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Pediatr Clin North Am. 2012 Dec;59(6):1317-28. doi: 10.1016/j.pcl.2012.09.001. Epub 2012 Oct 12.

Sleep science, schedules, and safety in hospitals: challenges and solutions for pediatric providers.

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  • 1Division of Hospital Medicine, Department of Pediatrics, UCSF Benioff Children's Hospital, University of California San Francisco School of Medicine, San Francisco, CA 94143-0110, USA.


Sleep deprivation is common among resident physicians and clinical fellows. Current evidence about sleep science, performance, shift work, and medical errors consistently demonstrates positive impact from reduction of excessive duty hours, particularly when shift length is shortened. This article provides an overview of this literature, highlighting research on diminished physician cognitive performance due to sleep deprivation and the increase in the number of medical errors that is seen under these conditions. Accreditation Council on Graduate Medical Education trainee duty hour guidelines are reviewed. Practical approaches to evidence-based scheduling of shift-work are also discussed, with attention to improving patient safety.

Copyright © 2012 Elsevier Inc. All rights reserved.

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