The impact of shift work on the risk and severity of injuries for hospital
employees: an analysis using Oregon workers’ compensation data

Horwitz, Irwin B.; McCall, Brian P.

doi:10.1093/occmed/kqh093

Cited by 90 publications

(75 citation statements)

References 43 publications

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“…This change in normal biological processes may lead to an increased risk of chronic diseases such as cardiovascular disease and cancer (1)(2)(3)(4)(5). Changes and maladaptation to regular sleeping routines can also lead to sleepiness and fatigue, which may also increase the risk of accidents and injuries (6)(7)(8)(9)(10).…”

mentioning

confidence: 99%

Shift work trends and risk of work injury among Canadian workers

Wong¹,

McLeod²,

Demers³

2010

Scand J Work Environ Health

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mentioning

confidence: 99%

Shift work trends and risk of work injury among Canadian workers

Wong¹,

McLeod²,

Demers³

2010

Scand J Work Environ Health

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“…All respondent groups ranked the latter half of the shift (1)(2)(3)(4)(5)(6)(7) as lower in quality compared to the first 6 hours (7 PM21 AM). This finding is contrary to our hypothesis that earlier time periods, during the majority of patient admissions (and presumed higher workload for all providers), would be perceived as lower quality.…”

Section: Discussionmentioning

confidence: 99%

“…3 Research suggests worse hospital performance during off hours, including increased patient falls, in-hospital cardiac arrest mortality, and severity of hospital employee injuries. 2,[4][5][6][7] Although hospital-based services should match care demand, the disparity between patient acuity and hospital capability at night is significant. Off hours typically have lower staffing of nurses, and attending and housestaff physicians, and ancillary staff as well as limited availability of consultative and supportive services.…”

mentioning

confidence: 99%

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Quality and safety during the off hours in medicine units: A mixed methods study of front‐line provider perspectives

Gonzalo

Moser

Lehman

et al. 2014

Journal of Hospital Medicine

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BACKGROUND Hospital off‐hours care is associated with poor outcomes. Mutual conceptualization among provider groups may facilitate improvement efforts. Provider‐perceived threats to quality are unreported. OBJECTIVES The objectives of this study were to identify perceived off‐hours quality and safety issues, assess the most significant, and evaluate differences between nurses, and attending and housestaff physicians, and providers with day and night experience. DESIGN Prospective, sequential, exploratory mixed‐methods study. MEASURES Open‐ended descriptions of adverse events/near misses occurring overnight (n = 190) were analyzed using thematic analysis. From these results, a survey was developed to assess perceptions of quality/frequency of each issue (7‐point scale, 7 = the highest rating) and highest‐quality overnight period (7–10 pm, 10 pm−1 am, 1–4 am, 4–7 am). RESULTS Primary issues related to mismanagement, delivery processes, and communication/coordination. Of 214 surveys, 160 responses (75%) were received. Least‐optimal issues related to “communication” (2.93) and “timeliness/safety” (3.89) of emergency department transfers; most‐optimal issues related to timely lab reporting (4.70). On the 7‐point scale, comparisons among nurses, and attending and housestaff physicians revealed differences in quality of “communication between physicians” (4.29 vs 6.00 vs 5.14) and “communication between consultants–primary providers” (3.46 vs 5.75 vs 4.35, P < 0.001). Comparisons between day–night providers revealed lower ratings from day providers in 12/24 items (P < 0.05), including “communication during emergency department transfers” (4.81 vs 3.86). All groups ranked 4 to 7am lowest in quality. CONCLUSIONS Nurses, and attending and housestaff physicians lack a shared mental model of off‐hours care. Several issues, including emergency department transfers and timeliness of consults, were identified by all providers as problematic, meriting further investigation and intervention. Journal of Hospital Medicine 2014;9:756–763. © 2014 Society of Hospital Medicine

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“…For example, a seven-year retrospective analysis of workers compensation claims in Oregon found that healthcare workers sustained more injuries during the evening and nights shifts [3] . A longitudinal study of 2,617 registered nurses found that musculoskeletal injuries were adversely associated with extended work schedules [4] .…”

Section: Introductionmentioning

confidence: 99%

The timing and type of nursing staff occupational injury and illness incidents, Veterans Health Administration, 2002-2011: a retrospective, population-based, descriptive analysis

Welch

McPhaul²

2012

JNEP

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Background: While the majority of occupational injuries and illnesses that result in lost work days occur during typical day shift hours, the U.S. Bureau of Labor Statistics has noted that timing patterns often reflect the unique nature of different occupations. However, a literature search indicated that few studies have assessed the interplay between the timing and the type of nursing staff occupational injury and illness incidents in general, but especially so for those incidents that were recorded on an hourly basis.Methods: This decade-long retrospective population-based study ascertained the timing of diverse types of reported occupational injury or illness incidents among Veterans Health Administration (VHA) nursing employees, who were classified between the nurse, practical nurse, and nursing assistant series. Using January 1, 2002 as the start date for the longitudinal surveillance of incidents, descriptive analyses included 55,424 VHA nursing employees who reported a total of 113,708 incidents between 2002 and 2011, of which 106,216 (93.4%) were retained for this study, because they included both the specific time and the specific type of incident involved. Although nursing staff work shifts can vary widely, three "typical" 8-hour work shifts-that is to say, night shift: 23:01-07:00, day shift: 07:01-15:00, and evening shift: 15:01-23:00-were selected for summarizing study findings (i.e., for incidents that included both the specific time and the specific type of incident involved).Results: Findings indicated that male nursing staff (accounting for 15.4% of the applicable occupational injury and illness incidents) reported a larger percentage of "Assaults" and "Lifting (Patient Care)" incidents, especially during the evening and the night shifts, whereas female nursing staff (accounting for 84.6% of the applicable incidents) reported a larger percentage of "Slips, Trips, and Falls" incidents, but these were more likely to occur during the beginning and the end of each shift. Findings also indicated that, regardless of gender, "Assaults" and "Lifting (Patient Care)" incidents were more commonly reported during the evening and the night shifts, as compared with the day shift, between all three nursing occupations (nurse, practical nurse, and nursing assistant). "Slips, Trips, and Falls" incidents were more commonly reported during the beginning and end of each shift, between all three nursing occupations.www.sciedu.ca/jnep Journal of Nursing Education and Practice, 2013, Vol. 3, No. 3 ISSN 1925-4040 E-ISSN 1925 14 Conclusions: Staffing patterns and nursing staff working conditions are risk factors for occupational injuries and illnesses. Findings suggest that more attention is needed for ascertaining the potential role and functioning of targeted injury prevention training initiatives with respect to the timing and potential likelihood of selected types of nursing staff occupational injury or illness incidents.

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The impact of shift work on the risk and severity of injuries for hospital employees: an analysis using Oregon workers’ compensation data

Cited by 90 publications

References 43 publications

Shift work trends and risk of work injury among Canadian workers

Shift work trends and risk of work injury among Canadian workers

Quality and safety during the off hours in medicine units: A mixed methods study of front‐line provider perspectives

The timing and type of nursing staff occupational injury and illness incidents, Veterans Health Administration, 2002-2011: a retrospective, population-based, descriptive analysis

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