese Work Style Reform.Advances in medical education and practice · 2025Article
- Prevalence and Correlates of Mental Health Problems in Resident Physicians in Inner Mongolia Autonomous Region: A Cross-Sectional Study.Risk management and healthcare policy · 2025Article
- Optimal Working Hours in the 2024 Physician Work Reform: Insights from a Residency Program Director.Advances in medical education and practice · 2025Article
- Prevalence and determinants of occupational depression, anxiety, and stress among Ethiopian healthcare workers.Scientific reports · 2024Article
- Validation of the Athens Insomnia Scale Among Young Chinese Male Population in a High-Altitude Situation.Nature and science of sleep · 2024Article
- Residency Program Directors' Perspectives on Overtime Duty Hours and Professional Development Time in Japan.Advances in medical education and practice · 2024Article
- Sleep quality and related factors among healthcare workers in designated quarantine hospital site in post-pandemic based on the health ecological model: a cross-sectional study in Nanjing, China.Frontiers in public health · 2024Article
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Authors and funding
12 authors at 12 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Long duty hours (DH) impair sleep and negatively affect residents' health and medical safety. This cross-sectional study investigated the association among residents' DH, sleep duration, insomnia, sleep impairment, depressive symptoms, and self-reported medical errors among 5579 residents in Japan who completed the General Medicine In-Training Examination (2021) and participated in the training-environment survey. Weekly DH was classified under seven categories. Sleep duration and insomnia symptoms, from the Athens Insomnia Scale, were analysed to determine sleep impairment; depressive symptoms and medical errors were self-reported. Among 5095 residents, 15.5% slept < 5 h/day, and 26.7% had insomnia. In multivariable analysis, compared with ≥ 60 and < 70, DH ≥ 90 h/week associated with shorter sleep duration and worsen insomnia symptoms. Shorter durations of sleep and more intense symptoms of insomnia were associated with increased depressive symptoms. Medical errors increased only among residents with insomnia, but were not associated with sleep duration. DH > 90 h/week could lead to shorter sleep duration, worsen insomnia symptoms, and negatively impact well-being and medical safety. There was no significant association between sleep duration and medical errors; however, insomnia conferred an increased risk of medical errors. Limiting DH for residents to avoid excessive workload can help improve resident sleep, enhance resident well-being, and potentially reduce insomnia-associated medical errors.
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