“…Randomised trial on the impact of sleep deprivation on non-technical skillsThe impact of sleep deprivation on the performance of anaesthetists is still uncertain, and research so far has mainly focused on technical skills. Neuschwander et al 79 studied the impact of sleep deprivation on non-technical skills, including ‘team working, situation awareness, decision-making, and task management’. The authors developed a crisis management simulation scenario, using a high-fidelity manikin.…”
Section: Simulation-based Research Designsmentioning
Simulation can offer researchers access to events that can otherwise not be directly observed, and in a safe and controlled environment. How to use simulation for the study of how to improve the quality and safety of healthcare remains underexplored, however. We offer an overview of simulation-based research (SBR) in this context. Building on theory and examples, we show how SBR can be deployed and which study designs it may support. We discuss the challenges of simulation for healthcare improvement research and how they can be tackled. We conclude that using simulation in the study of healthcare improvement is a promising approach that could usefully complement established research methods.
“…Randomised trial on the impact of sleep deprivation on non-technical skillsThe impact of sleep deprivation on the performance of anaesthetists is still uncertain, and research so far has mainly focused on technical skills. Neuschwander et al 79 studied the impact of sleep deprivation on non-technical skills, including ‘team working, situation awareness, decision-making, and task management’. The authors developed a crisis management simulation scenario, using a high-fidelity manikin.…”
Section: Simulation-based Research Designsmentioning
Simulation can offer researchers access to events that can otherwise not be directly observed, and in a safe and controlled environment. How to use simulation for the study of how to improve the quality and safety of healthcare remains underexplored, however. We offer an overview of simulation-based research (SBR) in this context. Building on theory and examples, we show how SBR can be deployed and which study designs it may support. We discuss the challenges of simulation for healthcare improvement research and how they can be tackled. We conclude that using simulation in the study of healthcare improvement is a promising approach that could usefully complement established research methods.
“…Working at night conflicts directly with our internal timekeeping, which further compounds the effects of sleepiness and fatigue from being active all day. 12 Regarding individual performance, the impact on technical skills seems most pressing. We find it difficult to memorize, recall, and apply relevant information, and our physical ability to respond quickly and accurately to obvious stimuli is reduced.…”
Section: The Human Factormentioning
confidence: 99%
“…They are acquired during initial training and honed over many years. In this issue of the BJA, Neuschwander and colleagues 12 provide an interesting new perspective on the impact of sleep deprivation on non-technical skills, an often overlooked aspect of clinical performance during training. Twenty sleep-deprived French anaesthesiology residents without explicit non-technical skills training showed a decrease in non-technical skills in a crisis management scenario.…”
“…Additional studies have demonstrated performance impairments in both the ability to manage a crisis situation and non‐technical skills (e.g. decision making) in a simulated anesthesia intra‐operative crisis scenario by anaesthesia residents who are sleep deprived . Hence, the consequences of having sleep‐deprived trainees, in anaesthesia or other subspecialties of medicine, are potentially grave and far‐reaching, with the risk of adverse incidents impacting not only the health and safety of the physicians themselves but also their patients and the general public as well.…”
This editorial accompanies an article by Cheung et al., Anaesthesia 2019; 74: 434-440.Sufficient quality and quantity of sleep is the sine qua non for optimal physiological and neurocognitive function.
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