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Differential Impact of Work Overload on Physicians' Attention: A Comparison Between Residential Fields. | LitMetric
Objectives : Medical errors cause tens of thousands of deaths annually and have a major impact on quality of care and management; however, it receives scant research and public awareness. This study aimed to examine the relation between workload-induced lack of sleep and attention failure, as indications for medical errors risk, among young residents.Methods : We performed an evaluation of young physicians by the Test of Variables of Attention, before and after a 24-hour shift.Results : Workload was manifested by 13% overall attention impairment at baseline, which increased to 34% with deficiencies below the normal range after the shift. Attention measures differed between physicians of each residential field at baseline, but to greater extent after the shift.Conclusions : Traditional working schedule is strongly associated with attention failure. Based on the literature linking attention failures to medical errors, we suggest a regulatory change regarding residents' shift duration to decrease preventable errors.
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