PMID- 22023164
OWN - NLM
STAT- MEDLINE
DCOM- 20120409
LR  - 20211020
IS  - 1545-0066 (Electronic)
IS  - 1090-3127 (Print)
IS  - 1090-3127 (Linking)
VI  - 16
IP  - 1
DP  - 2012 Jan-Mar
TI  - Association between poor sleep, fatigue, and safety outcomes in emergency medical 
      services providers.
PG  - 86-97
LID - 10.3109/10903127.2011.616261 [doi]
AB  - OBJECTIVE: To determine the association between poor sleep quality, fatigue, and 
      self-reported safety outcomes among emergency medical services (EMS) workers. 
      METHODS: We used convenience sampling of EMS agencies and a cross-sectional 
      survey design. We administered the 19-item Pittsburgh Sleep Quality Index (PSQI), 
      11-item Chalder Fatigue Questionnaire (CFQ), and 44-item EMS Safety Inventory 
      (EMS-SI) to measure sleep quality, fatigue, and safety outcomes, respectively. We 
      used a consensus process to develop the EMS-SI, which was designed to capture 
      three composite measurements of EMS worker injury, medical errors and adverse 
      events (AEs), and safety-compromising behaviors. We used hierarchical logistic 
      regression to test the association between poor sleep quality, fatigue, and three 
      composite measures of EMS worker safety outcomes. RESULTS: We received 547 
      surveys from 30 EMS agencies (a 35.6% mean agency response rate). The mean PSQI 
      score exceeded the benchmark for poor sleep (6.9, 95% confidence interval [CI] 
      6.6, 7.2). More than half of the respondents were classified as fatigued (55%, 
      95% CI 50.7, 59.3). Eighteen percent of the respondents reported an injury 
      (17.8%, 95% CI 13.5, 22.1), 41% reported a medical error or AE (41.1%, 95% CI 
      36.8, 45.4), and 90% reported a safety-compromising behavior (89.6%, 95% CI 87, 
      92). After controlling for confounding, we identified 1.9 greater odds of injury 
      (95% CI 1.1, 3.3), 2.2 greater odds of medical error or AE (95% CI 1.4, 3.3), and 
      3.6 greater odds of safety-compromising behavior (95% CI 1.5, 8.3) among fatigued 
      respondents versus nonfatigued respondents. CONCLUSIONS: In this sample of EMS 
      workers, poor sleep quality and fatigue are common. We provide preliminary 
      evidence of an association between sleep quality, fatigue, and safety outcomes.
FAU - Patterson, P Daniel
AU  - Patterson PD
AD  - Department of Emergency Medicine, University of Pittsburgh, Pittsburgh, 
      Pennsylvania 15261, USA. pattersond@upmc.edu
FAU - Weaver, Matthew D
AU  - Weaver MD
FAU - Frank, Rachel C
AU  - Frank RC
FAU - Warner, Charles W
AU  - Warner CW
FAU - Martin-Gill, Christian
AU  - Martin-Gill C
FAU - Guyette, Francis X
AU  - Guyette FX
FAU - Fairbanks, Rollin J
AU  - Fairbanks RJ
FAU - Hubble, Michael W
AU  - Hubble MW
FAU - Songer, Thomas J
AU  - Songer TJ
FAU - Callaway, Clifton W
AU  - Callaway CW
FAU - Kelsey, Sheryl F
AU  - Kelsey SF
FAU - Hostler, David
AU  - Hostler D
LA  - eng
GR  - KL2 RR024154/RR/NCRR NIH HHS/United States
GR  - KL2 RR024154-07/RR/NCRR NIH HHS/United States
GR  - KL2 TR000146/TR/NCATS NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PT  - Research Support, Non-U.S. Gov't
DEP - 20111024
PL  - England
TA  - Prehosp Emerg Care
JT  - Prehospital emergency care
JID - 9703530
SB  - IM
MH  - Accidents, Occupational/psychology/statistics & numerical data
MH  - Adolescent
MH  - Adult
MH  - Chi-Square Distribution
MH  - Confidence Intervals
MH  - Cross-Sectional Studies
MH  - *Emergency Medical Services
MH  - Female
MH  - Health Status Indicators
MH  - Humans
MH  - Male
MH  - Medical Errors/prevention & control/psychology
MH  - Mental Fatigue/*epidemiology/etiology
MH  - Middle Aged
MH  - Occupational Exposure/*adverse effects
MH  - *Occupational Health
MH  - Psychometrics
MH  - Risk Assessment/methods
MH  - *Sleep
MH  - Sleep Wake Disorders/*epidemiology/etiology
MH  - Stress, Psychological/complications/psychology
MH  - Surveys and Questionnaires
MH  - Young Adult
PMC - PMC3228875
MID - NIHMS324039
EDAT- 2011/10/26 06:00
MHDA- 2012/04/10 06:00
PMCR- 2013/01/01
CRDT- 2011/10/26 06:00
PHST- 2011/10/26 06:00 [entrez]
PHST- 2011/10/26 06:00 [pubmed]
PHST- 2012/04/10 06:00 [medline]
PHST- 2013/01/01 00:00 [pmc-release]
AID - 10.3109/10903127.2011.616261 [doi]
PST - ppublish
SO  - Prehosp Emerg Care. 2012 Jan-Mar;16(1):86-97. doi: 10.3109/10903127.2011.616261. 
      Epub 2011 Oct 24.